Dark Circles Under Eyes? Here’s How to Get Rid of Them...

Dr Sanjay Gheyi
By Dr Sanjay Gheyi

Dr Gheyi has triple board certifications in General Surgery, Family Medicine and Anti-ageing Medicine. He devotes full time to his Aesthetic and Anti-ageing practice.


Dark circles under the eyes are a common problem. These can result in a tired and dull appearance even though you may be full of energy. So, what causes them?

Dark circles may actually be due to excess pigmentation in the skin under the eyes. This is more common among dark Asians. It can sometimes be due to underlying medical problems, nutritional deficiencies, congestion caused by allergies, hay fever, etc.

However, the vast majority of suffers do not have any underlying medical problem. The usual cause is not genuine dark circles but such appearance due to shadows cast by overhead light. The medical name for this is nasojugal grove or more commonly referred to as ‘Tear troughs’.

Tear troughs is the area where the lower eyelid stops and the cheek begins. The skin along this area is attached to the underlying bone by a dense ligament.

Young plump skin and underlying tissue hides it. This however changes as your 30s and 40s roll on.

Skin, soft tissue and even underlying bone of this area change and shadows start to appear.

Sometimes this can be a result of surgery in this area.

Treatments for Dark circles under eyes

So what can be done for tear trough correction?

This is one condition where the surgery will not help. A better solution is the injection of hyaluronic acid fillers to plump out this area so that shadows become less conspicuous. 

Remember - less is more here. Too much filler and a bluish tinge will be visible or the area will swell. Bruising due to treatment is now very much a thing of the past. New technology and injection techniques now make it possible to have this as a ‘lunchtime’ procedure without any downtime although it is best to allow a few days to be safe.

Pictures here show actual patient results in natural light. Harsh light from the camera flash can hide these.

Left Image shows tear trough pre-treatment.  The right Image shows tear trough reduction after treatment.

Tear trough treatments
Tear trough treatments

If you want to read more, the experts at Consulting Room really know what they're talking about and have put together some Dark circles, pigmentation and dermal fillers FAQs just for you. 

If you have more questions, you can use the Dark circles, pigmentation and dermal fillers questions feature to talk to our panel of trained medical experts. 

If you're keen to get started with any of these treatments right away then you're in luck - those clever folks also have a list of trusted, accredited Dark circles, pigmentation and dermal fillers clinics in your area.


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