Chamomile tea, ice, creams, cold compresses, masks… how many times have you heard of remedies touted as foolproof for getting rid of those notorious dark circles?
So none of this works, doctor? The truth is this: everything you do correctly to care for the skin on your face helps soften blemishes, dark circles, sagging and all those unwanted details that appear over time. Therefore, maintaining daily care, such as using sunscreen and moisturizers suited to your skin type, is essential for keeping your skin healthy. But pay close attention: dark circles involve much more than skin—they are multifactorial. Let me explain.
Dark circles involve factors such as skin pigmentation, circulation (that is, vascularization), the size of the blood vessels in the region, and their concentration, meaning the number of vessels. All of this varies from one ethnicity to another. Therefore, for each type of dark circle, there is a type of treatment.
There are dark circles, for example, in which the fat bags, when they begin to appear, create volume in the lower eyelids that can accumulate fluid, causing edema, a temporary swelling.
We see cases in which dark circles are caused by the tear trough depression, a hollow associated with a ligament at the transition between the eyelids and the cheekbone area, which is also related to the aging of the skull bones.
Other factors that can lead to the appearance and worsening of dark circles are laxity in the eye area and excess skin. Combined, these two conditions reduce the radiance of this area, making dark circles even more noticeable.
But is there a solution? Of course there is!
In many situations, doctors use lightening agents. In others, fillers are recommended. But, most of the time, the best results are achieved by combining the surgical procedure of lower blepharoplasty with aesthetic procedures that address both volume and skin laxity.
Among fillers, there are options such as hyaluronic acid filler or so-called fat transposition, performed with fat from the patient’s own eyelid bags.
We can also work with medium and deep chemical peels, or even fractional CO2 laser resurfacing.
It is worth remembering that dark circles can appear at any age. Young patients can have dark circles, just like older patients. And the factors overlap.
Regardless of age, ethnicity or region, there is usually no single factor responsible for the formation of dark circles. And that is why, as I said earlier, the treatment is different for each case. It needs to be individualized. Most of the time, clinical treatment is not enough to fully resolve dark circles. Most people, from age 30 to 35 onward, begin to show laxity and excess skin in the region. In these cases, the best results are achieved after the patient undergoes lower blepharoplasty and keeps up dermatological care of the area.
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This content is for informational purposes only and does not replace a consultation. Whether any procedure is indicated depends on an in-person assessment, case by case. CRM SP 90.116 | RQE 11.350.
