Dark circles around the eyes
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

Dark circles around the eyes
Present at any age, dark circles tend to give the impression of constant fatigue. Eyelid & oculoplastic surgery for dark circles restores facial dynamism and a more youthful look in a discreet, natural way. It treats the different types of dark circles that can appear as the eyelids age: hollow circles, coloured circles and under-eye bags.
Dark circles: definition and types
It is essential to distinguish between the different types of dark circles:
Hollow circles
These dark circles appear as a hollow under the eye, a valley running from the root of the nose to the cheekbone.
Hollow circles result from the disappearance of subcutaneous fat, a sign of advancing age. The skin of the lower eyelid is very thin, allowing the bony contours of the eye socket to show through.
Coloured circles
Dark circles can be brown, bluish, purplish or even red, a colouring that accentuates the tired look in the same way as hollow circles.
Dark circles and under-eye bags
In most cases, dark circles are associated with under-eye bags, and the combination of the two worsens the tired look: the more prominent the bags, the more hollow the circles appear.
As a result, the face looks doubly marked.
Dr Hayot’s different treatments for the different types of dark circles
Performing a conventional blepharoplasty by pulling the skin and removing fat pads can only worsen dark circles, by hollowing the eyelids still further.
Filling dark circles with hyaluronic acid injections poses two problems:
- Hyaluronic acid resorbs poorly in the dark circles, swelling over time as it absorbs water like a sponge, and can form an unsightly bag;
- The skin around the eyes is very thin, and hyaluronic acid can give the lower eyelid a bluish colour (the Tyndall effect).
To determine the most suitable oculoplastic surgery for dark circles, several aspects have to be taken into account: the colour of the circles, their surface area (limited to the lower ey
This page is for information. It does not replace a consultation: every situation is judged on examination.