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Dark Circles Under Eyes Treatment

dark circles, eye bags & puffy eyes

What Causes Dark Circles & Puffy Eyes

There are several issues that concern people about their under eye area and the cause and treatment of each vary. People can have combinations of these, so treatment relies on accurate diagnosis and then addressing the cause. Traditionally these had to be treated separately but PRP (platelet rich therapy) is an exciting new treatment into this arena as it treats all three causes of dark circles under the eyes. 

1. Dark Circles under the eyes have three main causes.

Vascular – the dark circles present as a bluish, purplish discolouration and due to blood vessels being visible.

Pigmentation – which is from sun exposure. 

Structural (volume loss) which causes the formation of tear trough. The dark circles present as a shadow effect because the trough is lower than surrounding skin. 

2. Bags under eyes are also from structural changes to muscles, ligaments and tissue below the eye.

3. Puffy eyes which are generally a temporary feature due to some form of systemic or local inflammation and are addressed by reducing the inflammation. 


Treatment For Dark Circles

1. Vascular causes of dark circles can be addressed by either reducing the vascularity, increasing the skin volume or both. Vascular lasers address the vascularity. PRP increases the skin thickness through collagen stimulation, which diminishes the appearance of bluish purple colouration.  

2. Pigmentation can be addressed using topical creams, salicylic acid, vitamin c, hydroquinone, pigment lasers or IPL. PRP also reduces pigmentation in the skin through a process that is not clearly understood. 

3. Structural changes, volume loss can be addressed by use of tear trough fillers to replace volume loss and tightening with lasers. PRP assists by increasing volume of tissue and can be used in combination with fillers.

It appears very little help with haemosiderosis, though there are anecdotal reports that Vitamin K does. Fortunately, haemosiderosis is very rare.


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*results are individual

*results are individual

What causes dark circles under eyes, eye bags and puffy eyes and what treatments help? Though poor sleep exacerbates of all of these, it is not the main culprit. Each of these under eye bothers different and sometimes overlapping causes, and the first step in treatment is identifying what is causing your concern. Under eye, concerns can be dark circles, under eye bags or puffy eyes. Treatments include; eye creams, fillers for dark circles, laser treatment, PRP (platelet rich therapy) for volume loss, texture concern and pigmentation, eye lift surgery, changing lifestyle factors, etc.

What Causes Dark Circles Under Eyes?

Dark circles under the eyes are very common. There is three leading causes and help is available for each.

The Three Main Causes of Dark Circles Dark Circles

The first two causes of dark circles under eyes are due to the loss of volume under the eye area. Naturally, over time the collagen decreases in your skin. At the same time, fat pads in your face which usually plump out facial features shrink and are pulled down your face with gravity.

1. Dark Circles caused by Under Eye Hollows or Tear Troughs

Essentially the formation of dark circles resulting from under eye hollows or tear troughs is from loss of volume (fat volume) in the area where the lower eyelid and cheek meet.

The malar fat pad, which is responsible to the curve of your cheek at the lid cheek junction moves down the face. The descent of fat pads (as well as shrinking of the fat pads) is responsible for many signs of ageing that occur across your face. But the descent of the malar fat pad under the eye area leaves it hollow with the formation of a trough to form running. The dark circles, in this case, are due to a shadow in the tear trough, created by light falling onto the skin. The shadow appears here because the hollow under the eye is deeper than surrounding skin.

Eye bags can develop at the same time, but the cause of these is different.

Under eye filler treatment can lessen the shadow appearance of dark circles.

  • Tear trough filler can help reduce the appearance of dark circles.
  • Dermal Filler can be placed in the cheek area or directly in the tear trough. To reduce tear troughs the aim is to replace volume in the lid/cheek junction, but mid face rejuvenation is sometimes required.
  • Filler will improve the cosmetic appearance of puffiness or ‘bags under eyes’.

2. Dark Circles That Present As A Blue To Purple Discolouration.

Dark circles, presenting with a bluish discolouration, result from loss of volume in the skin. Some people begin with naturally thinner skin. And by the time we are 20 we are losing 1% of our collagen per year. As the skin becomes thinner the blue to purple colour of blood vessels can be seen through your skin.

Any factor which causes blood vessels to dilate will make this discolouration worse, and hence exacerbate the appearance of the dark circles. These include stress from poor sleep. Lack of sleep makes this discolouration worse, as the stress placed on your body by poor sleep can cause the vessels to dilate. Sometimes pigment ‘hemosiderin’ from the blood vessels seeps into the skin.

Treatment Of Bluish Discolouration

First up, make sure you get enough sleep. Using cold tea bags or cucumbers can help by shrinking the blood vessels. If this does not work, concealer will disguise this. Vitamin K cream can also help break down the pigment.

Vascular lasers can also help and once again dermal fillers can help lessen the appearance by giving the skin more volume.

3. Brown Discolouration From Sun

The third cause of dark circles under eyes is Melanin production stimulated by the sun.
Your skin naturally produces melanin when exposed to the sun. Especially in climates like Brisbane with sun most days of the year, it is important to wear sunscreen. If your eye area is exposed, some people have a genetic predisposition to darkening around the eyes from melanin.

The important factor in decreasing these dark circles is wearing concealer, sunscreen, hats and sun protection. It is important to get a non-chemical sunscreen as these irritate eyes.

How To Get Rid Of Dark Circles Under Eyes?

PRP or Platelet Rich Therapy

PRP is traditionally used in the under eye area to improve skin texture and quality for fine lines and wrinkles. With observation, we have seen a lessening in dark circles under eyes caused by both bluish and brown discolouration using PRP.

Concerned by Dark Circles Under Eyes? Call Us Today On 3350 5447 For A FREE Consultation.


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What Causes Bags Under eyes

Eye bags are either ‘present all of the time’ or ‘temporary’. If the puffy eyes are present all of the time the cause is from changes to the muscles and ligaments under the eye and under eye fat herniation. Temporary ‘puffy eyes’ can be settled. There is a broad range of environmental factors that result in an accumulation of fluid in tissues in the under eye area.

The two can co-exist, that is you can have bags under the eyes, which are made temporarily worse by swelling. So what can cause these two presentations and how to get rid of puffy eyes?

1. Temporary – lifestyle
2. Present all of the time – bags under eyes

1. ‘Permanent’ What Causes Bags Under Eyes?

Whether you develop eye bags has some genetic basis. However, there are environmental stressors that affect ageing changes including stress, cigarette smoke and pollution that affect the progression. Permanent under-eye bags develop from the loosening of the ligaments, and stretching and weakening of the muscles under the eye. So once a night tight coherent band areas divide and allow fat under the eye to herniate forwards.

Causes such as thyroid can cause long term changes to the whole eye areas, but this is different to eye bags.

How to Get Rid Of Bags Under Eyes?

1. Surgery, under eye blepharoplasty. Often upper lid and lower lid surgery are performed at the same time. Some people elect to use non-surgical means to help delay the need for surgery. Muscle relaxants and dermal fillers can be used to create a non-surgical eye lift or tear trough fillers used to lessen the appearance of under eye bags.
2. Fillers for eye bags can be used to disguise bags under eyes. Care must be exercised in treating this area as the appearance of eye bags are exacerbated by swelling and puffiness. The dermal fillers used to camouflage the bags under the eyes contain products that accumulate water, so incorrect placement of these, placing too much, not putting it deep enough can worsen the appearance by increasing swelling.

What Causes Puffy Eyes?

Any factors, environmental or internal that causes accumulation of fluid in the skin can result in puffy eyes. Under eye area is particularly prone to accumulation of fluid because of difference in lymphatic drainage. Any condition which causes systemic or localised inflammation and this includes poor sleep.


  • Lack of sleep or poor sleep.
  • Allergic reaction or hay fever.
  • Infection to sinuses or eye.
  • Stress.
  • Excessive alcohol causes inflammation.
  • Crying.
  • Incorrect placement of filler or lower eye lid procedures.


How to Get Rid Of Puffy Eyes


  • Addressing any underlying factors; treating infections or allergic reactions.
  • Getting sufficient sleep, drinking plenty of water and reducing stress.
  • And yes cold tea bags and cucumbers on eyes an , splashing cold water on the face help reduce puffy eyes because they cause constriction of blood vessels.
  • Lymphatic drainage massage.


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* DISCLAIMER: Results may vary from person to person.