How-To 2 min

Last Updated Mar 4, 2026

Dark Circles: What Causes Them and What Actually Works

Author
|
Board-Certified Dermatologist
Dr. Muneeb Shah

Dark circles have multiple causes, and treating them effectively means identifying which one, or which combination, applies to you.

What Causes Dark Circles

There are three main contributors. Most people have some combination of all three.

Shadowing and structural hollowing

The orbital rim casts a natural shadow beneath the eye. Some people are born with deeper tear troughs, creating a shadowed appearance regardless of pigmentation. With age, the fat pad beneath the eye can thin and shift, deepening that hollow. Eye bags and fluid retention also cast shadows that read as dark circles even when no true pigmentation is present.

This is a structural problem. No topical product corrects it. The only effective treatments are dermal filler to restore lost volume or fat transfer for more significant cases.

Thin skin and visible underlying structures

The skin around the eye is the thinnest on the body, roughly 0.5mm. At that thickness, underlying structures show through: blood vessels, vascular congestion from allergies or poor sleep, and the orbicularis oculi muscle beneath can all create discoloration through the skin. This is translucency, not pigmentation.

The pinch test helps distinguish the two. Pinch the skin under the eye gently. If the discoloration disappears, it is likely vascular. If it remains, it is more likely true pigmentation.

True hyperpigmentation

Increased melanin production in the under-eye area can be genetic. It can also develop or worsen from sun exposure, chronic eye rubbing, friction from makeup removal, or repeated inflammation from eczema or allergic contact dermatitis.

How to Treat Dark Circles

For vascular discoloration

Caffeine causes temporary vasoconstriction, reducing the appearance of visible vessels and mild puffiness from fluid retention. Marine extracts have also shown benefit for the vascular component, helping reduce ruddiness and redness. For permanent reduction of visible vessels, laser treatments targeting vasculature are the clinical option. Cold application, such as a refrigerated eye cream or cold compress in the morning, provides temporary depuffing.

For true pigmentation

Key brightening ingredients to look for: kojic acid, niacinamide, hexylresorcinol, tranexamic acid, azelaic acid, alpha arbutin, and vitamin C. Each works on melanin synthesis through slightly different mechanisms. Used consistently, they fade existing discoloration and help prevent further pigment accumulation.

Hydroquinone is highly effective but should not be used around the eyes for longer than two months without dermatologist oversight due to risk of paradoxical permanent hyperpigmentation with prolonged use.

Tinted sunscreen worn daily is one of the most underrated steps. The iron oxides in tinted formulas block visible light, which also drives melanin production. Untinted sunscreens do not offer this protection.

For thin skin and collagen loss

Retinoids thicken the skin over time, improving the cushion between the surface and underlying structures. The under-eye area is more sensitive than the rest of the face, so a low concentration applied sparingly is the right starting point. Encapsulated retinol is a gentler entry point.

Peptide complexes that support collagen are a lower-irritation alternative, well suited for sensitive skin or those new to treating the under-eye area.

Doctor's Note

  • Dark circles have three distinct causes: structural hollowing, visible underlying vasculature through thin skin, and true hyperpigmentation. Most people have a combination of all three.
  • The pinch test is a simple way to distinguish vascular discoloration from true pigmentation.
  • Topicals cannot fix structural hollowing. Filler or fat transfer are the appropriate treatments for that component.

The Research

Vrcek I, Ozgur O, Nakra T. Infraorbital dark circles: a review of the pathogenesis, evaluation and treatment. J Cutan Aesthet Surg. 2016;9(2):65-72. doi:10.4103/0974-2077.184046

Matsui MS, Schalka S, Vanderover G, et al. Physiological and lifestyle factors contributing to risk and severity of peri-orbital dark circles in the Brazilian population. An Bras Dermatol. 2015;90(4):494-503. doi:10.1590/abd1806-4841.20153520

Dr. Muneeb Shah

Board-Certified Dermatologist

Dr. Muneeb Shah

Board-Certified Dermatologist

Dr. Muneeb Shah is a double Board-Certified Dermatologist and Micrographic Dermatologic Surgeon in Hudson Yards, New York. He is passionate about educating the public on common skin issues and has accrued a following of 21+ million across his social media platforms on TikTok, Instagram, and YouTube.

Location: New York City, NY

Doctor's Note

  • Dark circles have three distinct causes: structural hollowing, visible underlying vasculature through thin skin, and true hyperpigmentation. Most people have a combination of all three.
  • The pinch test is a simple way to distinguish vascular discoloration from true pigmentation.
  • Topicals cannot fix structural hollowing. Filler or fat transfer are the appropriate treatments for that component.

The Research

Vrcek I, Ozgur O, Nakra T. Infraorbital dark circles: a review of the pathogenesis, evaluation and treatment. J Cutan Aesthet Surg. 2016;9(2):65-72. doi:10.4103/0974-2077.184046

Matsui MS, Schalka S, Vanderover G, et al. Physiological and lifestyle factors contributing to risk and severity of peri-orbital dark circles in the Brazilian population. An Bras Dermatol. 2015;90(4):494-503. doi:10.1590/abd1806-4841.20153520