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Home›Complex Pigmentation›Under-Eye Pigmentation
Complex Pigmentation · Under-Eye Pigmentation

Under-eye dark circles,
treated gently.

The skin under your eyes is some of the thinnest on your body, so it needs a careful approach. The first step is figuring out why your circles are dark, because pigment, shadows and blood vessels are each treated differently.

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I–VI
Fitzpatrick types treated
Cause-first
assessment
Gentle
care for delicate skin
In Short

Under-eye dark circles can come from extra pigment, thin skin showing blood vessels, hollows that cast shadows, or puffiness. Pigment-related circles, called periorbital hyperpigmentation, are more common in darker skin. PSRx identifies the cause first, then uses gentle options suited to the delicate eye area. Most dark circles improve gradually, and some causes need a different treatment.

Know What You Have

Why your circles
look dark.

Dark circles usually come from one or more of these causes. Knowing which you have decides the plan.

Extra pigment
Brown or darker skin under the eyes from extra melanin, often genetic and more common in darker skin. Rubbing, allergies and sun can make it worse over time.
Visible blood vessels
Thin under-eye skin can let blood vessels show through as a bluish or purple tint. This tends to look worse with tiredness or as skin thins with age.
Hollows and shadows
A hollow under the eye casts a shadow that looks like a dark circle, even when the skin color is normal. This is about volume, not pigment, so it's treated differently.
About dermal fillers →
Puffiness
Swelling or puffiness under the eyes can create a shadow just beneath it. Allergies, fluid retention, salty food, poor sleep and genetics can all play a part in this.

Many people have a mix of causes, so we look at all of them before recommending anything.

Is It Right For You?

Who it's for —
and who it isn’t.

A good fit if you…
✓You have brown or dark pigment under your eyes
✓You've tried eye creams without much change
✓You want a gentle plan made for the delicate eye area
✓You have darker skin and want pigment-safe care
Not the right fit if you…
—Your circles appeared suddenly or with other symptoms (see a physician)
—You have an active eye infection or irritation
—You expect dark circles to disappear completely

Your provider confirms what's right for you at your consultation.

Screening First

We look closely
before we treat.

Under-eye darkness has several causes, so we confirm yours before treatment.

What we check
✦Whether the darkness is pigment, vessels, shadows or puffiness
✦Allergies, eye rubbing and sleep habits
✦Family history of dark circles
✦Skincare and medications used around the eyes
✦Your skin type and past reactions to treatment
When we refer you to a physician
→Dark circles that appeared suddenly or with swelling or other symptoms
→Signs of allergy or a skin condition needing medical care
→Concerns about the eyes themselves
Melanin-Safe Protocols

Delicate skin,
careful treatment.

Under-eye pigmentation is more common in darker skin, and the thin skin there reacts quickly to irritation. PSRx is an industry leader in pigment-safe care for Fitzpatrick IV–VI, and we treat this area conservatively.

  • ✦We identify the cause first, because pigment and shadows need different care.
  • ✦Treatments for this area are chosen to be gentle on thin skin.
  • ✦Plans avoid irritation that can make pigment darker.
  • ✦Our team trains other providers in pigment-safe care for darker skin.
How We Treat It

Gentle options
for the eye area.

Your plan depends on what's causing your circles. Which treatments are right for you is decided at your consultation, after your provider examines your skin.

Eye-area skincare
A gentle routine with ingredients suited to thin skin that help support even tone around the eyes. Home care is the foundation of any under-eye plan, and it's what keeps results going between visits.
Gentle in-office treatment
Carefully chosen in-office treatments can help fade under-eye pigment over time. Because the skin here is so thin, options and pacing are more conservative than on the rest of your face.
Dermal fillers for hollows
When a hollow casts the shadow, filler can restore volume and soften the dark look under the eye. This treats shadows, not pigment, so it's only chosen when volume is the real cause of your circles.
About dermal fillers →
Sun protection and habits
Daily sunscreen, sunglasses and less eye rubbing help keep under-eye pigment from getting darker. Treating allergies that make you rub your eyes also makes a real difference to how your results hold up.
What To Expect

From consultation
to lasting results.

01
Find the cause
We check whether your circles come from pigment, vessels, shadows or puffiness, and review allergies, habits and your skin type.
02
Your plan
You get a plan matched to the cause of your circles, with gentle options suited to the thin, delicate skin around your eyes.
03
Treat gently
Treatments are paced carefully to avoid irritation, with home care in between. Your provider estimates the number of visits at consultation.
04
Maintain
Sun protection, good habits like less rubbing and a simple home routine help keep under-eye pigment from returning over time.
Common Questions

Under-Eye Pigmentation FAQ.

What causes dark circles under the eyes?

Dark circles can come from extra pigment, thin skin showing blood vessels, hollows that cast shadows, or puffiness. Genetics, allergies, rubbing, sun and aging all play a part. Many people have more than one cause, which is why we identify yours before treating.

Can dark circles on dark skin be treated?

Yes, dark circles from extra pigment, which are common in darker skin, can often be lightened with gentle, consistent care. Because the skin is thin, treatment has to avoid irritation that could make pigment worse. PSRx plans under-eye care conservatively for your skin type.

Do eye creams work for dark circles?

Eye creams can help some dark circles, especially mild pigment, when they contain the right ingredients and are used consistently. They won't fix shadows from hollows or visible blood vessels. Your provider will tell you what's likely to help based on your cause.

Can fillers fix dark circles?

Fillers can help when dark circles come from a hollow that casts a shadow, by restoring volume under the eye. They don't treat pigment. That's why we figure out the cause first, so you only get filler if volume is really the problem.

Will my dark circles come back after treatment?

They can. Dark circles often improve with the right treatment, but genetic pigment, allergies and aging can bring them back or mean they need ongoing care. Sun protection, gentle home care and avoiding rubbing help keep results. We set realistic expectations at consultation based on your cause.

When should dark circles be checked by a doctor?

See a physician if dark circles appear suddenly, come with swelling, pain or other symptoms, or affect only one side. These can point to allergies or medical issues that need attention first. PSRx screens for these signs and refers you when needed.

Keep Reading
Complex Pigmentation→Dermal Fillers→Lip Pigmentation→Skin of Color Laser Treatments→
Start with the
right diagnosis.

Book a consultation at our South Loop clinic, or take the free 60-second Skin Assessment and our clinical team will build your personalized skin summary.

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