Dark Circles

Dark Circles under eyes

Dark Circles

What are dark circles?

Dark circles under the eye area can be caused by many issues including allergies, stress, lack of sleep, smoking, excessive alcohol, eczema and even nasal congestion.

They can be hereditary and can also be a result of pigment irregularities. As we age, thinning skin, loss of fat and collagen can make the underlying reddish-blue blood vessels more obvious, creating the appearance of dark circles.

Dark Circles

What can be done?

The internet is full of possible solutions from sliced cucumbers or potatoes to frozen spoons, but if you have tried everything, there are minor cosmetic treatments that can make a difference.

If your circles are caused by pigmentation, then either Intense Pulsed Light or Fraxel Dual 1927 resurfacing treatments may be helpful. Creams containing retinol and Ellagic Acid or hydroquinone 4% can help lighten and bring circulation to the area.

In some patients, injecting a thin filler such as Restylane  or Belotero into the tear trough area around the eye can lift the groove of the dark circle and change the way light is reflected which can appear to lighten the area.

Because the skin is very thin in this area, be sure to consult with an experienced injecting doctor or nurse. Dr. Frame uses a blunt-ended cannula to lay down the dermal filler more evenly. This technique does not pierce blood vessels making the treatment safer and causing less bruising.


This was my first time seeing anyone about filler for my deep tear troughs. I was nervous about getting filler and looking “done.” The staff were very patient and entertained my plethora of questions. My consultation with Nadine was very pleasant and she gave me a rundown of what she envisioned for me, taking into consideration what I was comfortable with and my budget. I was only in for a consultation but decided to move forward with the procedure. Dr. Frame was extremely friendly and I really enjoyed his bedside manner. I struggle with acne also and both Nadine and Dr. Frame seemed keen on helping me with my skin. Dr. Frame answered all of my questions about my options and was very thorough in his inquiries about my health. I truly felt like I was in good hands. I also really appreciated that there was a second set of eyes during the entire process and that Dr. Frame took my suggestions into consideration. Lastly, and probably most importantly, I didn’t feel pressured to do more than what I was comfortable with. Nadine explained the importance of a cheek filler as a base for the tear trough filler. After seeing the finished results, I definitely see how important this was! Overall, this was a very positive first time experience with filler and I am very happy with my decision to go to Dr. Frame as my research was based purely on what was available on the internet. I would highly recommend this doctor and this clinic! I am very pleased with my results and am amazed at what a difference I am seeing! I look forward to the follow-up!

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