Dark Circles
At a glancePeri-orbital Hyperpigmentation
Dark under-eyes, also known as periorbital hyperpigmentation, refers to darkening of the skin around the eyes that can give a tired or shadowed appearance. While not medically harmful, it is a common cosmetic concern and can often be improved with targeted dermatological treatments following specialist assessment.
The Science Behind It
Dark under-eye circles refer to the discoloration or shadowing beneath the eyes and are a common cosmetic concern. They result from multiple factors, including genetics, lifestyle, and structural changes in the skin. Thinning of the under-eye skin, loss of fat and collagen, and increased visibility of underlying blood vessels can all contribute to a darker appearance. In some individuals, hyperpigmentation or puffiness that casts shadows may also play a role. While generally harmless, their presence can give the face a fatigued or aged look.
Treatment at a Glance
| Treatment Type | Number of Sessions | Procedure Time | Typical Recovery |
|---|---|---|---|
| Picosecond laser | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
| Biomodulator / Biostimulator Injections | 3 sessions - every 3-4 weeks, for 3 months | 30 minutes | Slight redness and swelling for 48 hours |
| Excel® V+ (long pulse ND.YAG) | 2 - 5 | 5 -15 mins | 7 - 10 Days |
Frequently Asked Questions
Dark under-eye circles can be caused by several factors, including increased pigmentation, thin skin revealing underlying blood vessels, volume loss, shadowing from tear troughs, genetics, allergies, and fatigue. In many patients, more than one factor is involved.
Periorbital hyperpigmentation is not harmful and does not indicate a medical problem in most cases. However, it can significantly affect appearance and confidence. A dermatological assessment helps identify the underlying cause and determine the most appropriate treatment, which may include picosecond lasers, targeted pigment treatments, biostimulators, or volume-restoring procedures, depending on the presentation.
Yes. Dark under-eye circles can often be improved, but treatment depends on the underlying cause.
- Pigmentation-related dark circles may respond to laser treatments (such as picosecond lasers).
- Volume loss or hollowing may be improved with biostimulators or dermal fillers to reduce shadowing.
- Vascular causes may require a different approach focused on skin strengthening and vascular-targeted techniques.
Combination therapy is common, as multiple factors often contribute.
Pigment-targeting lasers such as picosecond lasers and Excel® V+ (Nd:YAG) may be used to treat periorbital hyperpigmentation. These devices can lighten pigment while minimising downtime. Treatment around the eyes requires conservative settings due to the delicate skin in this area, helping reduce the risk of post-inflammatory hyperpigmentation or irritation.
You should consider seeing a dermatologist if dark under-eye circles are persistent, worsening, or causing cosmetic concern. Early assessment helps determine the cause—whether pigment, vascular changes, structural shadowing, or volume loss—and allows the development of a personalised treatment plan.
Restore brightness and structure to the eye area with specialist-led regenerative and laser treatments. Targeted correction of pigmentation, vascular shadowing, and volume loss for a clearer, more refreshed appearance.
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