Dark circles guide: four different causes requiring four different treatments

Dark circles are one of the most searched skincare concerns — and one of the most poorly treated, because most products are marketed broadly for "dark circles" without distinguishing between four fundamentally different causes that need different solutions. Here is the complete guide.

The four types of dark circles

Vascular dark circles (blue-purple)

Appearance: Blue, purple, or reddish undertone under the eyes — visible particularly in natural light

Cause: The periorbital skin is the thinnest skin on the body (~0.5 mm dermis). Under this thin skin, the dense venous plexus (network of small veins) and capillary beds are visible through the skin — particularly when:
Blood is poorly oxygenated (poor circulation, sleep deprivation, cold → more deoxygenated hemoglobin = bluer appearance)
Allergies cause periorbital vascular congestion (allergic shiners)
Skin is further thinned by collagen loss with age

The "press test": Press lightly on the dark area for 2 seconds and release. If the darkness pales significantly on pressure (blanching), the cause is vascular — the blood is displaced by pressure and the blue disappears. If it does not blanch, the cause is pigmentation or structural.

Treatments that help:
Caffeine: Vasoconstriction — temporarily reduces the visible blue by constricting the underlying vessels. The effect is temporary (hours) but real. Found in eye creams at 0.5–1%.
Vitamin K (phytonadione): Theorized to reduce periorbital bruise-like pooling by supporting clotting factor function in capillaries. Evidence is limited but vitamin K-containing eye creams are widely used for vascular circles. Safe addition with low risk.
Retinoids: Increase periorbital dermal thickness by stimulating collagen — the thicker dermis reduces the visibility of underlying vasculature. This is the most effective topical approach long-term. Start with retinol 0.025–0.05% applied to the orbital bone area (not the eyelid itself).
Cold compresses: Temporary vasoconstriction — the same mechanism as caffeine, achieved mechanically. Effective for acute morning puffiness + circles from sleep deprivation.
Sleep: Sleep deprivation causes periorbital vascular dilation and congestion — the most common cause of worsening vascular circles.

Pigmented dark circles (brown)

Appearance: Brown, tan, or grey-brown coloration under the eyes — no blue or purple component; appears similar in all lighting conditions

Cause: Melanin deposition in the periorbital skin from:
Post-inflammatory hyperpigmentation from habitual eye rubbing (friction → micro-trauma → PIH)
Sun-induced pigmentation — the periorbital area accumulates UV-induced melanin over years
Genetic/constitutional hyperpigmentation — more common in South Asian, Middle Eastern, and African skin types where higher baseline melanocyte activity produces periorbital melanin deposition
Thyroid dysfunction — hypothyroidism can cause periorbital darkening through unclear mechanisms

The press test: Does not blanch — pigmentation is in the skin, not in vessels.

Treatments that help:
Niacinamide (4–10%): Melanosome transfer inhibition — reduces the visible pigmentation over 8–12 weeks of consistent use. High tolerability for the sensitive periorbital area.
Tranexamic acid (2–5%): PAR-2 inhibition — reduces keratinocyte-driven melanocyte stimulation. Well-tolerated, appropriate for periorbital use.
Vitamin C (stable derivatives at neutral pH): Antioxidant + dopaquinone reduction — brightening effect. Use pH-neutral forms (ascorbyl glucoside, ethyl ascorbic acid) around the eyes rather than low-pH L-AA.
Retinoids: Accelerate epidermal turnover → melanin-containing cells shed faster. Also effective for pigmented circles, but the periorbital area is particularly retinoid-sensitive — start at very low concentrations (retinol 0.025%) and apply to the orbital bone, not the delicate eyelid skin.
SPF: Mandatory — UV is an ongoing driver of periorbital pigmentation. Apply sunscreen carefully around the eye area daily.

Structural/hollow dark circles (shadow)

Appearance: Appears as a shadow in the tear trough area — the under-eye hollow becomes a crescent of shadow when light falls on the face. The skin itself is not darkened; the concavity creates darkness.

Cause: Volume loss in the periorbital fat compartments and mid-face with age — the fat pad that normally fills the under-eye area involutes, creating the tear trough (nasojugal groove) deformity. The depth of the trough creates shadow at almost any lighting angle.

The mirror test: Shine a direct overhead light on the face. If the "dark circles" largely disappear under direct overhead light (because the shadow is eliminated), the cause is structural.

Topicals do not help: No topical ingredient fills lost volume. Caffeine does not restore fat compartments. Retinoids improve skin quality but do not reverse volume loss of this magnitude.

What works:
Hyaluronic acid filler (tear trough filler): The evidence-based treatment for structural dark circles. HA filler injected into the tear trough restores the volume that creates the shadow. Technically demanding — requires an experienced injector; the periorbital area has complex vascular anatomy. Results last 12–18 months.
Biostimulators (Sculptra, Radiesse): In some cases, volume stimulation with biostimulatory agents is used for global mid-face volume restoration that improves the tear trough as part of the overall correction.

Dehydration/lifestyle-related darkening

Cause: Dehydrated periorbital skin appears translucent and flat, worsening the appearance of underlying vasculature and existing pigmentation. Sleep deprivation, alcohol, and high-sodium diet all contribute to periorbital edema (puffiness) that paradoxically creates shadow as fluid accumulates in the trough.

What helps: Adequate hydration, sleep, sodium reduction, alcohol reduction — and a well-moisturized periorbital area to maintain skin plumpness and reduce the translucency that worsens vascular visibility.

---

Identifying your type

| Type | Color | Press test | Lighting test | Primary treatment |
|---|---|---|---|---|
| Vascular | Blue/purple | Blanches | Persists in all lights | Caffeine, retinoid, sleep |
| Pigmented | Brown/grey | Doesn't blanch | Persists in all lights | Niacinamide, TXA, vitamin C, retinoid |
| Structural | Shadow (no color) | Variable | Disappears under direct light | HA filler |
| Dehydration | Worsened any type | Variable | Varies | Hydration, sleep, lifestyle |

Many people have a combination — structural trough creating shadow + pigmented skin in the trough. The structural component requires filler; the pigmented component responds to topicals. Treating only one when both are present produces partial improvement.

---

Eye cream: what the product category can and cannot do

Eye creams are the same formulations as face moisturizers with marketing aimed at the periorbital area — there is no regulatory or formulation reason the active ingredients work differently around the eye than on the rest of the face.

What matters: The active ingredients (caffeine, niacinamide, retinol, peptides, vitamin C) and their concentrations — not the "eye cream" designation. A niacinamide serum applied carefully around the orbital bone delivers the same active as a niacinamide "eye cream" at the same concentration, at a fraction of the price.

---

Looking for a dark circle treatment or under-eye filler consultation? Browse med spa providers on MedSpot →