The dark circle is a circular or semi-circular area under the lower eyelid. This unsightly appearance is caused by the presence of an indentation or a brown or purple colour. It is a frequent reason for consultation in aesthetic medicine because of the tired look it gives off and the ageing of the eyes it causes.
The dark circles under the eyes are a common aesthetic problem affecting many people. Whether dark circles are caused by fatigue, stress, genetics or ageing, there are solutions to help you look fresh and rested. On this page, Dr Romano
will look in detail at the different causes of dark circles, the treatments available (hyaluronic acid injections, peels, laser treatments) and give you practical advice on how to prevent their appearance. These methods eliminate dark circles and restore radiance and vitality to the eyes.
The factors responsible for the appearance of dark circles are :
Fatigue and lack of sleep : They are responsible for poor blood and lymph circulation. This leads to palpable oedema and dark discolouration under the eyes.
There are four types of dark circles:
The vascular ring is a blue-red ring.
Blue circles are due to the transparency of the skin. The skin of the eyelid is the thinnest in the body, and its thinness means that the blood in the vessels of this highly vascular area is visible.
The small arterioles will give a red colour to the ring, the small veins a blue or violet colour.
The extent of the discolouration varies from one individual to another and depends on the thickness of the skin and blood circulation.
A good health practices helps to fade the violet colour. Respecting your sleep schedule power supply healthy, balanced and rich in antioxidants are essential.
The creams for the eye contour and thepplication of cold are useful.
These " grandmother's remedies "Sometimes they work.
Pigmented circles are brown, less often yellow or brown.
This type of dark circle is caused by a deposit of melanin. genetically determined.
Melanin is the pigment that gives colour to the skin, and its production increases when we tan, for example.
This type of dark circles is most common in patients with dark skin.
UV exposure is an aggravating factor.
The use oftotal screen prevents dark circles from getting worse.
The application of anti-pigmentation creams unfortunately does not improve their appearance.
Hollow circles are characterised by the presence of a hereditary or acquired hollow, linked to ageing.
Hollow circles in young patients are genetic.
After the age of thirty, the melting and sliding of fat and bone changes in the orbit are responsible for the appearance of a hollow ring or the worsening of a pre-existing hollow ring.
Unfortunately, there is no real cure, but hollow circles are very easy to treat. The injection of a filling product such as hyaluronic acid corrects this unsightly appearance.
It's not really a ring, but more of a under-eye pocket.
This condition is caused by the descent of fat into the eye ring area. The phenomenon is linked to ageing and genetics.
In fact, over time the tissues relax and no longer support the fat, which gradually sinks.
A bag under the eyes is not necessarily fatty. In the morning, the area under the eyes may be swollen due to poor lymphatic and venous drainage. This situation is temporary and disappears in a few hours.
Bags under the eyes are treated surgically.
Puffiness worsens temporarily as a result of water retention.
A healthy lifestyle and balanced diet promote lymphatic drainage.
Alcohol, tobacco and prolonged exposure to screens should be avoided.
There are different stages in the severity of dark circles. Below is a description of the different stages in the severity of dark circles, providing a better understanding of their impact and the appropriate solutions.
Identifying the severity of dark circles is crucial to choosing the most appropriate treatment. During a consultation, the doctor will carry out a personalised assessment.
Every patient is unique, and the treatment of dark circles must be tailored to their specific needs. In an initial consultation, Dr Romano will assess the cause of your dark circles and determine the most appropriate treatment.
Many treatments are available to reduce dark circles: injections, lasers, peels, carboxytherapy, but only hyaluronic acid injections and carboxytherapy give convincing results.
For a look When the patient is younger and more rested, the treatment of other unsightly features of the orbital region completes the treatment.
The treatment of dark circles using aesthetic medicine techniques is indicated for patients with visible dark circles who want a natural result without resorting to surgery.
The eligibility criteria for treatment are :
To find out whether you are a good candidate for hyaluronic acid injections for dark circles, it is essential to consult a doctor who is qualified and experienced in this field. He or she will be able to assess your request, discuss your aesthetic goals and recommend the treatment best suited to your needs.
L'hyaluronic acid is the first-line treatment for dark circles.
Before the age of thirty, dark circles are filled by injection into the hollow. After the age of thirty, the hollow is often associated with sagging of the malar region. In this case, Dr Romano advises first performing the medical lift to lift the sagging tissues that support the dark circles and then inject the hollow.
The injection of hyaluronic acid fills the void responsible for the hollow ring. The result is natural.
This filling product is placed deep down, in contact with the bone. Injections that are too superficial cause surface irregularities ("little balls"), permanent oedema and a purple discolouration (Tyndall effect, the product changes colour).
Dr Romano performs the injection using a cannula; using a needle is dangerous and causes more haematomas.
Depending on the patient's anatomy, the inner and/or outer part of the dark circles can be injected. Unfortunately, only certain patients are good candidates for filling the outer part. A detailed analysis of the orbital area is necessary.
The injection takes about five minutes, as long as it is carried out by an experienced doctor. The procedure is not very painful, with the patient experiencing only slight discomfort.
You can return to work immediately afterwards, and this treatment can be carried out during your lunch break!
Any post-injection redness is temporary (about half an hour) and can be concealed by applying make-up.
Hyaluronic acid injections for dark circles are generally painless. Anaesthetic cream is rarely applied before the procedure. Patients feel a slight pressure or sting at the time of injection.
Hyaluronic acid injections are recommended for filling in hollow dark circles that give the eyes a tired or aged appearance. Injections can be carried out at any time of the year, but it is best to avoid periods of high heat to avoid significant swelling.
The best time to carry out this procedure depends on a number of factors.
The contraindications to hyaluronic acid injections for dark circles are :
Before under-eye circles are treated with hyaluronic acid injections, certain precautions must be taken to ensure the safety and effectiveness of the treatment.
The side effects of hyaluronic acid injections for dark circles are bruising, swelling, redness and feelings of tension. These effects are mild and disappear within a few days.
Rare complications, such as infections, permanent oedema, the Tyndall effect or skin irregularities are linked to a technical error, which is why it is so important to seek the advice of an experienced doctor.
The most serious complication is blindness, which can occur if the injection is given by needle.
Dr Romano injects dark circles exclusively using a cannula (a needle with a round tip), which makes the injection completely safe.
The hyaluronic acid used for the injection of dark circles must be :
Non-cross-linked products last for a week and moisturise the skin without filling in the hollow.
Medium or highly cross-linked products can be used in certain indications (in patients who do not have sagging skin on the lower eyelid or bags) by a very experienced doctor, as the risk of the product becoming visible is fairly high.
Products enriched with vitamins and antioxidants should be avoided as they could trigger inflammation in this delicate area.
Injections for dark circles can be missed due to technical errors:
To avoid these failures, it is crucial to choose a qualified, experienced doctor who has a thorough understanding of the anatomy of the eye area and uses appropriate techniques and specific products for dark circles. In the event of unsuccessful injections, corrective solutions exist, such as hyaluronidase injections to dissolve the hyaluronic acid and restore a harmonious result.
What should I do if the results of a treatment for dark circles are unsatisfactory?
If the results of a dark circles treatment are unsatisfactory, the first thing to do is to consult the doctor who carried out the treatment as soon as possible. He or she will be able to assess the situation, identify the causes of the undesired result and suggest corrective solutions. In the case of hyaluronic acid injections, hyaluronidase injections can be considered to partially or completely dissolve the product and correct imperfections such as swelling or irregularities.
In theory, the surgery fills in the dark circles permanently. In fact, as the ageing process continues, the result cannot last forever.
The benefits of hyaluronic acid injections last 1 to 2 years, depending on the patient's metabolism. The procedure is fast, does not require general anaesthetic and does not present the potential complications of surgery.
The choice of technique depends on the patient's wishes.
La carboxytherapy improves local vascularisation and stimulates collagen production in the lower eyelid.
Immediately after treatment, a significant and transient swelling (five minutes) is observed.
This treatment is not curative but preventive.
In fact, despite the large number of sessions carried out, the result will be slight. Carboxytherapy is useful for slowing down the ageing process and preventing the worsening of dark circles, which become more pronounced over time.
Rather, it is a global approach to revitalise and rejuvenate the eyes.
Dark circles can alter the radiance of the face and make you look tired, so there are several treatment options for reducing them. In addition to hyaluronic acid injections, other procedures, such as peels, lasers and mesotherapy, can also be used to treat dark circles.
These methods are adapted to the type of dark circles and the skin of each patient, but the results are often variable, transient and slight.
Dr Romano does not recommend them.
Laser treatment of dark circles is an option for reducing vascular (blue) or pigmented (brown) dark circles.
Le vascular laser for blue circles targets the small blood vessels under the skin that cause bluish under-eye circles, gently heating them to collapse their walls and reduce their visibility.
Le pigment laser for dark circles targets and breaks down the melanin deposits responsible for colouration.
Although these techniques can offer improvements, they are transient, light and require a recovery period due to swelling and possible bruising.
Le GWP (Platelet Rich Plasma) combined with microneedling is an innovative approach to revitalising the skin under the eyes and reducing dark circles. PRP, obtained from the patient's own blood, is rich in growth factors that stimulate cell regeneration and collagen production. Microneedling creates micro-perforations in the skin to promote absorption of the PRP. The principle of this treatment is to improve the skin's elasticity and radiance, reduce pigmentation and give a fresher, more rested appearance.
The benefits of mesotherapy derive small quantities of vitamins, minerals, amino acids and hyaluronic acid directly into the skin under the eyes. The idea is to improve microcirculation, deeply hydrate the skin and stimulate the production of collagen and elastin. Although results can vary from person to person, mesotherapy is particularly effective for dark circles linked to dehydration or poor circulation.
Le superficial peeling is performed to reduce the appearance of dark circles. The principle is to gently exfoliate the skin to stimulate cell renewal, brighten the area and achieve a more even complexion and rested look.
Although it is suitable for all skin types, it says it can be personalised.
Dr Romano advises against this technique as it is often responsible for pigment rebound, which worsens the colouration.
There are several options for treating dark circles:
The methods used to treat dark circles are :
Dr Romano does not really believe in the effectiveness of these techniques, whose results are unpredictable and which can cause pigmentary rebound, worsening the pigmentation.
Make-up can be applied after the operation. Dr Romano advises avoiding sport, heat and intense cold for two days. Sustained pressure on the treated area should also be avoided for a week. Professional facial massages should be avoided for seven days.
The after-effects of injections are minimal, although slight transient oedema may occur. Haematomas are rare if the injection is carried out with a cannula. Needle injections (Dr Romano only uses the cannula to inject dark circles) are often responsible for the appearance of a large black eye.
The results of hyaluronic acid injections are immediate and optimal one week after the procedure. The face looks rested and the eyes younger.
Hyaluronic acid is an absorbable product. Results of injections for dark circles fades over time and lasts about a year.
Its durability depends on individual factors (genetics), anatomical factors (the greater the orbital changes linked to ageing, the less durable the result) and the type of product (cross-linking, firmness, brand).
Although the vascular laser for purple circles and the pigment laser for brown circles can bring about a slight improvement by reducing pigmentation or tightening the small vessels under the skin, these results are often slight.
The effectiveness of these techniques is often limited and the results are generally not as spectacular as hoped.
Improvements may vary from person to person depending on the severity of the dark circles, the skin and the individual's response to the treatment. In addition, several sessions may be required to achieve optimal results, and a recovery period with temporary bruising and swelling is to be expected.
There is no precise age at which to start dark circle treatments, as the appearance of dark circles depends on a number of factors. In fact, this unsightly appearance can be present in minors and children.
It all depends on the patient's wishes, but it is best to intervene from the age of twenty onwards.
There is no natural treatment for dark circles, but there are several tips that can be incorporated into your daily routine. First of all, quality sleep is essential for reduce dark circles under the eyesThe lack of rest aggravates dark discolouration and puffiness. Applying cold compresses, such as cooled green tea or chamomile tea bags, can help reduce swelling and pigmentation thanks to their anti-inflammatory and antioxidant properties. Gentle massages with sweet almond oil or coconut oil, which are rich in vitamin E, can also improve blood circulation under the eyes and lighten dark circles. In addition, proper hydration and a balanced diet rich in vitamins and antioxidants help to maintain healthy, luminous skin. By combining these natural tips for removing dark circles, you can gradually improve the appearance of your eyes in a gentle, non-invasive way.
Dark circles in teenagers are a common concern that can be caused by a variety of factors, such as fatigue, stress, allergies or a genetic predisposition.
Dark circles can make you look tired or worn out, even after a night's sleep. To reduce the appearance of dark circles, it's essential to start by adopting a healthy lifestyle: getting enough sleep, staying properly hydrated, eating a balanced diet and managing stress.
If dark circles persist despite preventive measures and lifestyle changes, or if they are accompanied by other symptoms (pain or swelling around the eyes, extreme fatigue or persistent daytime sleepiness or vision problems), it is advisable to consult a doctor.
Dark circles can be a sign of underlying health problems such as allergies, anaemia, thyroid problems or sinus problems.
Dark circles can often be exacerbated by allergic reactions, such as allergic rhinitis or eczema, which cause inflammation and congestion of the blood vessels under the eyes. To reduce dark circles caused by allergies, it is essential to manage both the allergic symptoms and apply specific eye contour care.
Looking for information on price of treatment of dark circles in Geneva ? Are you wondering how much does a treatment for dark circles cost adapted to your needs?
Le cost of dark circle treatment can vary depending on a number of factors, such as the method chosen, any associated treatments, the number of syringes used and the doctor's expertise (an essential criterion).
The price of hyaluronic acid injections to treat dark circles can vary considerably from one doctor to another. This difference is mainly due to two factors: the quality of the product used and the expertise of the practitioner.
Hyaluronic acid gels differ in terms of composition, firmness, durability and hydrophilicity (ability to draw water), which influences the cost of the product.
The doctor's expertise plays a crucial role in the success of the treatment: an experienced practitioner, with in-depth knowledge of facial anatomy and injection techniques, is able to achieve an optimal, natural and safe result.
That's why it's important not to base your decision solely on price, but also to consider the experience and reputation of the doctor if you want sublime results.
| Type of consultation | General rates |
|---|---|
Hyaluronic acid |
CHF 750 per syringe |
Carboxytherapy |
CHF 100 per session |
For patients who have opted for dermal fillers, the reviews are often positive. Patients highlight the immediate and natural improvement in the appearance of dark circles and the absence of side effects. They also appreciate the possibility of customising the treatment to obtain the desired result.
When it comes to laser treatments, opinions are more mixed. Some patients report a significant reduction in vascular or pigmented dark circles after several sessions. However, others complain of a longer recovery period with bruising and swelling, as well as less impressive results than expected.
More natural treatments, such as anti-dark circle creams or treatments based on active ingredients such as retinol or caffeine, also receive mixed reviews. Some patients find that these light, inexpensive options provide a visible improvement in the appearance of dark circles, especially when combined with good sleep and hydration habits. Others feel that these treatments have a limited effect and fail to solve their persistent dark circle problems.
It is important to note that the results of dark circle treatments can vary considerably from person to person, depending on factors such as the underlying cause of the dark circles, the quality of the skin and the patient's realistic expectations.
REFERENCES
Massaging the area around the eyes is an effective way of improving blood and lymph circulation. For optimum drainage, start by gently tapping your fingers around the eyes, then using gentle circular movements. These massages should be performed daily to achieve lasting, visible results.
The effects of hyaluronic acid injections for dark circles generally last between 12 and 18 months. The length of time depends on the patient's metabolism, the quality of the hyaluronic acid used and the anatomical factors associated with dark circles, in particular the loss of malar fat that supports the orbital area.
After the injection, avoid touching or massaging the treated area for at least 24 hours. Apply a cold compress to reduce swelling and bruising. Avoid strenuous physical activity and exposure to intense heat for a few days.
Hyaluronic acid injections are particularly effective for treating hollow circles caused by loss of volume in the orbital region.
These injections are not effective for dark circles.
In some cases, filling with hyaluronic acid can improve dark circles.
There are several natural treatments that can help reduce the appearance of dark circles. For example, applying cold compresses under the eyes can help decongest the area and reduce the appearance of dark circles. This is why many women put tea bags or cucumber slices on their eyes.
A diet rich in vitamins and antioxidants can help improve the condition of the skin around the eyes.
Le best eye contour care, to effectively treat dark circles, should contain ingredients such as vitamin C, caffeine or hyaluronic acid. These ingredients stimulate blood circulation, decongest the eye area and moisturise the skin, which can reduce dark circles and revitalise the eye area.
The concealer creams and correctors containing these assets have a " anti-fatigue effect ".
Dark circles can be caused by a number of factors, including genetics, ageing, fatigue, stress, poor diet, dehydration, poor lifestyle habits and sun exposure.
Yes, dark circles can disappear or diminish if their cause is temporary, such as fatigue or dehydration. However, dark circles that are genetic in origin or linked to ageing require medical treatments such as hyaluronic acid injections, peels and laser sessions.
To drain dark circles, you can perform a lymphatic massage around the eyes. Use your fingers to gently tap the skin under the eyes, starting from the inner corner and working outwards. Tools such as jade rollers or gua sha can also be used to stimulate circulation and reduce swelling.
Good hydration is essential to prevent dark circles getting worse. Keeping the skin hydrated promotes suppleness and elasticity, which can help to reduce the appearance of dark circles. What's more, well-moisturised skin is less prone to fine lines and signs of fatigue, so your eyes will look fresher.
Even with restful sleep, other factors are responsible for the appearance of dark circles.
We recommend adopting a skincare routine that includes good moisturising, specific creams for the eye area and draining massages. Medical treatments such as hyaluronic acid injections, peels or laser sessions produce significant, lasting results.
The creams concealer available on the market contain active ingredients such as vitamin K, caffeine and hyaluronic acid. Vitamin K helps reduce dark circles, while caffeine stimulates microcirculation and reduces puffiness under the eyes. Hyaluronic acid hydrates and plumps the skin, reducing the appearance of dark circles.
It is possible to have bruising after a hyaluronic acid injection for dark circles, but this is rare if the injection is carried out by an experienced doctor.
Hyaluronic acid injections are not effective in correcting pigmented dark circles. Pigmented dark circles require specific treatments to reduce pigmentation, such as chemical peels, pigment lasers or depigmenting creams, which give slight results.
The appearance of dark circles is influenced by a number of factors, including genetics, lifestyle and age. The importance of these factors is responsible for more or less pronounced dark circles.
No, dark circles are not always a sign of lack of sleep. Although tiredness can accentuate the appearance of dark circles, there are several other factors that can cause them. Genetics play an important role: ageing leads to a reduction in collagen production, which makes the skin thinner and leaves the blood vessels under the eyes visible. Other factors such as dehydration, a poor lifestyle and stress can also contribute to the appearance of dark circles.
Quality sleep plays a crucial role in improving dark circles. During sleep, the skin regenerates and repairs itself, and blood circulation in the orbital region is activated.
To avoid dark circles, it is essential to adopt a healthy lifestyle, get enough sleep, stay hydrated, eat a balanced diet rich in vitamins, protect the skin from the sun, banish harmful habits (smoking), use specific eye contour care products and carry out draining massages.
Certain oils can help reduce the appearance of dark circles. Sweet almond oil, rich in vitamin E, and argan oil are known for their moisturising and brightening properties. Rosehip oil and calophylla inophylus oil are also effective, as they have regenerating properties.
To determine the type of dark circles you have, look at their colour and shape. Bluish circles often indicate poor blood circulation, while brown circles are generally due to hyperpigmentation. Hollow circles are often linked to a loss of volume under the eyes. A consultation with a specialist will provide you with a precise diagnosis.
Persistent dark circles can be due to genetic causes, ageing or blood circulation problems. An inappropriate skincare routine or certain environmental factors such as sun exposure can also contribute to the persistence of dark circles.
A tired look is often caused by dark circles.
Results vary depending on the type of treatment and the cause of the dark circles. Treatments such as dermal fillers show immediate results, with a visible reduction in the hollow of the dark circles. Treatments using lasers or peels require several sessions for improvements that remain slight.
It is not possible to prevent dark circles, but it is a good idea to avoid aggravating factors: try to get enough sleep, maintain adequate hydration, avoid smoking, protect your eyes from the sun with sunglasses, and manage stress.
Coffee can temporarily reduce the appearance of dark circles by constricting blood vessels and reducing inflammation through the action of caffeine.
Vaseline can help moisturise the skin around the eyes, which can slightly improve the appearance of dark circles by reducing dryness and giving the skin a temporary glow. However, it does not treat dark circles and its effectiveness is limited.
Yes, prolonged exposure to screens can worsen dark circles by causing dry eyes, eye fatigue and disrupting sleep. It's best to reduce the amount of time spent in front of screens and follow the 20-20-20 rule: every 20 minutes, at a distance of 20 feet for 20 seconds.
Certain foods can contribute to the appearance of dark circles because of their impact on general health and blood circulation. High salt intake can cause swelling, including around the eyes. A diet low in antioxidants, iron, vitamin K and omega-3 fatty acids can also aggravate dark circles.
Yes, applying ice or cold compresses can temporarily reduce dark circles by constricting blood vessels and reducing swelling. This can be particularly effective for dark circles caused by water retention or fatigue.
Yes, dark circles can be a sign of various factors, such as fatigue, lack of sleep, dehydration, allergy, genetics, ageing, or even underlying health problems such as anaemia or thyroid disorders.
The choice of dark circle treatment depends on the type of dark circles and their causes. A consultation with an experienced doctor is essential to determine the most suitable treatment for your situation. The practitioner will assess the colour, depth and cause of your dark circles and suggest a personalised treatment.
Under-eye bags and dark circles are two common but distinct aesthetic problems affecting the periocular area.
Here's how to tell them apart.
Under-eye bags are visible swellings under the eyes. They can give the impression that you've been sleep-deprived, even though this is not the case.
Dark circles are darkened or hollowed areas under the eyes. They can vary in colour from blue to dark grey or brown.
It's not always possible to get rid of dark circles for good, as their appearance can be linked to genetic factors or chronic causes such as allergies or ageing. However, a number of aesthetic treatments can significantly reduce their appearance and improve the radiance of the eyes over the long term.
The most appropriate treatment depends on the type of dark circles (hollow, pigmented, vascular) and their cause. A consultation with an experienced doctor will enable us to assess your specific situation and suggest the most effective options.
Choosing the right practitioner for the treatment of dark circles is essential to achieving optimal, natural and safe results. It is important to check that the doctor is qualified and has expertise in the injection of dark circles.
A good practitioner will take the time to listen to you, assess your specific needs and discuss the different treatment options available, while clearly explaining the benefits, risks and possible side effects.
Dark circles are not just an aesthetic concern for women. Many men are also looking for solutions to alleviate this unsightly appearance, which makes them look tired or aged.
Treatment is the same as for women.
The services described on this site are applicable to Switzerland; there are differences between countries.
Contact details
Dr Valeria Romano
Pl. du Molard 5, 1204 Geneva, Switzerland
Monday to Friday, 9.30am to 6pm
Dr Valeria Romano - All rights reserved.
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