Dark circles under eyes? Non-surgical solutions can help.

Posted on the 20 September 2011 at 10:55

Dark circles under 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 or due to congestion caused by allergies or hay fever etc.

The vast majority of suffers however, do not have any underlying medical problem. The usual cause is not true dark circles but such appearance due to shadows cast by overhead light. The medical name for this is naso-jugal 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.

So what can be done for tear trough correction?

This is one condition where surgery will not help. A better solution is 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 as a result of treatment is now very much a thing of the past. New technology and injection techniques now make it possible to have this as a ‘lunch-time’ procedure without any downtime although it is best to allow a few days to be on the safe side.

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

Left Images shows tear trough pre-treatment.  Right Images shows tear trough reduction after treatment.

Specialist skin creams including depigmenting agents, gentle chemical peels and fractional eyelift also known as ‘Madonna lift’ can rejuvenate skin around the eyes and sometimes combination approach works best.

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Blog Comment(s) [2]

Any thoughts on carboxytherapy in this area?

Fab Equizi

Carboxytherapy works by increasing CO2 in the tissues which causes oxyhaemoglobin in the blood to release oxygen [bohr effect]. This also increases circulation to the tissue and encourages neovascularisation. Although I am trained and certified in carboxytherapy I have no experience of using it in this area. I guess it helps increase collagen synthesis. I do use q switched lasers and a recent paper from the far east showed excellent results for reducing pigmentation.

Dr Sanjay Gheyi