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What Are Dark Circles?

Facial Concerns

March 1, 2026

AUTHOR
Sony Sherpa
MD, Manipal College of Medical Sciences

    Causes, Prevention, and Treatment

    Periocular discoloration, commonly called dark circles or under-eye circles, describes darker colouring or shadowing around the lower eyelid. The appearance is subjective rather than fixed, and common contributors include genetics, pigmentation, vascular colour, facial structure and sleep loss.

    Under-eye dark-circle region on a frontal face
    Figure 1

    Dark circles sit in the thin lower-eyelid and tear-trough region, where pigment, vessels and shadow can overlap.

    Why Does Periocular Discoloration Affect Facial Aesthetic?

    People with periocular discoloration usually look exhausted and older. Not all dark circles are black, some circles are dark brown, blue, and sometimes purple. Some people love their periocular discoloration while others do not like them and seek to reduce their appearance and get rid of them for cosmetic purposes.

    Eye-region contrast odds ratios
    Figure 2

    In one facial-contrast study, stronger eye-region contrast was linked with higher perceived-health ratings; eye light-dark contrast had an odds ratio of 1.72. (Russell et al., 2016)

    What Causes Periocular Discoloration?

    Not all dark circles are dark brown. The color of your dark circles can help you in determining the best treatment options for them.

    Purple Periocular Discoloration

    If you have this type of under-eye circles, it means that your skin is medium-dark to dark and you have a genetic predisposition for this type of dark circles. Pigmentations can also cause this type of under-eye circles. (1)

    Blue Periocular Discoloration

    The most common causes of this type of under-eye circles are lack of sleep and sedentary and stressful lifestyles. In addition, if you are allergic to certain substances, your allergies can worsen the appearance of these dark circles by adding a bluish discoloration to them. (2)

    Brown Periocular Discoloration

    Brown dark circles are a characteristic feature of aging and genetic predispositions. When they affect fair-skinned people, their translucent skin can show the blood vessels in this sensitive area, which is cosmetically unattractive. (3)

    Shadowed Periocular Discoloration

    When you lose weight rapidly, a groove is created under your eyes due to the loss of the fats in this area. These grooves make your eyes sunken, which leads to the appearance of shadowed periocular discoloration. (4)

    Other Risk Factors

    1. Nonwhite Ethnicity

    The periocular discoloration is more common in people with darker skin than others due to the changes in pigmentations and concentration of melanin. (5)

    2. Genetic Predisposition

    If periocular discoloration runs in your family, you will probably develop colored circles under your eyes at a certain point in your life. (6)

    Under-eye dark-circle severity progression on a single face — none, mild, moderate, severe
    Figure 3

    One face shown at four levels of under-eye darkness, from none to severe, with the affected region magnified in each panel.

    How To Prevent Periocular Discoloration?

    Many ways can reduce and even eliminate the appearance of periocular discoloration. Please notice that what works for you may not work for others.

    Get Enough Sleep

    Lack of sleep and chronic fatigue are associated with the appearance of dark periocular discoloration. If you have pale skin, dark circles make you appear paler. Get 7 to 8 hours of sleep each night to get rid of these dark circles if they are due to lack of sleep and stress. (7)

    Elevate Your Head

    Before sleeping, put an extra pillow under your head to elevate it. This elevation reduces the appearance of puffiness due to fluid retention in the lower eyelids. Under-eye bags worsen the appearance of dark circles and make them more prominent. (8)

    Cold Compresses

    When the blood vessels under the eyes become dilated, they worsen the appearance of dark circles. Applying cold compresses constrict the blood vessels in the area under the eyes, which decreases the appearance of dark circles in the long run.

    Reduce Sun Exposure

    Use sunglasses to reduce the exposure of the area under your eyes to UV rays and sunlight.

    Moisturizers

    Some high-quality over the counter moisturizers can eliminate dark circles and other periocular discolorations. The best moisturizers usually contain caffeine, aloe vera, retinol, vitamin C, and/or hyaluronic acid.

    Cucumber

    Thick slices of cucumbers can be beneficial for periocular discoloration, especially bluish. Apply the slices on your eyes for 10 minutes and rinse with water. It is recommended to repeat this treatment twice per day for the best results.

    Almond Oil and vitamin E Mixture

    This mixture is potent and has many healing benefits. It is recommended to apply this mixture to your face before going to sleep each night and then rinsing it with cold water in the morning for the best results. It removes dark circles and exfoliates skin pores.

    Vitamin K and Caffeine Mixture

    Studies show that applying a mixture of caffeine and vitamin K around the eyes can reduce the appearance of wrinkles and fine lines significantly.

    Tea Bags

    Put caffeinated tea in warm water, then put them in the refrigerator for a few minutes to lower their temperature. After that, place them on your eyes for a few minutes and then rinse with water. Caffeine can reduce the appearance of fine lines and wrinkles and tighten the skin under the eyes.

    How to Treat Periocular Discoloration?

    Many ways are available for treating periocular discoloration. However, you should choose the best way for your condition since not all methods work for everyone.

    Skin-Lightening Cream

    Your dermatologist may recommend using a skin-lightening cream containing azelaic acid, glycolic acid, or hydroquinone. Most of them are over-the-counter creams, but it is better to consult your doctor before trying any of them. (9, 10)

    Laser Therapy

    Periocular discoloration usually results from damaged cells by oxidative stress. Laser treatments can target these damaged cells and their darker pigments and vaporize them using heat energy. Lasers can lighten darker skin areas and stimulate the formation of new collagen. (11, 12)

    Chemical Peeling

    Your dermatologist may recommend the use of chemical peels to lighten periocular discoloration and remove dark circles. Chemical peels usually use retinoic acid, hydroquinone, and/or glycolic acid to lighten any skin area. Some dermatologists use a combination of the previous substances such as lactic acid, salicylic acid, and resorcinol. (13)

    Blepharoplasty

    If dark circles result from the accumulation of fat in the lower eyelid, blepharoplasty can be the solution. When the fat in the lower eyelid is removed, the shadow cast by the eyelid decreases, which decreases the appearance of dark circles. (14)

    Under-Eye Fillers

    If your periocular discoloration results from volume loss under the eyes, fillers can be the best solution. They compensate for the volume loss, which will lead to the disappearance of dark circles. The best dermal fillers for periocular discoloration are Restylane or Juvederm. They are hyaluronic acid-based fillers and can compensate for the volume loss and tighten the skin significantly. (15)

    References

    1. 1

      Sarkar, R., Ranjan, R., Garg, S., Garg, V. K., Sonthalia, S., & Bansal, S. (2016). Periorbital Hyperpigmentation: A Comprehensive Review. The Journal of clinical and aesthetic dermatology, 9(1), 49-55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756872/

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      Sheth, P. B., Shah, H. A., & Dave, J. N. (2014). Periorbital hyperpigmentation: a study of its prevalence, common causative factors and its association with personal habits and other disorders. Indian journal of dermatology, 59(2), 151-7. https://doi.org/10.4103/0019-5154.127675

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      Sarkar, R., & Das, A. (2018). Periorbital Hyperpigmentation: What Lies Beneath?. Indian dermatology online journal, 9(4), 229-230. https://doi.org/10.4103/idoj.IDOJ_303_17

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      Naik, M. N. (2016). Hills and Valleys: Understanding the Under-Eye. Journal of cutaneous and aesthetic surgery, 9(2), 61-4. https://doi.org/10.4103/0974-2077.184048

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      Matsui, M. S., Schalka, S., Vanderover, G., Fthenakis, C. G., Christopher, J., Bombarda, P. C., Bueno, J. R., Viscomi, B. L., & Bombarda Júnior, M. S. (2015). Physiological and lifestyle factors contributing to risk and severity of peri-orbital dark circles in the Brazilian population. Anais brasileiros de dermatologia, 90(4), 494-503. https://doi.org/10.1590/abd1806-4841.20153520

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      Nouveau, S., Agrawal, D., Kohli, M., Bernerd, F., Misra, N., & Nayak, C. S. (2016). Skin Hyperpigmentation in Indian Population: Insights and Best Practice. Indian journal of dermatology, 61(5), 487-95. https://doi.org/10.4103/0019-5154.190103

    7. 7

      Sundelin, T., Lekander, M., Kecklund, G., Van Someren, E. J., Olsson, A., & Axelsson, J. (2013). Cues of fatigue: effects of sleep deprivation on facial appearance. Sleep, 36(9), 1355-60. https://doi.org/10.5665/sleep.2964

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      Sundelin, T., Lekander, M., Kecklund, G., Van Someren, E. J., Olsson, A., & Axelsson, J. (2013). Cues of fatigue: effects of sleep deprivation on facial appearance. Sleep, 36(9), 1355-60. https://doi.org/10.5665/sleep.2964

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      Owolabi, J. O., Fabiyi, O. S., Adelakin, L. A., & Ekwerike, M. C. (2020). Effects of Skin Lightening Cream Agents - Hydroquinone and Kojic Acid, on the Skin of Adult Female Experimental Rats. Clinical, cosmetic and investigational dermatology, 13, 283-289. https://doi.org/10.2147/CCID.S233185

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      Williams, H. (1992). Skin lightening creams containing hydroquinone. BMJ (Clinical research ed.), 305(6859), 903-4. https://doi.org/10.1136/bmj.305.6859.903

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      Friedmann, D. P., & Goldman, M. P. (2015). Dark circles: etiology and management options. Clinics in plastic surgery, 42(1), 33-50. https://doi.org/10.1016/j.cps.2014.08.007

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      Roh, M. R., & Chung, K. Y. (2009). Infraorbital dark circles: definition, causes, and treatment options. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 35(8), 1163-71. https://doi.org/10.1111/j.1524-4725.2009.01213.x

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      Vavouli, C., Katsambas, A., Gregoriou, S., Teodor, A., Salavastru, C., Alexandru, A., & Kontochristopoulos, G. (2013). Chemical peeling with trichloroacetic acid and lactic acid for infraorbital dark circles. Journal of cosmetic dermatology, 12(3), 204-9. https://doi.org/10.1111/jocd.12044

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      Naik, M. N., Honavar, S. G., Das, S., Desai, S., & Dhepe, N. (2009). Blepharoplasty: an overview. Journal of cutaneous and aesthetic surgery, 2(1), 6-11. https://doi.org/10.4103/0974-2077.53092

    15. 15

      Agarwal, M. (2019). Treatment of Dark Circles with the New 15 mg/ml Hyaluronic Acid Filler with Lidocaine. Indian dermatology online journal, 10(4), 471-472. https://doi.org/10.4103/idoj.IDOJ_381_18