Here’s What’s Causing Your Dark Circles and What To Do About Them, According to Pros

Whether sleep has been evasive or there's a genetic predisposition at play, dark eye circles plague many—and this is doubly true during allergy season. And while it's easy to write them off as a fact of life, there's a lot that can be done to prevent and treat dark eye circles—but with varying degrees of success, says Shirley Chi, MD, a board-certified dermatologist in California.

"There are many reasons why people have under-eye bags," says Dr. Chi. Some of them are hereditary, some are related to discoloration, some are volume-related, and some are related to photoaging or wrinkles."

Dermatologist Corey L. Hartman, Founder of Skin Wellness Dermatology in Birmingham, AL, adds that in addition to genetics, lifestyle factors like poor diet and lack of sleep can play a part, too. Still, it can be defeating to eat well, exercise, go to bed at a reasonable hour, and still wake up looking exhausted. Here, we take a closer look at how to manage dark under-eye circles and all the options available to make them disappear (or, at the very least, look less noticeable).

What causes dark circles under eyes? 

Genetics

"The most common cause of dark circles is a mix of genetic and lifestyle factors," says Dr. Hartman. "If your parents have dark circles, you likely will, too." Still, the fact that they're inherited won't necessarily impact how they're treated, though they may be harder to eliminate. 

Skin Density

"Skin density also plays a role in developing under-eye circles," says Dr. Hartman. "While skin density is usually genetic, thinner skin will show the natural blood flow under the skin more so than thicker skin." This can lead to the under-eye appearing darker or more contrasted than the rest of the face. Because skin naturally thins as you age, older patients often experience loss of fat and collagen, making the reddish-blue blood vessels under your eyes more apparent, he adds.

Lifestyle Factors

"Unhealthy lifestyle factors that cause stress to the skin—smoking, excessive alcohol use, lack of sleep—can cause under eye circles, too," says. Dr. Hartman.

Dr. Devgan adds that "extreme tiredness can cause your skin to become dull and pale, making dark tissues and blood vessels beneath your skin more visible"—especially when you're dehydrated. Additionally, a diet high in salt and alcohol, as well as consistent sun exposure, can play a part, she adds. Plus, Dr. Devgan says, "Staring at your computer screen or television can cause significant strain on your eyes, making the blood vessels around your eyes to enlarge," resulting in darkening around the eye. Go figure.

Allergies

It's not just allergies themselves, but the chronic dry eye that can result from them that trigger or exacerbate dark circles, says Dr. Devgan. "When you have an allergic reaction, your body releases histamines, which can cause inflammation and swelling." To add insult to injury, this can cause additional strain—another cause of dark circles.

Lentigo Maligna

If you're only noticing under-eye darkness developing on one side, Maral Skelsey, MD, a board-certified dermatologist in Maryland, says you should make an appointment with your dermatologist. "There's a thing called lentigo maligna on the face. They can show up as a dark patch, and it can be mistaken for dark under-eye circles, especially if it's just one side versus both," says Dr. Skelsey. "That's something that you want to bring to the attention of a dermatologist because we're seeing an increase in melanoma."

How do you get rid of dark circles under your eyes?

For the quickest change—especially for someone who doesn't have genetic dark circles—try getting to bed earlier, hydrating well, and cutting out excessive salt to start. Even nominal improvements may be enough. For more long-lasting changes, there are tons of options, says Dr. Devgan. 

"Depending on your situation, you may consider something very conservative, like a topical product, something slightly more invasive, like a laser or a chemical peel," says Dr. Devgan. "Another step up is an injectable, such as Botox or filler—and then finally, surgery," Still, Dr. Devgan stresses that no topical product will function as well as an injectable or surgery, so it's important to manage your expectations.

"For the best course of action, consulting with a dermatologist or plastic surgeon can help determine the most appropriate treatment based on the individual's specific condition and goals."

Treatment options for dark circles 

Luckily, there are myriad treatment options for dark circles—but they do range widely. If you're not looking for drastic results and just want something to help you look a bit more awake, there are some topical ingredients that can be helpful to treat genetic dark circles. Meanwhile, some derms may recommend lasers, filler, or even surgery depending on the severity and desired outcome.

Topicals

Topical treatments like eye creams or retinol are typically the second line of defense after lifestyle changes. "Antioxidants like green tea and vitamin C can help reduce the appearance of under-eye circles, and retinol is also extremely beneficial," says Dr. Hartman, who calls the benefits of retinol "numerous and unparalleled. Retinol can help with under-eye circles by regulating cellular turnover and discoloration under the eye." 

For anyone with sensitive skin, Dr. Hartman recommends the common retinol alternative bakuchiol. "Bakuchiol can ease the appearance of under eye circles by shrinking blood vessels and it also helps reduce the appearance of fine lines and wrinkles."

Similarly, Dr. Devgan recommends another ingredient that can do wonders, if only temporarily. "While no topical product can offer results comparable to injectables or surgery, caffeine can constrict blood vessels and reduce the appearance of dark circles." If you need to check if a topical is working overtime, try taking photos on a weekly basis in the same light to compare. "Still, the efficacy of topical treatments will be much more modest compared to medical or surgical interventions."

Lasers and Peels

Lasers and peels are two fairly common treatments for dark eye circles, which may offer a more long-term solution for those struggling with hyperpigmentation. "Professional laser treatments can help by boosting collagen production in the area, which can help reduce some of the peaks and valleys around the eyes that cause a shadow effect, as well as reducing hyperpigmentation at the skin's surface," says Dr. Hartman.

Dr. Devgan adds that while lasers can resurface the skin and reduce pigmentation and blood vessels, chemical peels may also reduce pigmentation, though to a lesser extent.

Fillers

For those with volume loss under the eyes, tear trough filler "can restore volume, making the area appear fuller and reducing the visibility of dark circles," says Dr. Devgan, who calls filler "the best combination of minimally invasive and highly effective for the majority of patients in younger and middle ages." It's important to see a board-certified dermatologist for tear trough filler, as the eye area is incredibly delicate.

Dr. Hartman recommends SkinVive—"the only hyaluronic acid intradermal microdroplet injection for skin smoothness available in the U.S."—by name. "The idea is that improved hydration and skin smoothness can reduce creping or shadows that can result in dark eye circles. 

Surgery (Blepharoplasty)

For anyone who's tried all of the above and continues to struggle with dark eye circles, surgery may be the best option. "There's been an increase in the popularity of blepharoplasty, possibly due to its effectiveness in treating dark circles by removing excess skin and fat, leading to a more youthful appearance," says Dr. Devgan, who says it's best for individuals with significant bags under their eyes or those for whom non-surgical treatments have been ineffective. "Surgery remains the gold standard for almost all situations. This can include lower lid blepharoplasty, autologous fat grafting, fat repositioning, and erbium laser resurfacing."

Can dark circles under eyes be prevented?

In short, the answer is no—but you may be able to slow them down, says Dr. Hartman. "Often, you can't prevent dark circles, but you can slow down their progression by drinking plenty of water, getting 7-8 hours of sleep each night, and reducing overall stress by eating a healthy diet and getting regular exercise." Regular use of retinol can also help with cell turnover and prevent dark under-eye circles from looking worse.

What do dermatologists recommend for dark circles?

While eye creams may not move the needle for anyone with severe under-eye circles, the right ingredients can help brighten and thicken skin if they're used consistently, says Hartman.