Q. Please explain the causes and treatment for dark circles.

Answered by
Dr. Barve Vaibhav Saidas
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Dec 30, 2019

Hello doctor,

I have had very bad dark circles under my eyes since I was around 7 or 8 years old and went to a dermatologist about it once which said they had something to do with a vein, but was not sure how to help. I was wondering if you could shed some light on this. I am 28 years old now and still have the dark circles which makes me look bad and would like to find the best solution to make them go away.



Welcome to

This is tear through deformity (attachment removed to protect patient identity). You can try dermal fillers. For this, visit your nearest dermatologist. It will give better result. Do not worry it will go. Do you have any addiction? Reduce your stress. Take proper 8 hour continuous sleep. Eat healthy food. Take care. Send your photos after taking treatment.

Thank you doctor,

I have no addiction, get 6 to 8 hours of sleep, and not really stressed about much. Will the dermal fillers make the dark circles go away completely you think? I have never heard of them. What does tear through deformity mean? I will send pictures after I try it. Just weird that when I was 6 years old and younger I never had the dark circles and they appeared afterwards.



Welcome back to

90 % improvement will be seen after fillers. Tear trough deformity is depression below lower eyelids. Eyelid looks sunken giving fatigue appearance. There are 4 grades of tear through deformity. You are in grade 1. Multiple treatment options are available like fillers, fat grafting, etc., but fillers are enough for you. Fillers treatment is not permanent but safe. Its effect lasts about 3 to 6 months and require maintenance. The cause is unknown, genetic or due to aging. There are lots of people having such problem. They get treatment and feel happy.

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