Dark circles: etiology and management options

Clin Plast Surg. 2015 Jan;42(1):33-50. doi: 10.1016/j.cps.2014.08.007.


Given their multifactorial nature and the fact that individual patients may have more than a single underlying cause, cosmetic practitioners should be well versed in a number of potential treatment options encompassing all facets of under-eye dark circles. New therapeutic options are also forthcoming. Longer-lasting HA fillers, wavelength tunable laser devices, and topicals speeding up healing and enhancing results after fractionated laser therapy will all serve to make the future of dark circle treatment unabatedly bright.

Keywords: Fractionated resurfacing; Infraorbital hyperpigmentation; Intense pulsed light; Nasojugal groove; Soft-tissue augmentation; Suborbicularis oculi fibroadipose tissue; Tear trough; Under-eye circles.

Publication types

  • Review

MeSH terms

  • Adipose Tissue / transplantation
  • Cosmetic Techniques
  • Dermatologic Agents / therapeutic use
  • Eyelids / anatomy & histology
  • Eyelids / physiology*
  • Humans
  • Hyaluronic Acid / therapeutic use
  • Hyperpigmentation / etiology*
  • Hyperpigmentation / therapy*
  • Lipodystrophy / chemically induced
  • Low-Level Light Therapy
  • Orbit / anatomy & histology
  • Orbit / physiology*
  • Phototherapy
  • Prostaglandins F, Synthetic / adverse effects
  • Skin / blood supply
  • Ultrasonic Therapy
  • Viscosupplements / therapeutic use
  • Vitamins / therapeutic use


  • Dermatologic Agents
  • Prostaglandins F, Synthetic
  • Viscosupplements
  • Vitamins
  • Hyaluronic Acid