Skip to content
Dr. Nahed Kassem Specialist Dermatologist

Journal

Dark circles under the eyes: causes and which treatment suits you

Not all dark circles are the same. Knowing your type is what decides whether the answer is a cream, a filler or something else.

Written by Dr. Nahed Kassem 6 min read

Dark circles make a face look tired no matter how well you sleep. The main reason treatments disappoint is that there are three different types of dark circle, and each needs a different solution.

Type 1: Pigmented circles

Brown in colour and very common in Middle Eastern and darker skin types, they worsen with sun, eye rubbing and allergies.

Treatment: brightening creams suitable for the delicate eye area, gentle in-clinic peels and daily sun protection.

Type 2: Vascular circles

Bluish or purple, they appear because thin under-eye skin lets blood vessels show through, and worsen with poor sleep and fatigue.

Treatment: treatments that strengthen the skin and stimulate collagen, such as skin boosters and PRP, alongside better sleep and lifestyle.

Type 3: Structural circles (tear trough)

Here the problem is not colour but shadow. With age or genetics the area beneath the eye loses volume, creating a hollow that casts a dark shadow.

Treatment: under-eye filler, using a small amount of a product designed for this area. It demands precise experience: the area is delicate and overfilling causes puffiness.

How do I know my type?

Try this in natural light: gently stretch the skin under your eye. If the colour stays the same it is likely pigment; if it turns bluer it is vascular; if the shadow fades when you tilt your face up to the light it is structural. Most people have a mix of two, which is why an in-clinic diagnosis is the most accurate.

Daily habits that make a difference

  • Sunscreen around the eyes and sunglasses in the Dubai daytime.
  • Avoid rubbing your eyes, and treat allergies if present.
  • Regular sleep, and less salt in the evening to reduce puffiness.

Book a consultation to identify your type. Skin rejuvenation sessions may also be part of a complete plan.

This article is for general education and does not replace a medical consultation.

More articles