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Skin12 September 2026·1 min read

Dark Circles Under Eyes: Genetics, Fatigue, or Volume Loss?

By Dr. Suhail Rather — Ixora Health & Aesthetics, Srinagar

Dark Circles Under Eyes: Genetics, Fatigue, or Volume Loss?

The under-eye area is the first place to show signs of ageing or fatigue. But all dark circles are not the same, which is why expensive eye creams often fail.

Type 1: Pigmentation (Brown/Black)

Caused by excess melanin, often genetic or exacerbated by sun exposure and rubbing. Common in South Asian skin. Treatment: Q-Switch laser, gentle chemical peels, and topical brightening agents (Vitamin C, Kojic Acid).

Type 2: Vascular (Blue/Purple)

The skin under the eyes is exceptionally thin. When blood vessels dilate due to lack of sleep, allergies, or thin skin, they show through as a blue tint. Treatment: Managing allergies, getting sleep, and thickening the dermis with retinols or light microneedling.

Type 3: Structural (Shadows)

As we age, we lose fat in the mid-face, creating a hollow 'tear trough'. The orbital bone becomes visible, casting a physical shadow that looks like a dark circle. No cream can fix a shadow. Treatment: Hyaluronic acid dermal fillers precisely placed in the tear trough to restore volume and eliminate the shadow instantly.

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Ixora Health & Aesthetics · Srinagar

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