Many people have suffered from having dark eye circles or eye bags. Even young students suffer from this condition. In general, dark eye circles or dark eye bags aren’t a scary health concern, but the appearance of dark circles around the eye can make someone look tired or disinterested and affect one’s self esteem.
One thing that is especially bad about dark eye circles is that they are quite persistent and don’t simply go away by themselves.
Contrary to popular belief, the most common cause of dark eye circles is NOT pigmentation. People also often think dark eyes are solely due to lack of sleep. Research shows that up to 80% of dark eye circles actually have a combination of contributing causes. These include: vascular congestion, pigmentation and sunken shadowing appearance. Of these, vascular congestion is the most common, which explains why dark eye circles worsen when you have a late night or a blocked nose.

Some reasons why dark eye circles might develop also include:
1. Sun exposure
Directly exposing yourself to the sun causes the production of melanin. Melanin is a pigment that directly affects your skin tone and color (it’s the reason why we get tans). Due to our genetics, Asians also tend to develop pigmentation issues around the eye area, resulting in the appearance of dark eye circles around the eyes.
2. Aging
Skin aging reduces the amount of collagen and elastin in your skin, causing it to lose its firmness and healthy look. When this happens around our eyes, the fat and bony loss will make the area around the eyes look hollow and sunken. The already thin skin will also start to show the blood vessels underneath, giving your eyes a hollow and dark look which leads to dark eye circles.
3. Tiredness
When we sleep, our body rejuvenates itself and repairs any damage we sustained during the day. If we don’t sleep enough, the circulation of blood to the skin will be affected, causing blood vessels under the eye to dilate. This reduces oxygen flow to the skin, making the skin look tired, shadowed and dull which results in dark eye circles.

Sunken skin under the eyes, you can see the hollow area. There is also some pigment darkening very near the lash line around the eyes.

Vascular congestion causes skin under the eyes to look purplish/reddish/bluish. Sometimes visible veins can be seen.
Various Evidence Based Options
The Veritas Method
⦁ Laser dark eye circles treatment from Fotona BrightEye combination lasers can help with both pigmentation as well as vascular congestion from the dark eye circles. In this clinical study, all its participants rated this laser dark eyes circles treatment (the Starwalker PICO, VERSA3 and VERDE) with 100% satisfaction for their vascular congested dark eye circles with no side effects. This is more effective than simply using a single wavelength laser, because different wavelengths are needed for this complex dark eye circles problem. Do take note that not all vascular lasers work for dark circles – we see many patients who have failed treatment elsewhere because single and wrong dark eye circles wavelength treatment was prescribed.

- The AOX Eye Gel from Skinceuticals is another excellent dark eye circle treatment for the maintenance of dark eye circles of all causes. The gel form of this product ensures that the delicate skin in this area does not clog up and form milia like many eye creams cause. This unique dark circles eye gel also works synergistically with our dark eye circle laser treatments.
- Botulinum toxins should be used as treatment if there is a bulky under eye muscle that is casting a shadow which can result in a dark eye circle appearance. As a bonus, you also get to treat fine lines!
- The Teosyal RD2 is a new filler from the reputable Swiss company Teoxane pharmaceuticals that is specially designed for the dark eye area. This special filler does not absorb too much water and guarantees a natural result with not much swelling of blood vessels even over time. Furthermore, it contains Vitamin B6 and Glutathione, natural skin lighteners that can help with any pigmentation in that area that causes the dark eye circle appearance. Fillers can be used to fill the under eye area if the dark eye circle is mainly due to a sunken shadowing.
- The PDRN/Rejuran Healer is the latest treatment offering in the injectable market. This product uses DNA fragments to stimulate cell growth and wound healing. There are now many clinical studies that show that this molecules induce long term skin regeneration from within and hence improving skin health, fine lines, elasticity and pigmentation. The PDRN/Rejuran healer is an excellent product to use in combination of btx and fillers for dark eye circle removal.
Why do we recommended combination treatment for Dark Eye Circle Removal
Again, our team’s commitment to combination treatments also reflect our experience and versatility with various products in the aesthetic field. Dark circles in eyes has many contributing causes and an individualised removal solution is needed for everyone with this problem.
Our team’s extensive knowledge and experience in aesthetic medicine enables us to find the most optimal individualised solution to your personal concern. We are heavy on dark eyes combination treatment removal as it is obvious that correcting only one aspect of multifactorial problems do not give optimal results. By doing so, we have and continuously hope to give the best value for the time our patients set aside for us.
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13 Stamford Rd, #B2-35 Capitol Singapore, Singapore 178905
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