Dark Circles or Under Eye Treatment

We as Delight Clinic feels pride in being one of the leading clinics in the procedure of dark circles of the under eye in Gurgaon.

Dark circles under the eyes can be unsightly, and are a common aesthetic concern. They prematurely age the individual and give a tired look to the face. Unfortunately, they are often difficult to cover with shield.

Dark circles, along with puffy eyelids, remain challenging to treat, both surgically and non-surgically. This is because they have many causes and are influenced by genetics.

Cause of Dark Circles

Dark circles under eyes have a great variety of different causes. While alcohol and lack of sleep can both contribute to dark circles under eyes, there are also a number of illnesses that can have this effect, and some people are just genetically predisposed. The combination of a fair complexion and thin skin is often the culprit.

When determining the most effective treatment or combination of treatments for dark circles, it is vital first to identify the cause.


The pigment melanin is what gives skin its colour. The more melanin the skin produces, the darker it will be.

True pigment

Factors such as UV exposure, hormonal shifts (e.g. melasma through pregnancy or birth control) can cause increased pigmentation around the eyes. Also trauma (post inflammatory hyperpigmentation), or perfumed cosmetics can influence this.

Ageing Volume loss

Volume loss or fat descent in the cheeks and under eye volume loss gives form to what is commonly known as the “tear trough”. This is a depression under the eye, which creates a shadow, i.e. dark circle. Although most people form tear troughs as a result of ageing, there are some who have them as a natural deformity from a young age.

Thinning under eye skin

Eyelids present the thinnest skin on the body and with age, skin naturally thins further. This translucent covering affords only a thin veil for the dark, underlying structures, such as the muscle and veins.

Skin Laxity

An ever-decreasing skill to form additional collagen and elastin sees the skin’s maintenance network reduces. The loss of skin resistance also allows the darker constructions below to the skin to become more evident.

With age, bone reabsorption speeds up triggering the eye orbit to amplify. The fat which houses the eyeball then moves downstairs and centrifugally to fill the space.


Although everybody desires their sins, unfortunately there are some (personally controllable) factors that will lend themselves inhumanly well to dark circles:


Smoking is foundation of vascular hitches, constricting the blood vessels, causing in poor circulation and making the blood vessels appear darker and more prominent.

Caffeine and Alcohol Consumption

Too much caffeine and alcohol will lead to dehydration, causing blood vessels to become swollen. They are also detrimental to good quality sleep.

Sleep Deficiency

Lack of sleep can create duller, paler, more translucent skin, illuminating the vessels below. Sleep not only helps keep eyes bright, it also aids the body in repairing cell damage to the skin. Sleep deficiency can also cause fluid to build up beneath the eyes, giving them a puffy appearance. This puffiness can cast shadows under the eyes giving a darker look.

Dietary deficiencies

Dark circles may be a sign of iron-deficiency anemia, for example. In the majority of cases, eating the right foods or supplements may treat dietary deficiencies.

Other causes

  • Allergies or nasal congestion, inflaming and enlarging the under eye blood vessels
  • Some medical conditions (such as thyroid or liver problems)
  • Some medications (such as those for high blood pressure)

Treatment Options for Dark Circles or Under Eye Treatment

Depending on the cause(s) of the dark circles, you may be recommended one or more of the following treatment options:

Dermal Fillers

Hyaluronic acid fillers is commonly used in the treatment of Under Eye Dark Circles and Puffiness. Fillers have become the key foundation for treating most under-eye dark circles. In the skin, it attracts water, promoting better skin hydration and a fuller appearance. When used under the eyes, hyaluronic acid fillers aim to fill out and smoothen the tear trough and consequently reduce the appearance of dark circles.

Topical numbing cream can be used to reduce discomfort during the process. Ice may also be used before and after treatment to help reduce swelling and discomfort.

The effects of the hyaluronic acid injections are seen immediately. HA fillers are a temporary treatment, and the longevity of the filler varies from patient to patient. For best results, maintenance treatments will be needed.

Skin Lightening Peels

There are specific, superficial to medium depth skin lightening peels to target pigment on the delicate eye area in the full range of skin types. The latest peels use synergistic properties to lighten the skin as well as make it stronger and more resilient.

The function of a skin lightening peel is to create an even, controlled shedding of several layers of damaged cells. This exposes a new fresh layer of skin with a more even colour and a smoother texture. In addition, the peel stimulates new cells to grow, thereby tightening the skin, which decreases wrinkling.

Dark Circles or Under Eye Treatment – Frequently Asked Questions

How is alopecia areata diagnosed?

Alopecia areata is often diagnosed simply by the physician examining the scalp and obtaining a medical history. Often, your primary care provider or dermatologist will order blood work to assess you for other conditions that can contribute to alopecia areata, such as hormonal abnormalities or vitamin deficiencies. In rare circumstances where the diagnosis is unclear, your dermatologist may perform a scalp biopsy to determine the cause of your hair loss.

What areas of the body can alopecia areata affect?

Alopecia areata can affect any hair-bearing part of the body. It primarily affects the scalp, eyebrows, eyelashes, and body hair. People can also lose their nose hairs, which leaves them susceptible to dryness and subsequent increased runny nose and heightened sensitivity to environmental allergens and pollutants. Nasal rinses, lubricating gels and sprays can help with the dryness and runny nose, and antihistamine sprays can help mitigate the allergic rhinitis, also known as hay fever. Some individuals that have lost their eyelashes report increased sensitivity and eye irritation. This can be relieved with lubricating eyedrops and the use of sunglasses while outside to prevent dust and other particles from getting into the eyes. Please speak to your primary care provider if you have concerns about alopecia areata and your health.

Is alopecia areata hereditary?

There may be a hereditary component to alopecia areata. However, some patients are the only people in their families to have the disease. Some people with alopecia areata will have children that do not develop the disease, and for some people the disease runs across several generations. Simply put, further research is required to fully determine the role of genetics in the disease susceptibility and progression.

I have alopecia universalis. Am I more susceptible to sun burns and skin cancer?

Sun protection is recommended for all individuals – hair or not. However, individuals with hair loss on the scalp are more susceptible to sunburns on the head and other harmful effects of ultraviolet (UV) radiation. Hair helps to block UV radiation from reaching the surface of our skin, thus, when an individual loses their hair, they also lose some of that protection. Even people with hair are encouraged to wear a hat or spray their scalp with sunscreen if they’re going to be out in the sun for long periods of time.

I have had alopecia for more than 5 years. Is there a chance my hair could grow back?

In general, alopecia areata is unpredictable. There is no way to tell when the hair will fall out, when it will grow back, how much will grow back, and how long the hair growth will last. Medical treatments such as corticosteroids and immunosuppressants are able to suppress the autoimmune response and give the body a better chance at growing and retaining hair. People with more advanced forms of alopecia areata, such as Totalis, Universalis, Ophiasis, etc., tend to be more resistant to meaningful hair growth, but this does not mean that they cannot regrow hair. This lack of understanding underpins the need to fund biomedical research for alopecia areata.

Does it hurt to lose your hair?

Typically, the hair loss caused by alopecia areata is not associated with any symptoms. However, some people have reported mild itching and tingling in the areas of hair loss.