Dark circles under the eyes are a frequent concern for patients at New York Eye and Face because the under-eye area is delicate, anatomically complex, and quick to show signs of fatigue or aging. As a board-certified, ASOPRS-certified oculofacial plastic surgeon, Dr. Anaïs Carniciu specializes exclusively in the eyes and face, allowing her to determine why dark circles develop rather than relying on generalized treatments. Read on to understand what causes under-eye dark circles and how they can be treated safely and effectively.
What Causes Dark Circles Under the Eyes
Although dark circles may look similar from person to person, their causes often differ, and multiple factors are frequently involved.
- Pigmentation and genetics: Excess melanin or inherited skin characteristics can create brown or gray discoloration beneath the eyes.
- Thin under-eye skin: Naturally thin skin may allow underlying blood vessels to show through, producing a blue or purple tone.
- Volume loss and aging changes: Loss of fat, bone support, and collagen can create hollowing and shadows that darken the under-eye area.
- Lifestyle and environmental factors: Poor sleep, allergies, dehydration, and sun exposure can worsen darkness but are rarely the sole cause.
Identifying the primary contributors is essential for choosing the most effective treatment approach.
When Skincare and Lifestyle Changes Can Help
For mild dark circles, conservative measures may offer modest improvement. Medical-grade skincare can support collagen, improve texture, and address superficial pigmentation, while daily sun protection helps prevent further thinning and discoloration.
Managing allergies, hydration, and sleep can also reduce inflammation-related darkness, but these strategies are best viewed as supportive care rather than corrective solutions when structural changes are present.
Non-Surgical Treatments for Under-Eye Dark Circles
When dark circles persist, non-surgical treatments may be appropriate for patients whose concerns are driven by volume loss, skin quality, or subtle eyelid changes. Dr. Carniciu selects each option based on detailed anatomical assessment and aesthetic goals.
- Dermal fillers: Products such as Restylane, the RHA Collection, and Evolysse can restore lost volume and reduce under-eye hollowing.
- Laser and light-based treatments: CO2 laser resurfacing and BBL HERO photofacial treatments may improve skin tone and texture.
- Prescription eye treatments: Upneeq may be used in select patients to subtly elevate the upper eyelid and improve overall eye appearance.
Surgical Treatments for Under-Eye Dark Circles
For more advanced concerns, surgical options may provide the most natural and durable results by addressing structural contributors to under-eye darkness.
- Lower eyelid blepharoplasty: Smooths the under-eye contour by repositioning or removing excess fat and skin.
- Aesthetic ptosis repair: Corrects upper eyelid drooping that can contribute to a tired appearance.
- Mid-face lift and festoon treatment: Address deeper structural issues and lax tissue that accentuate under-eye darkness.
Take the First Step Toward Brighter, Refreshed Eyes
Dark circles under the eyes can stem from many causes, which is why meaningful improvement begins with expert evaluation rather than guesswork. At New York Eye and Face, Dr. Carniciu applies her subspecialty training in oculofacial plastic surgery to identify the specific anatomical, skin-related, and lifestyle factors contributing to under-eye darkness.
Each consultation is thorough and personalized, with careful attention to safety, balance, and natural-looking results. Whether treatment involves targeted skincare, non-surgical rejuvenation, or a surgical approach, Dr. Carniciu develops a plan tailored to your unique anatomy and goals. To learn how to get rid of dark circles under your eyes safely and effectively, schedule a personalized consultation with Dr. Carniciu today.
