Login      Sign Up
Skin and Beauty

Dark Circles - a Common Cosmetic Concern

Written by Dr. Suvash Sahu.  

Image: Dark Circles - a Common Cosmetic Concern

Dark circles under eyes or periocular hyperpigmentation is a common cosmetic concern, especially in females.

Causes of Dark Circles:

The two common causes for dark circles are,

  1. Genetic.
  2. Vascular.

Pigmentary Demarcation:

Other than the above, the pigmentary demarcation line can occur due to thin and lax skin, pronounced tear trough, post-inflammatory hyperpigmentation due to continuous rubbing of eyes in allergic conjunctivitis and atopic dermatitis and lack of adequate sleep, stress, etc.

Three different conditions contributing to dark circles are,

  1. Shadows due to bulging contour of the lower eyelid.
  2. Blood vessel - bluish color secondary to the venous network situated under the skin or reddish color due to visible dermal capillary networks.
  3. Pigment - brown color secondary to superficial epidermal melanin (pigment synthesized by melanocytes responsible for color) and blue color secondary to dermal melanin.

Aim of Dark Circle Treatment:

  • Decrease the leakage through capillaries and strengthen the capillaries.
  • Increase the blood flow to help clearing of oxidized hemoglobin.
  • Hydrate the skin in order to prevent wrinkling.
  • Anti-inflammatory agents to decrease the puffiness of the eyes.
  • Increase thickness of skin and increase collagen and elastin to reduce wrinkling around the eyes.

Chemical Peeling for Dark Circles:

Chemical peels act through exfoliation, abrasion and shedding of the superficial skin cells followed by remodeling without scarring. The most frequently used peels for dark circles are Arginine and Lactic acid peels. Argipeel is one of the readily available combination peels for dark circles. It contains Arginine (20%), Lactic acid (20%), Aloe vera (1%) and Allantoin (0.5%).

Other peels like Glycolic acid (15 to 20%) with Kojic acid also give good results. Counseling and post peel maintenance are very important in treating dark circles with a chemical peel. We may not get much satisfactory results as per the expectation of the patient, but combination of treatment modalities and lifestyle modification gives good results.

LASER Treatment for Dark Circles:

Q-switched ruby laser (QSRL) and ablative CO2 laser resurfacing can be used, but chance of post-inflammatory hyperpigmentation (PIH) is much more with a laser. Q-switched ruby laser and topical bleaching agents with Retinoic acid and Hydroquinone are considered effective for dark circles with low incidence of PIH.

Dark circles are a complex and challenging skin condition for both the dermatologist and the patient. The management is always a cocktail of treatments with consideration that shadowing and vascular effect are dealt with separately depending on the causes of dark circles.

Do you have dark circles? Consult a dark circles specialist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist/dark-circles

Last reviewed at: 07.Sep.2018



Do you have a question on Lack Of Sleep or Chemical Peels?
* guaranteed answer within 4 hours.

Related Questions & Answers

How to treat dark circles around the eyes?
Query: Hello doctor, I have darkness in my eyes. What to do? How to treat dark circles in the eyes?  Read Full »
Dr. Shanza Ikram

Answer: Hi, Welcome to icliniq.com. First, you need to understand that dark circles around the eyes are sometimes resistant to any treatment and runs in families. Ensure you get a full night's sleep. Do not take stress. Take capsule Perfectil plus (multivitamins and minerals) for three months. Apply V...  Read Full »
What homeopathic treatment can be done for dark circles around eyes?
Query: Hello doctor,I have very stubborn dark circles around my eyes especially on the inner corners and my lips have turned dark too.  Read Full »
Dr. Potnuru Srinivaasa Sudhakar
Homeopathic Physician

Answer: Hello,Welcome to icliniq.com.Dark circles under the eye are caused by fatigue. Dark circles under may merely be shadows cast by puffy lids of eye or hollows under eyes, actually that are due to as a normal part of aging. Common causes are mainly allergies, atopic dermatitis, contact dermatitis, pigm...  Read Full »
General Concepts of Chemical Peeling
Article Overview: Chemical peels are very common in dermatological practice. Here in this article, I just tried to cover the common and frequently asked questions such as the uses, limitations and post-peel care.  Read Article »
Dr. Suvash Sahu

Chemical peeling is an application of a chemical agent to the skin to cause a controlled chemical burn. It should be deep enough to cause exfoliation of skin layers and superficial enough to allow regeneration with subsequent resurfacing and remodeling of collagen and elastic fibers. Uses of Chemic ...  Read Article »
Get Rid of Dark Circles With Homeopathy
Article Overview: Dark circle is a blackish or bluish discoloration of the skin around the eyes. There are a number of factors that cause them. Homeopathy has safe and effective medicines to remove them. This article talks about dark circles and their cure.  Read Article »
Dr. Ankita Kakkar
Homeopathic Physician

Dark circles are seen in men as well as women, especially in the age group of 18 to 35 years. They can make the person in their prime of youth appear old, tired and dull. So, definitely, there would be many people looking for an effective cure to get rid of them. Although the medicines are effective ...  Read Article »

Ask a Doctor Online

* guaranteed answer within 4 hours

Related Tags