Dark Circles

Filler placed under the eyes can sometimes migrate or attract excess water, leading to a blue tint under the skin, known as the Tyndall effect. In such cases, removal of the filler using a reversal agent called Hyalase is necessary. Ideally, the injector who originally placed the filler should handle its removal, as they are familiar with the product and placement technique. If that isn't possible, our dermatologists and doctors are available to assist in safely dissolving the filler.

Genetic causes of dark circles are challenging to treat and include several types of pigmentation. Constitutional pigmentation, common in ethnic skin types, appears as a continuous C-shaped border around the lower and upper eyelids. This pigment is typically one to two shades darker than the rest of the facial skin and may also occur around the mouth, known as perioral pigmentation. Deep dermal pigmentation, such as Hori nevus, is treatable, though other forms of dermal pigmentation are more difficult to address. Pigmentary demarcation lines (PDLs) appear as a band of pigmentation 1-2.5 cm below the bony orbit of the eye, typically starting in adolescence and more commonly seen in individuals with darker skin.

Ashy dermatosis, also known as erythema dyschromicum perstans, is frequently observed in ethnic groups, particularly among individuals of Asian (Indian, Sri Lankan) and Central-South American descent. It is more prevalent in females than males, typically affecting those between the ages of 20 and 60.