What causes dark circles under the eyes?
Dark circles have four common causes: increased pigment, thin skin showing the vessels beneath, the shadow of a hollow, and allergy. Treatment is chosen by cause.
Common causes
- Pigment: a brownish tone; sun and genetics play a role.
- Thin skin: vessels show through as purple-blue.
- Shadow: the tear trough hollow looks dark in light.
- Allergy and lack of sleep: rubbing and swelling darken the area.
What helps?
Sun protection and some skincare creams help with pigment and skin quality. If a hollow casts the shadow, filler or lower lid surgery with fat repositioning may be considered. Allergy is treated first.
More detail: Under-eye bags
Frequently asked questions
Are dark circles permanent?
It depends on the cause. Sleep- and allergy-related darkness improves; pigment and hollow-related darkness needs treatment.
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References
This page is for general information only and does not replace a medical consultation. Anatomy and treatment plans differ from patient to patient.