Thank you for your question. Dark eye circles actually have a combination of causes. The most common ones are: Pigmentation on the lower eyelids Vascular congestion and prominent blood vessels especially in fair skinned individuals or those with thin lower eyelids Shadowing of the area due to hollowing from fat loss/sagging or hypertrophic tarsal muscles The solution hence should be a detailed consult and physical examination, which is then normally followed by a combination treatment approach.

Thank you for your query. Dark eye circles form as a result of 3 main reasons, vascular changes, volume loss, and pigments. Vacular change– which can be purple, blue, pink depending on the oxygenation in the blood. Volume loss – which is a direct result of ageing, where the skin develops fines lines and wrinkles and sags, and you lose volume in the cheeks Pigmentation – which is the stimulation of your melanin cells, commonly as a result of sun exposure. To answer your queries, 1.

Dark eye circles is one of my favourite topics as I have a keen interest, when discussing treatment modalities with my patients. The treatment(s) depend on the cause of the dark eye circles. Dark eye circles occur as a result of a combination of the following factors: 1. Volume Loss 2. Thin Skin 3. Pigmentation 4. Vascular Changes 5. Undereye Wrinkles 6. Eyebag 1. Volume Loss With age, there is resorption of bone and decrease in soft tissue density around the eyes resulting in tear trough hollowness. Solution- Fillers.

Hi thank you for the question. Dark eye circles can occur for multiple reasons, the most common would be that of1. laxity of the skin and infra-orbital septum with prominent eyebags/ protrusion of eyelid fat - which casts a shadow under the eyesprominent veins / blood vessels this can be in combination with thin skin (making the discoloration from veins more prominent)4. pigmentation Ultherapy uses micro-focused ultrasound for skin tightening to address the 1st issue. In comparison, Fotona eye rejuvenation is able to tackle all 4 through a combination of Erb:YAG and Nd:YAG lasers.

Medical grade eye creams containing a combination of retinol, vitamin A and C, peptides, ceramides and hyaluronic acid, can help to stimulate collagen formation to reduce the appearance of dark eye circles caused by thin skin under the eyes. In patients with medical conditions such as sinusitis and allergy that result in congestion of blood vessels and fluid retention below the eyes, oral anti-histamines taken at a low dose short treatment course can be prescribed to help address these conditions, reducing the appearance of dark eye circles caused by vascular changes.

Thank you for the question. Dark eye circles are due to a combination of skin pigment, veins under the skin, and hollowness of the cheek under the eye. We see many patients coming to us to troubleshoot hollowness under the eyes, giving a tired appearance. We use a combination of skin fillers to support the bony framework of the cheek and to fill up the sunkeness in that area, also known as the 'tear trough' deformity. The procedure is done using tiny injections with cannula and needles. There is hardly much downtime associated with the procedure, except for occassional bruising around the eye.

The cost of treatment of dark eye circles depend on the types of treatment modalities needed, as highlighted in my previous answers on the treatment of dark eye circles in Singapore. You can also read this answer on creams that may work for the treatment of dark eye circles. Unfortunately, it is not possible to get a polyclinic referral for treatment of dark eye circles at private aesthetic clinics. Hope this helps!

Dark eye circles are a common concern among many of my patients, and sometimes they can be confused with eye bags. Eye bags appear as swelling/ puffiness under the eyes. These are more common as we age, as the muscles and skin that normally support the lower eyelid weaken. Fats that surround the eyeball can then bulge through the weakened overlying structures and cause the lower eyelids to appear swollen and puffy. With an overhanging swellling, a shadow is cast underneath the swelling, causing the appearance of darkness at the lower eyelids.

Safety is important. The skin quality in younger patients is usually quite good. With minimally invasive treatments for eyebags, if the eyebag needs to be shrunk, we use AGNES. AGNES is safe. Next, for tear troughs and deep hollows, we have the option of fillers which are often very useful. And very safe. For dark eye circles, sometimes it's the hollowness; if there is pigmentation underneath the eyes, a combination of radio-frequency or lasers can sometimes be useful.

Dark eye circles are usually caused by a variety of reasons. From the photo provided, some of the main reasons causing your dark eye circles are: Loss of volume and bone loss around the eyes, especially under-eye regions Pigment formation on the eyelids Early loss of collagen leading to sagginess, worsening the dark areas By targeting the main causes, we can visibly improve the dark eye circles.

Hi Si Hui This is a common question asked by many of my patients. There are a few factors to consider when answering this question. 1. The severity of your eyebags. As you are 35 years of age and from your photos it appears that your eyebags are mild to early moderate in severity, Filler might be a good choice. The doctor will need to assess whether your eyebags can be adequately concealed with the fillers before offering this option. In my opinion if the fillers are not able to achieve a aesthetic outcome of at least 80% then this might not be the best option . 2.

There are several causes of dark eye circles. Common causes include: Excessive dermal pigmentation Hollowing of the infra-orbital region Prominent veins under the eye Constitutional i. e. part of the skin color due to ethnic race. Depending on the primary cause, treatment may or may not be effective, either partially or completely.