by Salvatore Pacella, MD
Dark circles under the eyes can be caused by different factors, so it’s important to precisely diagnose the problem before treating it. Undereye circles can be caused by thinning skin, dermatitis, allergies, pigmentation or stress.
Sometimes dark circles are simply a consequence of physics. In other words, how the light shines on the lower eyelid has a profound impact on how the eyes look. If there is excess fatty tissue or a deep groove, in the lower eyelid (commonly called a tear-trough), ambient light can create an unflattering shadow around the eyes.
Depending on the cause, there are a number of approaches to remove dark circles. Bleaching creams, laser therapies, chemical peels and injectable fillers are some examples. However, if the problem is the shape of the lower eyelid and how light is hitting that area, surgery may be the best solution. A board certified plastic surgeon can help you decide which approach is best for you.
This Scripps Health and Wellness tip was provided by Salvatore Pacella, MD, FACS, a cosmetic, plastic and reconstructive surgeon at Scripps Clinic in San Diego.