Some patients have dark circles around their eyes even though they’re well rested.

The appearance of the lower eyelid that unfairly gives the face a tired look can have different causes.

HOLLOW DARK CIRCLES
With age and/or hereditary factors, the fatty tissue in front of the bony rim under the eye
(orbital rim) may become too thin, thereby revealing a hollow demarcation along this rim, and even under-eye bags. This is one of the early signs of facial aging. The hollow dark circle may extend up to the cheekbone, outlining a hollow called the tear trough.

DARK PURPLE AND/or BROWN DARK CIRCLES
The treatment of dark circles varies depending on the cause.
Correction of hollow dark circles with hyaluronic acid injection:
Filling in hollow dark circles with hyaluronic acid injection is done during a consultation and is not painful. The result is immediate and lasts more than a year.

Pre-injection tips:
Apply Emla contact numbing cream 1 hour before the hyaluronic acid injection for the dark circle, then remove makeup. Avoid taking aspirin during the week preceding the injection; take arnica to reduce any possible swelling.