DARK EYE CIRCLES Cost Review Treatment Guide| 黑眼圈 |

woman in black coat with white shirt

Dark eye circles under the lower eyelids are common. They may appear due to genetics, allergies, or other reasons.


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With our stressful and fast paced lifestyle, dark eye circles is becoming a common problem. Today, let me teach you some tips so you can say goodbye to Panda Eyes!

Dark eye circles, puffy eyes, the result of our Asian work ethic. Imagine this. You are working your socks off, drinking more coffee and sleeping less. You have not had time to pamper yourself, and you are looking into the mirror one day and wondering when in the world did you starting getting panda eyes. Welcome to the rat race.

So what are dark eye circles?

It’s largely 2 issues, the discolouration and the volume change.


Dark eye circles form as a result of vascular change, volume loss and pigmentation.

  1. Vacular changes – which can be purple, blue, pink depending on the oxygenation in the blood
  2. Volume loss – which is a direct result of ageing, where the skin develops fines lines and wrinkles and sags, and you lose volume in the cheeks
  3. Pigmentation – which is the stimulation of your melanin cells, commonly as a result of sun exposure.

What causes eye puffiness?

Puffiness is commonly a result of fluid retention. So here are some good home remedies.

  1. Cut down on salt please. This helps the puffiness, and your health.
  2. Apply cold cucumber to your under eye area.
  3. Apply caffeinated green tea bags, straight from the fridge.

So what causes dark circles?

The reasons can be divided into 3 areas.

  1. Ageing – Mainfested by volume loss in the cheeks, undereye skin thinning, undereye fat bulging (the eyebags).
  2. Genetics and allergies-> notably history of allergic rhinitis, atopic eczema.
  3. Lifestyle -> for example poor or lack of sleep, taking too much coffee and alcohol, smoking, sun exposure etc, which leads to venous pooling and vascular changes.
eyebags singapore
EYEBAGS singapore

(A patient with heavy eyebags)

How can we treat Fine undereye wrinkles?

Fine lines in your lower lids can be improved with microbotox if they are produced during smiling and squinting.

This is an advance treatment commonly performed in Asia. But not everyone is suitable as the main side effect is eyebag protrusion when your orbicularis oculi muscles are weakend with toxin.

I would recommend consulting an advanced injector to assess your suitability.

So how can we treat dark circles?

Treatment is customised and related to your underlying cause.

For example, in Asians, vascular changes is a common cause. So for females, the dark circles may vary in intensity with your monthly menstrual cycle and sleep patterns.

Let me share with you the various ways of treatment, from the simple  to the more invasive.

panda eyes
panda eyes

Treating the cause:

Conservative measures include lifestyle changes.

  1. Adequate sleep and taking less coffee and alcohol,
  2. Not rubbing the area around the eyes,
  3. Cut down on smoking, and sun exposure.

More active measures for removal include

  1. Sunprotection – Here I cant stress enough the T.C.S principle. Time, cover and shade. Time: The sun is strongest between 10am to 4pm so please use stay indoors if you can. Cover: Use your brolly, sunglasses whenever you head out for lunch. Sunscreen: Generous use of sunscreen will complete the picture.
  2. Use of lightening products that contain hydroquinone and Vit C. Hydroquinone is the gold standard for lightening, and found in medical grade clinics only.
  3. Dermatological procedures for example, pigment lasers and undereye fillers and Juvelook.

Classification of dark eye circles

Dark eye rings and sunken undereye areas or tear troughs can be classified as mild moderate and severe. Here is how i treat it.

  1. Mild cases: Either Undereye fillers or Juvelook skin treatment
  2. Moderate cases: Combination of undereye fillers and Juvelook or skinboosters
  3. Severe cases: Treatment is surgical.
undereye filler singapore
undereye filler singapore

How fillers help dark eye circles?

Fillers can be used to volumize the cheeks and tear trough, hence reducing the shadow effect. So looking at the diagram above, your dermatologist can fill the grooves under the eye to correct the defect and improve the reflection of light.

It’s important to find a doctor who isnt just fixated on filling the defects, but one with an artistic eye to correct and enhance your best features.

​How is undereye fillers done?

Tear trough hollowness occurs due to loss of underlying soft tissue.

An expert injector would be able to correct your hollowness with minimal risk, especially using a micro-cannula technique.

What are the risks of undereye filler?

Common risks are bruises, swelling. The undereye is a delicate area with thin skin. Hence there is a risk of swelling and bruising. Bruising and swelling in the undereye from fillers is very normal, and in general take 2 weeks to resolve. This is of course an average, some people taking longer, some people shorter.

Rare cases, a risk of blindness.

More than 100 million filler treatments performed worldwide, with 100 + reported cases of blindness, of which most were due to nose fillers.

The above risks are minimised with micro-cannula technique.

Which is the best filler for under eyes?

I would suggest Teosyal Redensity 2. The key is to use ultra soft hylaronic acid fillers, so results will be most natural as the undereye skin is extremely thin. And from a safety perspective, this can be reversed if needed.

What is Juvelook?

It is a collagen biostimulator and is helpful for undereye treatment, skin texture improvement etc. It is common to complement Juvelook with undereye fillers for more severe dark eye circles.

What surgery options available for under eye treatment?

  1. Fat grafiting- which works on the same principle as fillers, which is to volumise defects.
  2. Eyelid surgery – bleopharoplasty
  3. Surgical cheeklift. So I hope this has been helpful.