Why Women get those dark circles under the eye?

There are actually four reasons for those annoying dark under eye circles. Read along and enjoy this informative blog. I explore causes of undereye circles and consider possible treatment options.


The first is the translucency of the undereye skin. The skin of the lower eyelid is very thin. Actually, it’s the thinnest in the body and you can actually see through it. You can see the blood vessels and you can also see the orbicularis muscle underneath the skin.

The only thing you can do for that is build up the thickness of the skin and the best thing that does that is Vitamin C. There was a good publication in 2013. It showed that 6 months of Vitamin C on the skin at a concentration of 20% can significantly thicken the skin.

Brown Pigmentation

The second reason are brown pigmentation which is very common. Some patient’s have these dark pigments pretty dark. It’s a natural defense mechanism to have dark pigment under the eye. You see, the darker the skin around the eye is the less likely light will reflect into the eye causing glare. By the skin darkening on the lower eyelid it sorts of increase your visual acuity. That is good, right? Well it doesn’t look that good.

What can we do for brown pigmentation under the eyes? Well, chemical peels, specially TCA peels, photo-rejuvenation with broadband lasers or brightening skincare creams that contain Azelaic Acid, Retinol and Hydroquinone derivatives like Arbutin.


The third cause of dark circles under the eyes often comes from shadowing and light refraction from prominent bags under the eyes or deep hollow tear troughs.

If you have the fat bags that aren’t too big, then fillers can help camouflage the undulation and irregularities surrounding the eyelids and promote a more even and brighter reflective surface. If it’s a deep tear trough, which runs like a groove from the inner corner of the eye to the outer face descending down as it crosses the midline, then a filler could be the best answer. There are two types of filler to be used on this occasion. Your own fat, taken from another area like the love handles or lower belly, a process called nano-fat, an advanced form of lipofilling. Alternatively, you can opt to use a synthetic soft dermal filler that is made specifically for that region, a filler that is not too hydrophilic (that means its doesn’t swell or take too much water), for this purpose I like using homogenous fillers like Juvéderm Volbella or Teosyal Redensity I or II.


The last reason is related to the ageing process. As we get older the cheeks that were prominent in yesteryears lose their fat, regress into the facial bones and the cheeks actually descend as the fibrous tissue loosen up giving way for the overlying skin to fall down and that’s what leads to an eventual midface gaunt. For those affected they can take their finger and press on the fat part of their cheek only to notice that they don’t have much of those dark circles anymore.

In this era, in 2020, one of the easy ways to deal with this is to inject dermal filler in the cheek area. A treatment called the Softlift where long lasting quality dermal fillers Restylane or Belotero restore that lost volume and prop the cheeks back up again. This kind of treatment will cause more swelling than elsewhere in the face, so be prepared to hide for a day or two.

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