[Hinews] Dark circles under the eyes are a common cosmetic concern, often giving the appearance of fatigue or aging. Dark circles are not a single condition but manifest in several forms: vascular (caused by thin skin revealing bluish or purplish blood vessels), structural or shadow-type (resulting from protruding under-eye fat), pigmentary (due to melanin deposits), and complex (a combination of these factors).

Allergic rhinitis, a prevalent condition marked by nasal inflammation, is closely linked to vascular dark circles. When nasal passages swell, blood flow around the nose and under the eyes may stagnate, making bluish veins appear more prominent. Itching from rhinitis often leads to frequent eye rubbing, which can exacerbate pigmentary dark circles by triggering melanin buildup, resulting in brownish discoloration.

Surgical Solutions for Structural Dark Circles

Structural dark circles, driven by under-eye fat protrusion and weakened orbital septa, become more pronounced with age, particularly in middle adulthood. Under-eye fat repositioning surgery offers an effective remedy. Rather than removing excess fat, this procedure redistributes it to fill sunken areas, creating a smoother, more youthful under-eye contour.
Dr. Hyo-seon Ko, a plastic surgeon at Seran Hospital, explains, “Under-eye fat repositioning surgery reduces both puffiness and shadows, alleviating the tired appearance. However, its impact on vascular or pigmentary dark circles is limited.”

Dr. Hyo-seon Ko, Chief of Plastic Surgery at Seran Hospital
Dr. Hyo-seon Ko, Chief of Plastic Surgery at Seran Hospital


Non-Surgical Treatments and Lifestyle Adjustments

Effective treatment hinges on addressing the root cause. For vascular dark circles, laser therapy targeting blood vessels or skin-rejuvenating treatments that strengthen the skin barrier may help. Pigmentary dark circles benefit from laser toning (such as pico lasers), diligent sun protection, and lifestyle changes.
Dr. Ko notes, “Dark circles often stem from multiple overlapping causes. Treating underlying conditions like allergic rhinitis, conjunctivitis, or atopic dermatitis is critical. Equally important is reducing habits like excessive smartphone or computer use and avoiding eye rubbing.”

Adequate sleep, stress management, and reducing fatigue are also essential, Dr. Ko adds, emphasizing a holistic approach to managing this common concern.

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