How do I get my dark circles removed?
Before / after
Real cases from the practice, unretouched, framed on the treated area only. Each result is individual and does not predict yours.


Photographs published with the patients’ written consent.
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.
Why do dark circles appear?
Dark circles correspond to the furrow formed under the eyes, extending from the jugopalpebral fold. This darker or lighter area indirectly alters the appearance of the eyes, giving them a hard, sad or tired look.
The skin around the eyelids and the eyes is particularly thin, so that it can cope with constant mechanical stress, such as blinking.
This thinness means that the skin of the dark circles ages more quickly, losing tone and curvature: the underlying structures show through, giving rise to the different types of dark circle.
How to recognize the different types of dark circles?
Hollow circles are linked to a loss of volume under the eye, which can affect either the dermis (loss of hyaluronic acid) or the hypodermis (loss of fat).
This melting of the reliefs reveals the underlying bony structures, and sometimes the venous vessels: in the most advanced cases, we even speak of a skeletonised appearance of the eyes.
Hollow circles are encouraged by age (loss of hyaluronic acid), by dieting or illness (melting of the face) and by poor lifestyle habits (dull, dehydrated skin).
Dark circles are most often linked to an accumulation of melanin-type pigments, which produces brown to black circles. This accumulation of melanin reflects photoageing of the skin under the effect of UV rays. It is often accompanied by sun spots, or lentigos, on the rest of the face or on the hands.
Coloured circles can also have other causes, particularly when they are combined with hollow circles whose transparency reveals veins (blue-violet circles) or arterioles (reddish circles).
Dark circles are sometimes associated with under-eye bags, with many misdiagnoses as to their cause. Contrary to popular belief, under-eye bags are not always linked to excess fatty tissue combined with sagging skin. The exact opposite can sometimes be the case, with a melting of fatty volume such that the eyelid skin is no longer under tension. This misjudgement of the volume of the dark circles can lead to a failed blepharoplasty, if the surgical procedure treats only excess skin or fat.
How to remove dark circles with surgery and aesthetic medicine?
Dr Hayot offers a range of simple methods for eliminating dark circles, based on a meticulous diagnosis that determines the choice of the right technique, for a tailor-made procedure and a natural result.
To eliminate hollow circles, the principle is to bring back lost volume, to fill in dark circles and refresh the eyes.
In aesthetic medicine, hollow circles can be filled by deep injection of hyaluronic acid, which is fairly fluid and not very volumising. The aesthetic result depends very much on the quality of the skin, however, as a persistent transparency effect can create a Tyndall effect, giving the hyaluronic acid a bluish appearance that ultimately accentuates the dark circles and the tired look.
The solution of choice is fat filling. This microlipofilling of hollow circles is virtually long-lasting, while having a trophic effect on the skin, enhancing radiance and luminosity.
To eliminate pigmented dark circles, the principle is to regenerate the skin, so that it regains its radiance, plumpness and firmness.
Dr Hayot proposes an innovative and natural method, using stem cells contained in fatty tissue. This nano-lipofilling of pigmented dark circles will rejuvenate and refresh the eyes, restoring the youthfulness of the upper face.
To remove dark circles and bags under the eyes, Dr Hayot uses a laser and an operating microscope. This minimally invasive technique allows a precise incision, down to the millimetre, that fully respects the identity of the patient’s eyes. This is a scarless blepharoplasty, as the incision is made through the conjunctiva rather than through the skin.
This resection of skin and fat is completed, if necessary, by microlipofilling, after analysis of the volume of the dark circles and the eyelids: this is intended to ensure a natural, long-lasting result, with the dark circles gone and a younger, firmer look.
This page is for information. It does not replace a consultation: every situation is judged on examination.