Dark undereye circles can be caused by a variety of things from heredity, allergies, or just poor sleeping habits. There are a multitude of treatments that range from eye cream, intense pulsed light therapy, skin resurfacing, and injectable fillers.
Dark Circle Eye Cream
Creams that have topical bleaching agents may be recommended by your dermatologist to reduce dark circles caused by hyperpigmentation from melasma or sun damage.
IPL for eye circles
Intense Pulsed Light Therapy (IPL) may be used to reduce the appearance of blood vessels visible as dark purple or blue under eye circles.
Skin resurfacing for under eye circles
Increased collagen production, decreased pigmentation problems, etc. are just some of the benefits of using laser resurfacing and chemical peels.
Hyaluronic acid facial fillers for dark circles
Injectable fillers containing hyaluronic acid are often used to correct dark circles created by thinning under eye skin or fat and tissue loss in the under eyes or upper cheeks. Restylane is a commonly recommended hyaluronic acid filler for restoring volume to the tear trough or upper cheek area.
Hyaluronic acid fillers are absorbed by the body within a few months to one year, so the results are temporary. The only permanent filler typically recommended for the under eye area is a patient’s own fat.
Fat injections to get rid of dark circles
Like hyaluronic acid fillers, fat may be grafted from another body area and injected in the tear troughs to treat dark circles. Fat injections (or fat transfer) are typically recommended for correction of dark circles caused by thinning under eye skin or fat and tissue loss in the under eyes or upper cheeks.
Unlike hyaluronic acid fillers, fat injection results may be permanent, however results are not guaranteed, as fat cells don’t always survive the fat transfer process.
Surgery for eye circles
Eyelid surgery, or blepharoplasty, is generally the most effective way to permanently get rid of dark circles.
There are multiple approaches to lower eyelid surgery, and when it is performed to diminish dark circles, it is often combined with one or more of the following surgical procedures: arcus marginalis release, placement of tear trough implants, and the addition, removal, or repositioning of under eye fat.
Cheek lift to correct darkening under eyes
A cheek lift, or mid-facelift, can effectively and permanently correct dark circles caused by cheek descent, or drooping, a common result of facial aging.
In addition to treating dark circles, a cheek lift may be performed to reduce under eye puffiness and deep nasolabial folds.