Dark circles around the eyes

2025-04-171 min read

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

Dark circles around the eyes

Dark circles around the eyes

How can I make dark circles disappear?
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

Surgeons and aesthetic physicians who are not eye specialists can make two mistakes when treating 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.

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Introduction
How can I make dark circles disappear? Present at any age, dark circles tend to give the impression of constant fatigue. Aesthetic surgery for dark circles is used to restore 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, such as hollow circles, colored 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 different types of dark circles

Surgeons and aesthetic physicians who are not eye specialists can make two mistakes when treating dark circles. Performing a conventional blepharoplasty by pulling the skin and removing fat pockets can only aggravate dark circles by deepening the eyelids even 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 surgery for dark circles, several aspects need to be taken into account: the color of the circles, their surface area (limited to the lower eyelid or extending into the tear trough), and the presence of bags associated with the circles. The treatment of choice is fat injection (micro-lipostructure or lipofilling). The results are lasting and very natural: fat grafting is a perfectly logical and appropriate response to the mechanism responsible for hollowing - the melting of fat from the lower eyelid. Dark circles are treated with a recent method: nano-lipostructure, an injection of stem cells and growth factors derived from the patient's own fat to mask the discoloration. In the case of puffiness associated with dark circles, the surgeon treats both indications simultaneously: he flattens the puffiness to bring it level with the bony rim without hollowing out the eyes too much, and fills in the dark circles in the same operation.

Dark circles treatment results

The fact that dark circle lipofilling is a surgical procedure is intended to ensure lasting results. This is the main advantage of this procedure over other methods of treating dark circles. The injection of living fat cells treats the main cause of the appearance of dark circles, namely the melting of fat in the face due to aging. Dark circles are thus filled in, and the shadowy area created by the presence of any bags under the eyes is also diminished. This technique also has the advantage of being able to effectively combat the discoloration that dark circles can take on. In fact, the light yellow color of the fat injected under the skin will attenuate the hyperpigmentation of the dark circles.

Rates for the treatment of dark circles by Dr Hayot

During your consultation, Dr. Hayot will carry out a precise examination of your face in order to propose the solution best suited to your situation and needs. He will provide you with a complete, personalized estimate that includes details of all the necessary items. This includes the fees of the plastic surgeon, anesthetist and hospital staff, as well as the cost of the equipment required for the operation and clinic fees, among others.