Dark circles under the eyes can have various causes, and it is important to determine the underlying issue before selecting an appropriate treatment option. It is essential to evaluate whether the darkness is due to true pigment changes or shadowing effect due to hollowness or vasculature in the area.

One way to assess this is by having the patient lie down and observe if the darkness decreases when the effects of gravity are minimized. Genetic predisposition plays a significant role in pigmentary changes under the eyes, and some ethnicities may be more prone to darker pigmentation in this area, such as South Asians.

Exposure to UV light and the sun can also cause darkening under the eyes, and allergies or inappropriate products can exacerbate this issue by causing rubbing and irritation. It is crucial to identify the root cause of the problem to determine the most effective treatment strategy.

If you’re dealing with true hyperpigmentation causing dark circles under your eyes, there are a few things you can try to help improve the situation, Firstly, it’s important to use sunscreen as exposure to the sun and UV light can exacerbate the pigmentation. While it’s not a quick fix, consistent use over time can make a difference.

If you have genetically predisposed pigmentation, it may be challenging to eliminate it completely, despite what some products may claim. While there are things that can help to minimize the pigmentation, it’s important to be realistic about what can be achieved.

If your pigmentation issues are age-related, a mild exfoliant could be worth a try. However, be cautious when using it around your eyes as it can be irritating. Hydroquinone is a powerful lightening agent but has some potential side effects, including paradoxical darkening. Alpha arbutin, niacinamide, and azelaic acid are other ingredients that can help to lighten without these risks.

Retinols are another option that can help to thicken collagen and minimize pigmentation by promoting cellular turnover. However, they can be irritating, so it’s best to use a moisturizer first before applying the retinol.

If your dark circle are due to allergies, it’s important to stop rubbing your eyes and eliminate any products that may be causing irritation. taking an anti-histamine may also help to alleviate the problem. At Sorora, our philosophy is to avoid overselling or over-promising treatments and to offer honest advice about what can realistically be achieved.

If your issue is due to shadowing:

• It may be caused by the thinning of skin and the visibility of blood vessels as we age.
• One short-term solution is to use eye creams that contain caffeine, which can help to constrict these blood vessels. Alternatively, you can use caffeinated tea bags that have been refrigerated to de-puff and hide the appearance of these blood vessels. It’s important to note that decaf tea bags will not be effective, as it’s the caffeine that has the constricting effect.

If your issue is due to puffiness:

• Reduce your alcohol and salt intake, especially at night. Both of these can contribute to fluid retention and puffiness.
• Stay hydrated throughout the day. Dehydration can cause puffiness, so drinking plenty of water is important.
• Quit smoking. Smoking can cause inflammation and fluid retention, leading to swelling and changes in the skin’s appearance.
• Address any allergies you may have. Allergies can cause puffiness, so taking antihistamines or avoiding allergens may help.

If your issue is due to prominent fat pads:

• Prominent fat pads under the eyes are often due to aging and genetic predisposition. As we age, fat pads in our temples, cheeks, chin, and under our eyes shrink and drop, leading to a sunken appearance.
• While certain fillers can help significantly, there can be many complications in the delicate under-eye area, and fillers may eventually cause lumps, bumps, and unevenness. For a more natural and safe option than hyaluronic fillers, platelet-rich plasma (PRP) and microneedling can be effective.
• If fillers, PRP, or microneedling are not options, a blepharoplasty performed by a plastic surgeon can work wonders.