Dark circles and hydration: a real link?

2022-06-222 min read

Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

Dark circles and hydration: a real link?

Why do dark circles appear?

Dark circles are a variation in the colour of the skin under the eyes. Often a source of self-consciousness, they are the result of skin dehydration. Many factors can cause this. The first is skin ageing, which gradually removes the fat between the skin of the lower eyelid and the orbital bone. The eyes then appear “skeletonised” as the eyelids hollow out.

Several types of dark circle can be distinguished:

  • Hollow dark circles. These are the first consequence of skin dehydration. They form a valley running from the root of the nose to the cheekbone, creating shadows under the eyes.
  • Dark circles. Brown or bluish, these are the result of poor blood circulation. This accumulation becomes increasingly visible as the skin thins and dehydrates. Several factors can cause dark circles to appear, including poor lifestyle habits and lack of sleep. A hereditary component often plays an important part.
  • Under-eye bags. These are linked to an accumulation of water in the lower eyelid. With age, the loss of facial volume causes the lower eyelids to sag, giving a puffy appearance that accentuates dark circles.

What is the cosmetic surgery solution for dark circles?

The best solution for hollow dark circles is to inject fat into the lower eyelids to counter this dehydration. This surgical technique is called lipofilling or micro-lipostructure. It involves transferring autologous fat, taken from the patient, which is harvested from the inner knees with a fine cannula. Once harvested, the fat is rinsed and centrifuged.
The eyelids are then injected in the same way as with hyaluronic acid. The procedure is performed under general anaesthetic. This highly effective graft gives a natural, long-lasting result.

For coloured dark circles, Dr Hayot offers nano-lipostructure, or nano fat grafting. This procedure is similar to micro-lipostructure, as it also involves a fat graft. However, the fat taken from the patient is processed to extract stem cells and various growth factors. The resulting substance has a particular property: it regenerates the dermis by stimulating neocollagenesis, the production of collagen by the skin.

The skin of the eyelids gradually regains volume and becomes better vascularised. Blood circulation improves and the dark circles disappear. This surgical technique is one of the techniques able to mask coloured dark circles. The results are equally long-lasting.

Moisturising the skin to prevent dark circles from returning

Lipofilling is intended to ensure optimal results. Here are nonetheless a few tips to prevent dark circles from appearing, even after surgery:

A healthy lifestyle is extremely important for healthy skin. If your skin is not properly moisturised, your eyelids bear the brunt. Avoid excessive consumption of salty foods and alcohol. These not only dehydrate you but also damage the lymphatic system, which encourages dark circles.

Enough sleep, between 7 and 8 hours, is necessary for healthy skin. Lastly, remember to moisturise regularly by drinking water and applying moisturising skincare products.

Protocols, dosages and fees are never published here: they are determined in consultation, after examination, and set out in writing in the estimate.

This page is for information. It does not replace a consultation: every situation is judged on examination.

Read more

The full text by Dr Hayot

The detailed version published on the site, kept in full. Each chapter unfolds.

Why do dark circles appear?
Dark circles are a variation in the color of the skin under the eyes. Often a source of complexes, dark circles are the result of skin dehydration. Many factors can cause this phenomenon. The first is skin aging, which causes a gradual disappearance of the fat between the skin of the lower eyelid and the orbital bone. The result is a "skeletonization" of the eyes, as the eyelids deepen. Different types of rings can be distinguished:
  • Hollow dark circles. These are the first consequence of skin dehydration. They form a valley running from the root of the nose to the cheekbone, creating shadows under the eyes.
  • Dark circles. Brown or bluish, these are the result of poor blood circulation. This accumulation becomes increasingly visible as the skin thins and dehydrates. Several factors can cause dark circles to appear, including poor lifestyle habits and lack of sleep. A hereditary component often plays an important part.
  • Bags under the eyes. These are linked to an accumulation of water in the lower eyelid. With age, the loss of facial volume causes the lower eyelids to droop, giving a "puffy eyes" appearance that accentuates the appearance of dark circles.
What is the cosmetic surgery solution for dark circles?
The best solution for hollow dark circles is to inject fat into the lower eyelids to counter this dehydration. This surgical technique is called lipofilling or micro-lipostructure. It involves the transfer of autologous fat (from the patient), which is extracted from the inside of the knees using a fine cannula. The amount of fat is small (around a quantity determined at the consultation). Once extracted, the fat is rinsed and centrifuged. Finally, the eyelids are injected in the same way as for hyaluronic acid. The procedure is performed under general anaesthetic. This highly effective graft offers a natural, long-lasting result. For dark circles, Dr. Hayot proposes nano-lipostructure or "nano fat grafting". This procedure is similar to micro-lipostructure, since it also involves fat grafting. However, the fat taken from the patient undergoes treatment to extract stem cells and various growth factors. The extracted substance has a special property: it regenerates the dermis by stimulating neo-collagenesis (collagen production by the skin). The skin of the eyelids gradually regains its volume, while obtaining better vascularization. Blood circulation is improved, and dark circles disappear. This surgical technique is one of the techniques that can mask dark circles. The results are equally lasting.
Moisturising the skin to prevent dark circles from returning
Lipofilling is intended to ensure optimal results. However, here are a few tips to prevent the appearance of dark circles, even after surgery: A healthy lifestyle is extremely important for healthy skin. If your skin isn't properly moisturized, your eyelids take the brunt of the damage. So avoid excessive consumption of salty foods and alcohol. These products not only dehydrate you, but also damage your lymphatic system, leading to the appearance of dark circles. A sufficient amount of sleep (between 7 and 8 hours) is necessary to ensure healthy skin. Finally, don't forget to moisturize regularly by drinking water and applying moisturizing skin care products.