Dark Circles Under Your Eyes

Eye Care & Surgery Center NJ Bladeless LASIK Laser Cataract Surgeon Blog

Sunday, August 2, 2015

Dark Circles Under Your Eyes

About Dark Circles Under Your Eyes
Dark circles under the eyes are a very common complaint we hear from patients. Dark circles can actually be caused by a number of different causes and thus we need to address them and treat them differently.

Excess Eyelid Fat
The space behind the eye, known as the orbit, contains a significant amount of fatty tissue. Orbital fat probably evolved to help cushion the eye from impact. However, as we get older, the support structures which keep the fat behind the eye weaken, and the fat moves forward into the eyelids. This results in fullness to the lower eyelids which most people find aesthetically unpleasing. This fullness, commonly referred to as bags under the eyes, makes people look older and tired. The best treatment for this type of problem is usually removal or repositioning of excess fat with a lower eyelid blepharoplasty procedure. Excess skin can be trimmed and tightened at the same time.

Hollowness in the Lower Eyelids
Dark circles under the eyes can also be caused by a depression or hollowness in the lower eyelids. Patients who have this problem can usually feel the underlying bone when the area of hollowness is touched. Today, we are able to treat the hollowness with injectable volumizing fillers whose qualities make them appropriate for the delicate eye area. These non surgical treatments typically last 6-12 months. Sometimes it becomes necessary to perform fat grafting or repositioning of fat to reduce hollows under the eyes as well as performing a blepharoplasty or lid tightening procedure known as canthoplasty to improve the lower eyelid contour.

Hyperpigmentation of Eyelid Skin
Sometimes dark circles under the eyes can be caused by too much pigmentation of the skin, although this is the least common cause. Patients often think that they have hyperpigmentation but what they are seeing is shadows from excess eyelid fat or hollowness at the orbital rim. If after examination and consultation patients do in fact have too much pigmentation of the eyelids we can use prescription bleaching creams that might be helpful.

Dr. Purewal
Cosmetic Plastic Eye &
Reconstructive Surgeon 

If you or someone you know would like help for dark circles under their eyes, please call The Eye Care & Surgery Center at 908-789-8999 to schedule a consultation with Cosmetic Eye Plastic & Reconstructive Surgeon Baljeet Purewal, M.D.