Dark circles under the eyes stem from multiple causes: lifestyle (sleep, salt, smoking), sun exposure, allergies, genetics and thin skin, and some medications. Start with practical steps - regular sleep, reduced sodium, sunscreen, quitting smoking, and allergy management. For inherited or structural causes, or persistent pigment, consult a dermatologist for treatments such as topical retinoids, peels, laser/IPL, or fillers.
Why dark circles appear
Dark circles (periorbital hyperpigmentation and shadowing) are common and have many causes. They can come from lifestyle factors such as poor sleep or high salt intake, from anatomy (thin skin or hollows), from sun-driven pigmentation, or from medical issues such as allergies or medication effects. Identifying the main cause helps you choose the right approach.1. Prioritize regular sleep
Poor or irregular sleep often makes under-eye skin look darker and puffier. Aim for about eight hours of quality sleep nightly, keep a consistent schedule, and sleep with your head slightly elevated to reduce overnight fluid pooling.2. Manage fluids and salt
Fluid retention around the eyes can increase puffiness and shadows. Reduce excess sodium in your diet, limit alcohol before bed, and stay hydrated. If swelling persists, discuss causes with your clinician - medical conditions can also cause retention.3. Stop smoking and limit other skin stressors
Smoking speeds skin aging and can worsen under-eye darkening by breaking down collagen and impairing circulation. Quitting smoking and avoiding other skin stressors (pollution, heavy rubbing) helps skin tone and texture.4. Protect skin from the sun
UV exposure increases pigment and accelerates collagen loss. Use a broad-spectrum sunscreen daily (SPF 30 or higher), wear sunglasses, and use hats to reduce UV damage to the thin skin around the eyes.5. Consider allergies and nasal congestion
Allergic rhinitis and frequent eye rubbing can cause dark circles and swelling. Treating allergy triggers, using appropriate allergy medications, and avoiding rubbing can reduce this cause. If you suspect food or environmental allergies, ask your provider about testing.6. Understand genetic and structural causes
Some people inherit thinner under-eye skin or more visible veins and fat pad changes that create a bluish or shadowed appearance. When anatomy (hollows or excess fat) causes the look, topical treatments have limited effect; procedural options may work better.7. Review medications and topical agents
Certain medicines and topical agents can darken periorbital skin or change circulation. If darkening started after beginning a drug or product, check with the prescriber before stopping it.Practical at-home measures
Try cold compresses, short breaks from screens, antihistamines if allergies are confirmed, and concealing makeup for quick coverage. Gentle moisturizers with caffeine, vitamin C, or niacinamide can temporarily improve appearance.When to see a clinician
If home measures don't help, the discoloration is sudden, asymmetric, painful, or accompanied by vision changes, see a dermatologist or primary care clinician. Dermatologists can offer treatments such as topical retinoids, chemical peels, laser or IPL for pigmentation, and dermal fillers for volume loss. Treatment choice depends on exact cause.Bottom line
Dark circles have many causes. Start with sleep, sun protection, a lower-salt diet, and avoiding smoking. If those steps don't help or anatomy or pigmentation drive the issue, a clinician can recommend targeted medical or procedural treatments.FAQs about Dark Circles Under Eyes
What is the most common way to reduce dark circles at home?
Can allergies cause dark circles?
Are there medical treatments that work?
When should I see a doctor about dark circles?
Can makeup or concealers fully hide dark circles?
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