9 doctors weighed in:
What causes dark circles under your eyes, and how do you get rid of them?
9 doctors weighed in

Dr. Jeffrey Pollard
ENT - Head & Neck Surgery
4 doctors agree
In brief: Dark Eye Circles
In most circumstances the dark circles that form under the lower lids are a result of leaky capillaries in the thin skin of the lid.
This problem has no predictable solution, though many creams claim to improve this condition. In some cases, the circles are due to a deep indentation at the "tear trough" line between the lid and the upper cheek. Fillers may help to camouflage the shadowing.

In brief: Dark Eye Circles
In most circumstances the dark circles that form under the lower lids are a result of leaky capillaries in the thin skin of the lid.
This problem has no predictable solution, though many creams claim to improve this condition. In some cases, the circles are due to a deep indentation at the "tear trough" line between the lid and the upper cheek. Fillers may help to camouflage the shadowing.
Dr. Jeffrey Pollard
Dr. Jeffrey Pollard
Thank
Dr. Kirk Churukian
Surgery - Plastics
1 doctor agrees
In brief: Thin skin!
Thin skin can cause more reflection of blood vessels.
Also, patients with allergies tend to have darker under eye shadows. A good product for this area is teamine. Also, sometimes the area under the eye (tear trough) is hollow and may require a filler. The filling of the tear trough also diminishes the dark shadow.

In brief: Thin skin!
Thin skin can cause more reflection of blood vessels.
Also, patients with allergies tend to have darker under eye shadows. A good product for this area is teamine. Also, sometimes the area under the eye (tear trough) is hollow and may require a filler. The filling of the tear trough also diminishes the dark shadow.
Dr. Kirk Churukian
Dr. Kirk Churukian
Thank
Dr. William Adams
Surgery - Plastics
In brief: Darkness under eyes
Pigment in the skin, tear trough deformity with loss of bony volume and excess fat contribute to the appearance of dark circles.
Treating the pigment with roshni, total fx laser to tighten and rejuvenate the skin, arcus marginalis release, and tear trough implants all help to lessen dark circles.

In brief: Darkness under eyes
Pigment in the skin, tear trough deformity with loss of bony volume and excess fat contribute to the appearance of dark circles.
Treating the pigment with roshni, total fx laser to tighten and rejuvenate the skin, arcus marginalis release, and tear trough implants all help to lessen dark circles.
Dr. William Adams
Dr. William Adams
Thank
Dr. Todd Sisto
Breast Surgery
In brief: Varies
Pigment-- bleaching cream. Venous plexus visible through thin skin-- may be difficult.
Fat grafting may help. Juviderm/ Restylane (dermal fillers) too near the surface will look dark.

In brief: Varies
Pigment-- bleaching cream. Venous plexus visible through thin skin-- may be difficult.
Fat grafting may help. Juviderm/ Restylane (dermal fillers) too near the surface will look dark.
Dr. Todd Sisto
Dr. Todd Sisto
Thank
Dr. Darab Hormozi
Surgery - Plastics
In brief: 2 causes
Many times the circles are the result of shadow effect created by bags( make up can not cover these).
Bags are genetic predisposition to herniate the natural pockets of fat. For these, surgical treatment is really the option. For darker color skin, there are bleaching creams that might reduce the color but major caution should be taken around the eyes ( make up in these cases is the best solution.

In brief: 2 causes
Many times the circles are the result of shadow effect created by bags( make up can not cover these).
Bags are genetic predisposition to herniate the natural pockets of fat. For these, surgical treatment is really the option. For darker color skin, there are bleaching creams that might reduce the color but major caution should be taken around the eyes ( make up in these cases is the best solution.
Dr. Darab Hormozi
Dr. Darab Hormozi
Thank
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