Dark Under Eye Circles Overview, Causes, Treatment

Dark circles under the lower eyelids are common in men and women. Often accompanied by bags, dark circles can make you appear older than you are. To make matters worse, they can be difficult to get rid of.

Though they can affect anyone, dark circles are most common in people who:

• are elderly
• have a genetic predisposition to this condition (periorbital hyperpigmentation)
• are from non-white ethnic groups (darker skin tones are more prone to hyperpigmentation around the eye area)

While fatigue may seem like the most logical explanation for this condition, there are a number of factors that can contribute to dark circles under the eyes. In most cases, they are no cause for concern and do not require medical attention. Read on to learn more.

What causes dark circles?

There are a number of contributing factors for dark circles. Some common causes of include:

Fatigue

Oversleeping, extreme fatigue, or just staying up a few hours past your normal bedtime can cause dark circles to form under your eyes. Sleep deprivation can cause your skin to become dull and pale, allowing for dark tissues and blood vessels beneath your skin to show.

Lack of sleep can also cause fluid to build underneath your eyes, causing them to appear puffy. As a result, the dark circles you see may actually be shadows cast by your puffy eyelids.

Age

Natural aging is another common cause of those dark circles beneath your eyes. As you get older, your skin becomes thinner. You also lose the fat and collagen needed to maintain your skin’s elasticity. As this occurs, the dark blood vessels beneath your skin become more visible causing the area below your eyes to darken.

Eye strain

Staring at your television or computer screen can cause significant strain on your eyes. This strain can cause blood vessels around your eyes to enlarge. As a result, the skin surrounding your eyes can darken.

Allergies

Allergic reactions and eye dryness can trigger dark circles. When you have an allergic reaction, your body release histamines as a response to harmful bacteria. Other than causing uncomfortable symptoms — including itchiness, redness, and puffy eyes — histamines also cause your blood vessels to dilate and become more visible beneath your skin.

Allergies can also increase your urge to rub and scratch the itchy skin around your eyes. These actions can worsen your symptoms, causing inflammation, swelling, and broken blood vessels. This can result in dark shadows beneath your eyes.

Dehydration

Dehydration is a common cause of dark circles under your eyes. When your body is not receiving the proper amount of water, the skin beneath your eyes begins to look dull and your eyes look sunken. This is due to their close proximity to the underlying bone.

Sun overexposure

Overexposure to the sun can cause your body to produce an excess of melanin, the pigment that provides your skin with color. Too much sun — particularly for your eyes — can cause pigmentation in the surrounding skin to darken.

Genetics

Family history also plays a part in developing dark circles under your eyes. It can be an inherited trait seen early in childhood, and may worsen as you age or slowly disappear. Predispositions to other medical conditions — such as thyroid disease — can also result in dark circles beneath your eyes.

Treatment Using Juvederm Voluma

Hollows at the upper cheek or under-eye area can be temporarily improved with Juvederm Voluma.  Juvederm is a non-animal derived hyaluronic acid filler, which gives a soft, natural correction to facial hollows.

Effects typically last approximately six months after the first treatment, but can last even longer after subsequent treatments.  The newer forms of Juvederm contain Lidocaine (a local anesthetic), so treatment is comfortably done in the office with no post-procedure down time.  It is helpful to avoid aspirin-containing products for several days prior to the injections, and to ice the area afterward to minimize bruising.