Blue circles: what to do?
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

What are blue circles?
Blue circles should not be confused with other types of dark circles, such as hollow circles and red circles. Red circles are linked to a natural overproduction of melanin, while hollow circles are the consequence of fat loss.
Blue circles, for their part, are a colouring of the lower eyelids. The skin of the eyelids is extremely thin, and therefore also translucent. Any dehydration of the skin accentuates this, to the point where the blood vessels of the orbicularis muscle become visible. The dark circles then take on a darker hue, usually blue.
What causes dark circles to appear?
A number of factors are responsible for the appearance of dark circles. The first is skin ageing. With age, fat melts away and volume diminishes. The skin becomes thinner, and it is then that blue circles appear. A genetic factor must also be taken into account, since blue circles can be present even at a young age.
The phenomenon can also be worsened by poor lifestyle habits. A sedentary life, alcohol and cigarette consumption, and lack of sleep can all impair the vascularization of the skin. Poor circulation can worsen the appearance of dark circles.
Lipofilling to hide the blue colour of dark circles
Blue circles were long difficult to treat with aesthetic medicine. Today, however, a medical technique exists to resolve the problem. Lipofilling is an effective, minimally invasive solution for treating dark circles.
This is an autologous fat transfer, taken from the patient themselves. The fat is first extracted with a cannula, then broken down and cleaned. Once it has been made fluid by meticulous filtering, the fat is reinjected into the lower eyelids to fill them and restore volume.
A specific form of lipofilling is used to treat blue circles. This technique, called nano-lipofilling, is a cutting-edge technology derived from regenerative medicine. Deeply innovative, this type of medicine consists in inducing cellular self-repair. It is the subject of ongoing research, notably in the treatment of osteoarthritis and alopecia.
Nano-lipofilling is based on the same principle as lipofilling, except that it has no volumizing effect. The procedure consists in extracting the cells and growth factors naturally present within the adipose tissue.
Once separated from the adipocytes (fat cells), the stem cells are injected into the eyelids to stimulate the skin. The skin regenerates itself through neo-collagenesis, the new production of collagen. The result is a marked improvement in the dermis. The blood vessels gradually become less visible, as the skin thickens and blood circulation improves, and the blue circles disappear.
Nano-lipofilling has many advantages. It is minimally invasive, and as the fat comes from the patient, there is a very limited risk of rejection or allergy. Side effects are extremely rare. The treatment is strikingly effective, and it is one of the effective treatments for blue circles. Dr Hayot’s expertise in eye surgery is a aim for of optimal results.
This page is for information. It does not replace a consultation: every situation is judged on examination.