Dr Rima Soboh, aesthetic medicine
Dark circles
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Dark circles

Hollows, shadows and tired eyes

Dark circles cover three different situations. A hollow dark circle is a dip under the eye that casts a shadow. A pigmented dark circle is a brown discolouration of the skin. A vascular one looks blue, from vessels showing through thin skin. The treatment is not the same in each case.

  • The thinness of the skin under the eye, the thinnest on the body
  • Loss of volume in the tear trough, which deepens the shadow
  • A family predisposition, common with pigmented dark circles
  • An under-eye bag, which accentuates the hollow above it
  • Poor sleep, smoking and dehydration, which add to the tired look

A pigmented dark circle cannot be filled: a hyaluronic acid injection there can even make it more visible. It is treated differently, with mesotherapy or polynucleotides, which work on the quality of the skin around the eye, together with daily sun protection. A fatty under-eye bag is a surgical matter.

Is filling the tear trough risky?

It is a delicate area with a rich blood supply. It calls for an examination first, a suitable product and a careful technique, usually with a cannula. Contraindications are checked at the consultation.

How long does the result last?

Usually 6 to 12 months for tear trough filling, and up to 18 months at most, depending on the product and the person.

What if my dark circles are brown?

Pigmented dark circles are approached through skin quality and sun protection, not through filling. Mesotherapy or polynucleotides may be offered to hydrate the area and improve the quality of the skin.