Dark Circles Under Eyes


The Solihull medical Cosmetic Clinic offers a complete range of treatments to address dark circles under eyes. Some of the treatments carried out may be advised to use alone or in combination depending upon the cause. Dr. Sagoo will assess each client before suggesting a treatment protocol.

Dark circles under eyes are a common problem, especially amongst Asians and black people, and can be embarrassing in public. Understanding the causes of dark circles makes it possible that we can treat the underlying cause.


(Results will vary from person to person.)

What causes under eye dark circles?

Skin conditions like atopic eczema have been known to cause dark under-eye circles. The cause can also be from aging since the skin loses collagen and thins, making veins more prominent. The dark circles can also be caused by your facial features. Shadows can be cast by bone structure, puffy eyelids or from hollows under the eyes caused by the natural process of aging.

Family history inherited

A common cause of dark circles is family history or genetics. Certain ethnic cultures have skin which causes increased melanin production not due to outside factors alone.


The dark circles can be caused by seasonal allergies such as hay fever, food allergies, cosmetic allergies and allergens in the home or workplace. Allergies cause inflammation, which enlarges the tiny blood vessels beneath the eyes. These swollen blood vessels press against the thin under-eye skin, and the dark colour shows through. The rubbing and scratching of itchy eyes can also stimulate melanocyctes (melanin-producing cells) darkening pigmentation in the area.

Nasal Congestion

Blocked nasal passages can cause dark circles because the veins from your eyes to your nose can become dilated and darken.

Vitamin Deficiencies and Poor Nutrition

Poor nutrition can lead to vitamin deficiencies, specifically B vitamins (such as a B12 deficiency from anaemia), vitamin E, vitamin C and vitamin K, and can result in dark circles. Vitamins are also needed for adrenal gland function. When the adrenal gland is fatigued from stress, excess consumption of caffeine, alcohol and sugar, vitamin absorption can be impaired, which may result in facial puffiness and dark circles.


Lack of water causes dehydration, which causes blood vessels to become dilated and swollen. Also, as mentioned above, avoid too much alcohol and caffeine which can dehydrate the body, as well as disrupt sleep. Alcohol also decreases the flow of oxygen to the skin, as does smoking.


Smoking causes vascular problems, constricting the blood vessels, resulting in poor circulation and making the blood vessels appear more prominent and darker.


In addition to possibly causing anaemia, your monthly cycle can cause hormonally-induced dark circles and puffiness due to water retention and PMS. It may help to cut down on salty foods, carbs and excess fluids. Other hormonal changes (pregnancy, menopause) can also cause blood vessels to swell.

Lack of Sleep

While it is not the major cause of dark under-eye circles, lack of sleep can lead to stress and other health problems, creating paler, tired-looking skin and making shadows and dark circles more noticeable.

Tear Trough Deformity

The other major cause of dark under eye circles is a depression beneath the lower eyelids called a tear trough deformity.

Tear trough deformity is usually commonly inherited over time due to the normal loss of tissue under the orbital rim area. In the event that a tear trough deformity exists, a temporary filling agent can be placed in the valley to plump up the depression, which may improve the appearance of the dark circles. The treatment is not painful, and it is a one-time procedure performed after a small amount of numbing cream has been applied to the skin.

Dr. Sagoo’s specialty is oculoplastic surgery, he performs this procedure at least twice a day with optimal results that last approximately eight months to one year.

(*Disclaimer: Please note that treatment results will vary from individual to individual.)


Treatment of Dark Circles.

The Solihull Medical Cosmetic Clinic, under the supervision of Dr. Sagoo, provides a range of cosmetic treatments to improve appearance of under eye dark circles.

  • IPL ( intense pulsed light)

Using high intensity light, a wavelength that is absorbed by the brown pigment in dark skin, the dark colouration under the eye may be improved over a series of three to four sessions. There is no down time, although using high factor sun block is recommended.

This is a new technique offered by the Solihull Medical Cosmetic Clinic which targets the build up of “venous pooling” under the eye area. Using carbon dioxide gas, the treatment helps to address this problem. The capillary network of the lower eyelids can become congested for a variety of reasons. Normally, the tears drain from the eyelids into the nose, but if there is some obstruction due to chronic nasal congestion from seasonal allergies or a nasal fracture, the drainage does not function well, and the blood flow to the lower eyelids slows down, which may lead to a blue tinge under the eye. The lack of appropriate oxygenation to the lower eyelid skin may cause to a bluish colour to show through the thin skin of the eyelids.

Carboxytherapy may help to improve the capillary network of the lower eyelids, as well as to increase the dermal collagen layer in the lower eyelid skin.

By injecting a small amount of carbon dioxide gas into the affected areas, blood flow may be increased and improved capillary networks may be formed, for a circulatory benefit that may last longer. The bluish colour may be replaced with a healthier pink tone. A series of four to six sessions is usually recommended, with maintenance treatment every six months. Many patients report that their skin has a more luminous appearance, and this treatment is safe on all skin types. In addition, home skin lightening creams are also often prescribed to improve the colouration.

(*Disclaimer: Results will vary from person to person.)

  • Tear Trough Deformity

In the event that a tear trough deformity exists, a temporary filling agent can be placed in the valley to help plump up the depression, which may improve the appearance of the dark circles. This treatment is not painful, and it is a one-time procedure performed after a small amount of numbing cream has been applied to the skin. The results may give an immediate lifting under the eye to improve hollows and instantly take years off tired looking eyes. Dr. Sagoo has treated hundreds of clients with this procedure, as it is a skilled advanced treatment and needs to be done carefully.

Glycolic peels can break apart the dead cell layer to bring fresher skin to the surface, which may reduce pigmentation around the eyes as well as improve skin texture.

Using a CO2 laser under the eyes in light skinned individuals may help to remove increased pigmentation, by causing the skin to peel after the “controlled burn.” This may also improve fine lines, wrinkles, and other problems with skin texture.

Using the long wavelength semi ablative laser PEARL , hyperpigmentation may be improved with less down time than the CO2 laser.

Microdermabrasion has been shown in research studies to be effective for improving dark circles under the eyes due to hyperpigmentation. This is a safe procedure with minimal down time and is considered safe in all skin types. The clinic uses a medical microdermabrasion machine to achieve optimal results

  • Skin Care Products

The clinic provides a range of skin lightening creams as well as Vitamin A retinoid creams, collagen stimulating creams, and skin rejuvenation creams to help keep the skin healthy looking.


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To arrange your free consultation with no obligation please contact us online or if you have any questions or queries about any treatment that we Solihull Medical Cosmetic Clinic offer Phone the clinic on: 0845 603 6150.