How do you get rid of dark circles under the eyes?

I often get dark circles under my eyes, and not only when I'm very tired. I'm a little concerned as to why this happens and what it means when it does. But more than anything I just want to get rid of them, ideally without involving anything too drastic. Are there measures I can take to stop them from forming in the first place? And failing that, anything a doctor could do to permanently remove them and make sure they never come back again? Thank you.


F, 36, Kentucky

Dark circles under the eyes can be caused by several factors.  Sometimes the thin skin under the eye will show the blood vessels that give a dark color.  The best option here is to use eye creams to decrease vasculature and thicken the eyelid skin.  A specialized filler injected under the skin can camouflage the dark skin.

Most commonly the dark circles are caused by a hollowness under the eye that shadows under the eye to give a dark circle.  This hollowness can be genetic and does worsen with age.  We treat this with filler injections to decrease the hollow and smooth the contour under the eye.

Less common, dark circles can be seen in patients of south Asian descent - this condition is very hard to treat.


Ken Oleszek, MD

La Fontaine Aesthetics

Denver, Colorado