Dark Circles Under Eyes

Published: May 14, 2012
Dear TeenHealthFX,
hello im a hispanic female , i have very dark circles under my eye its inhereted it makes me look 10 yr older im only 16 .i really what to get injections under my eye to see if it will get rid them i really dont know if alot about them i was wondering if you can help me .this get me extreamly depressed . i really want to do something about it because not even make up works i hope you can help me thanks
Signed: Dark Circles Under Eyes

Dear Dark Circles Under Eyes,


TeenHealthFX is sorry to hear that this under-eye circle issue is causing you such distress. We hope the information provided below is helpful to you and we do encourage you to seek out the help of medical professionals who can advise you on what is best for you to do about this problem.  

Causes of dark circles under the eyes:

Sometimes fatigue can cause dark circles under the eyes, but there are even more common causes of under-eye circles that can include:

·         Allergies

·         Eczema

·         Heredity

·         Certain lifestyle factors, such as physical or emotional stress, smoking, or chronic alcohol use

·         Nasal congestion

·         Pigmentation irregularities (of particular concern for people of color, especially blacks and Asians)

·         Rubbing or scratching your eyes

·         Sun exposure

·         Thinning skin and loss of fat and collagen (a common process as you age)


When a doctor can do and what you can do to about dark under-eye circles:


Dark under-eye circles are usually not a medical problem, and home remedies are often enough to manage the problem. Mild to moderate dark circles often respond well to simple and inexpensive treatments, such as:

·         Cold. Try a cold compress, two chilled teaspoons or a bag of frozen peas wrapped in a soft cloth to temporarily reduce dilated and discolored under-eye blood vessels. Or try a cooled, used teabag.

·         Extra pillows. Elevate your head with two or more pillows to prevent puffiness that develops when fluid pools in your lower eyelids.

·         Extra sleep. Although short nights don't usually cause under-eye circles, a lack of sleep makes you paler and more hollow-eyed, so shadows and circles you already have are more obvious.

·         Dark glasses and sunscreen. Although a tan might hide dark circles in the short term, in the long run, the extra pigment it produces can make circles worse.

·         Saline washes or sprays. Rinsing your sinuses with a saltwater solution (mix 1/4 teaspoon sea salt with 2 cups warm water) or over-the-counter saline spray can help relieve nasal congestion.

·         Cosmetics. Hundreds of skin creams that claim to reduce or prevent under-eye circles crowd department store and drugstore shelves. The results of one study showed that a serum containing plant-based compounds, including root extracts and Brazilian suma, significantly improved the appearance of dark under-eye circles.

·         Camouflage. The right concealer can do just that — hide dark circles. If the circles under your eyes are bluish, use a peach-colored concealer, not one that's white or gray. And avoid scented products and those containing salicylic or glycolic acid, which can irritate delicate eye tissue, making redness and swelling worse.


If discoloration or swelling appear under just one eye or the condition worsens over time, talk to your primary care physician. If home remedies are not helping and you want a more long-term solution, you can speak to a dermatologist about options such as prescription creams, laser therapy, surgery, or chemical peels.


Info on Injections:

If you are considering injections (injectable fillers are sometimes used to fill out hollows that cause shadows), then you should speak to a dermatologist. Since there are various treatment options, a dermatologist can advise you on whether this is the best way to go given the appearance and cause of your dark circles. A dermatologist can also advise you on any risks, talk to you about the pros and cons of this treatment method, and can help you to have realistic expectations of whatever procedure you choose given that results of different treatments can certainly vary from person to person.

Some potential cons and risks about injections can include:

·         The cost. Injections generally only last about 8 or 9 months before the procedure has to be repeated. This can add up to thousands of dollars.

·         Injury to the eye. The most serious risk is that the filler could be accidentally injected into one of the blood vessels that feed into or drain the eyeball. If this were to occur, the eye could be injured and even blindness could occur.

·         Training of the doctors performing these procedures. There have been some cases where the doctors who are performing soft tissue filler injections do not have the specific training and knowledge about the anatomy of the eye to perform these types of procedures.

If you don't have a doctor and live in northern New Jersey, you can call the Adolescent/Young Adult Center for Health at 973-971-6475 for an appointment with an adolescent medicine specialist or contact your local teen health center. You can also contact your insurance company for a list of in-network primary care physicians, adolescent medicine specialist, or dermatologists.


Since you mentioned that this situation is making you feel “extremely depressed,” FX also recommends that you consider speaking with a school counselor or mental health professional if you find that how you feel about the dark circles is starting to interfere in your life in any way. We are all human and we all have things about ourselves (whether on the inside or outside) that aren’t “perfect.” Sometimes these parts of ourselves can start to feel like imperfections, flaws, or limitations in such a negative way that it affects our mood and how we feel about ourselves. If you are having trouble coping with this part of you, consider reaching out to someone who can help you to process and work through your feelings about it.

If you live in northern New Jersey and need help finding a therapist you can call the Access Center from Atlantic Behavioral Health at 888-247-1400. Outside of this area you can log onto the US Department of Health and Human Services Substance Abuse and Mental Health Services Administration website for referrals in your area. You can also contact your insurance company to get a list of in-network mental health providers or check with your school social worker or psychologist to get a list of referrals in your area.

Signed: TeenHealthFX