Dark Circles: Causes, Types, and Treatment Options - Dermatology

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I am greatly troubled by dark circles under my eyes?


Hello, Doctor: I apologize for having multiple questions.
I would like to ask: 1.
What causes dark circles? I have normal and sufficient sleep, yet they are still very noticeable.
Could this be related to anemia or my constitution? Is that true? 2.
I read in a women's magazine that dark circles can be categorized into types: poor blood circulation type, aging type, and pigmentation type.
Is this classification accurate? How can I determine which type I have? Additionally, do treatment methods differ based on the type? 3.
I've heard that methods like warm compresses and massages can improve or even eliminate dark circles.
Is this true? There are also many skincare products and eye masks on the market claiming to brighten dark circles.
Do they really work? Please help me, Doctor, and provide me with answers, as I have been troubled by this for a long time.
Thank you! Wishing you peace!

freedom, 20~29 year old female. Ask Date: 2002/06/18

Dr. Chen Yiying reply Dermatology


Hello, Miss Freedom: The causes of dark circles can generally be categorized into three types: (1) Poor circulation type: This is more common in individuals who stay up late or have allergic rhinitis and chronic nasal congestion.
(2) Pigmentation type: This is often seen in those with eyelid dermatitis or those who excessively irritate the eyelids while removing makeup.
Some individuals may also have a genetic predisposition.
(3) Aging type: This is caused by aging, which leads to fine lines and a decreased ability to reflect light, making the eyelids appear darker.
You may refer to the above classifications or consult a dermatologist for a diagnosis.
Cold and warm compresses, along with adequate sleep, may help with the poor circulation type, and controlling nasal allergy symptoms is also important.
For the pigmentation type, it is essential to first treat the dermatitis, followed by the use of products or medications that lighten pigmentation, such as L-ascorbic acid, azelaic acid, glycolic acid, arbutin, retinoids, and their derivatives.
Some of these ingredients can also help with dark circles caused by fine lines, and you may ask a dermatologist for recommendations.
Additionally, it is crucial to pay attention to sun protection around the eyes; in addition to applying sunscreen, wearing UV400 sunglasses in bright sunlight is advisable to protect the delicate eyelid skin.

Reply Date: 2002/06/18

More Info


Dark circles under the eyes are a common concern for many individuals, and understanding their causes, types, and potential treatments can help in managing this condition effectively.
1. Causes of Dark Circles: Dark circles can arise from various factors, even when one is getting adequate sleep. Common causes include genetics, aging, and lifestyle choices. For instance, hereditary factors can lead to a predisposition for dark circles, as some individuals may have thinner skin around the eyes, making blood vessels more visible. Additionally, conditions such as anemia can contribute to the appearance of dark circles, as reduced hemoglobin levels can lead to poor oxygenation of tissues, resulting in a bluish tint under the eyes. Allergies and nasal congestion can also cause dark circles due to the dilation of blood vessels in the area, leading to a darker appearance.

2. Types of Dark Circles: The classification of dark circles into different types is indeed valid and can help in determining the appropriate treatment. The three main types include:
- Circulation-related dark circles: These are often associated with poor blood circulation, which can be exacerbated by factors like lack of sleep, fatigue, or allergies. Individuals with this type may notice that their dark circles worsen with stress or lack of rest.

- Pigmentation-related dark circles: This type occurs due to excess melanin production in the skin around the eyes, often seen in individuals with darker skin tones or those who have experienced skin irritation or inflammation. Conditions like eczema or prolonged sun exposure can contribute to this pigmentation.

- Aging-related dark circles: As we age, the skin loses collagen and elasticity, making the blood vessels more prominent and leading to a hollowed appearance under the eyes. This can create shadows that appear as dark circles.

To determine which type of dark circles you have, consider factors such as your skin type, family history, and any accompanying symptoms like puffiness or irritation. Consulting with a dermatologist can provide a more accurate diagnosis.

3. Treatment Options: The treatment for dark circles can vary based on their underlying cause. Here are some common approaches:
- Lifestyle changes: Ensuring adequate hydration, a balanced diet rich in vitamins (especially Vitamin K and C), and managing allergies can help improve the appearance of dark circles.

- Topical treatments: Products containing ingredients like retinol, hyaluronic acid, vitamin C, and peptides can help improve skin texture and reduce pigmentation. For pigmentation-related dark circles, ingredients like hydroquinone or kojic acid may be recommended.

- Cosmetic procedures: For more persistent cases, options like chemical peels, laser therapy, or fillers can be considered. These treatments can help rejuvenate the skin and reduce the appearance of dark circles.

- Home remedies: While not a substitute for medical treatment, methods like cold compresses, tea bags, or cucumber slices can temporarily reduce puffiness and improve circulation around the eyes.

As for the effectiveness of hot/cold compresses and massage, these can indeed help improve blood circulation and reduce puffiness, but they may not eliminate dark circles entirely. Similarly, while many over-the-counter products claim to brighten the under-eye area, their effectiveness can vary from person to person. It’s essential to manage expectations and consult with a healthcare professional for personalized advice.

In conclusion, dark circles can be a multifaceted issue influenced by various factors. Understanding the underlying causes and types can guide effective treatment strategies. If dark circles persist despite home remedies and lifestyle changes, seeking professional advice is recommended to explore more targeted treatments.

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