Nasal Deviation and Under Eye Circles. How to Rid of Them?

i always have black circles..i have nasal septum deviation and hypertrophy ..however i am not always congested..i have had black eye circles for a long time and nothing seems to make them disappear..will correcting the deviation make the circles disappear!

Doctor Answers 2

Deviated septum and dark circles

Dark circles under the eyes can be caused by fluid retention also know as "allergic shiners"  This is more related to allergies which can compound nasal obstruction when a deviated septum is present

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Causes of lower eyelid "dark circles"

Great question! There are a few issues which could be going on with your under eye dark circles. Obviously, it would be helpful to see photos or, ideally, see you in person to fully assess what is happening.

-First, some patients genetically are predisposed to having dark circles under the eyes. this can be due to the position of the eyeball in relation to the orbital rim, the bone which sits below the eye. Patients with "negative vector" eyes are predisposed to this issue. 

-Second, patients who have a large hump on the nose, often notice shadowing under the eyes in certain lighting. This issue, as well as your septal deviation could be corrected with a septoplasty and rhinoplasty.

-Third, you may have a component of nasal allergies, which can result in "allergic shiners", resulting from congestion of the tiny blood vessels below the eyes.

-And fourth, you may have lower eyelid fat which starts to "pooch" forward from around the eye. This creates bags under the eyes. The combination of this lower eyelid fat pseudoherniation and the cheeks starting to sag can create shadowing under the eyes, what we call the tear troughs.

Depending on which of these conditions apply to your eyes and cheeks, you may be a candidate for fillers, such as Restylane, or lower eyelid blepharoplasty, which I perform without any external incisions, repositioning that lower eyelid fat downward into the tear troughs. This smoothes the transition between your lower eyelids and cheeks. 

Best regards,

Dr. Mehta

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.