Dark Circles

Dark circles are obvious blemishes that appear above and, particularly, beneath a person’s eyes. Dark circles do not cause any pain and are rarely a sign of a serious medical problem. However, they can be a source of major annoyance and can hurt a person’s self confidence. Many people with the condition complain that the dark circles make them look 10 years older.

Dark circles affect thousands of people of all ages and genders. In fact, more people suffer from dark circles than from any other skin condition except acne.

Alternative Names

Dark circles are often called “eye bags”. Another, rather unfortunate, name for the condition is “raccoon attack”.


When a person has dark circles, the skin around his or her eyes will appear to be a darker color than that of the rest of his or her face. The color can be anything from a light blue to a dark black, hence the nickname “raccoon attack”. It is very rare that a dark circle will appear around one eye but not around the other. Dark circles can be chronic or can come and go like any other skin condition.


Dark circles can be hereditary. Smoking and alcohol consumption can also increase a person’s chance of developing them. Contrary to popular belief, dark circles are not caused by lack of sleep. Lack of sleep can cause eyelids to become puffy, thereby causing shadows that can look like dark circles.
Circles Under Eyes
Many people also think that, particularly in women, dark circles are caused by hormonal disturbances. However, there is absolutely no medical evidence that dark circles are caused by pregnancy, PMS, or any other hormonal disturbance or imbalance.

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Dark circles can be caused by simple pigmentation irregularities. They can also be caused by sun exposure. However, dark circles most often occur when the blood vessels beneath the eyes begin to show through the skin. This can be caused by a number of factors:


Age can cause skin to lose its elasticity. When this affects the skin around the eyes, the blood vessels will naturally begin to show.


Almost all common allergies, particularly those that cause nasal congestion, can cause the blood vessels in the sinuses to become dilated. Dark circles resulting from this cause should disappear the moment the allergies are relieved.

Weight Loss

Loss of fat and protein, resulting from either age or weight loss, can cause the skin beneath the eyes to become more transparent, thereby showing the blood vessels and causing dark circles.

Atopic Dermatitis

A person with atopic dermatitis, better known as eczema, can also develop dark circles if the skin condition affects the person’s eyes.

Diagnosis Considerations

Some people develop dark circles because of a condition called hyperpigmentation. This condition occurs when the skin’s levels of melanin, a compound that controls pigmentation, are increased drastically, thereby causing the skin to darken. Hyperpigmentation is most often caused by skin injuries. These injuries can be caused by serious acne, sun damage, or improperly done cosmetic surgery. Although there are many treatment options to help control hyperpigmentation, the condition is irreversible and a person suffering from it must avoid exposure to sunlight.

Natural Treatment Options

Dark circles can be hidden by common cosmetics such as eye shadow and foundation powder. However, there are many treatment options, most of them very simple and cost effective, that can temporarily relieve the condition.

Cold Compresses

Any form of cold compress can help the blood vessels around the eyes contract, thereby eliminating the dark blemishes. Cold compresses only offer temporary relief; however, they are often more than sufficient, particularly because they are so easy to apply. A person with chronic dark circles can very easily add this treatment to his or her daily facial routine.

A cold compress can be made by simply soaking a washcloth in ice water; soothing herbs can be added to the water if desired. Traditional compresses include cold wet tea bags and raw cucumber slices. Whatever form of compress is used, it should be applied to the eyes for at least 15 minutes, once or twice a day. Cold compresses can cause mild skin irritation, particularly if the person is allergic to an ingredient in the compress.

Vitamin K

Vitamin K is highly recommended for those with hyperpigmentation. The vitamin can help lighten darkened skin and also helps skin recover from any form of cosmetic surgery.

Vitamin K can be taken orally; the dosage should be discussed between the person and his or her medical doctor. Also, when treating dark circles and/or hyperpigmentation, it is advisable to apply vitamin K topically. It is recommended that a 5% vitamin K cream be used.

This vitamin can cause poisoning, but only if it is taken in very large quantities over a long period of time. Vitamin K rarely causes adverse effects. In high does it may interfere with some medications through the blood. Patients who have life-threatening bleeding are sometimes given Vitamin K.

  • ACC, “2017 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants” December 2017
  • NCS/SCCM, “Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage,” 2016

Vitamin E

Since vitamin E treats nearly every skin problem, it is no surprise that it also treats dark circles. Topically applied vitamin E, in either oil or cream form, can help restore firmness to skin. Also, it can practically cure the effects of atopic dermatitis.

Vitamin E is also considered the “anti-aging” vitamin. Therefore, it can help restore tissue and keep aging skin from sagging.

The recommended dose is about 400 IU per day. Pure vitamin E oil can also be purchased and applied directly to the skin or taken orally. Vitamin E should not cause any adverse effects.

Vitamin C

Vitamin C can help strengthen and/or control blood vessels. Either take 60 to 500 mg a day, or eat foods rich in vitamin C, such as citrus. Vitamin C can cause intestinal problems, such as nausea or diarrhea, but only if it is taken in large doses and on an empty stomach.


Omega-3 is a fatty acid that is naturally present in eggs, fish, and several other foods. Omega-3 is good for the eyes and can also help blood vessels. Although it should not cause any adverse effects, a medical professional should always be consulted before the supplement is taken.

When treating dark circles, a person should either eat an omega-3 rich diet or daily take an omega-3 dietary supplement. Omega-3 is available in several forms. Fish oil soft gels are the most popular.

The recommended dosage of omega-3 is approximately 600 to 1200 mg per day.

Olay Products

Olay carries many products, including eye creams and serums, that can help lighten dark circles. Look particularly for anti-aging creams or for rejuvenating eye serums; just be sure the product is safe for use around the eyes. The typical cost is anywhere from $5 to $20 for five ounces of product. Olay products usually do not have any side effects except, perhaps, mild skin irritation that will cease the moment use of the product is stopped.

Homeopathic Remedies

There are several homeopathic remedies that can help dilated blood vessels contract: apis mellifica, arsenicum, and kali carbonicum are the names of a few. It should be remembered, however, that homeopathic remedies are not “magic cures”. If a remedy is found to be effective, it must be taken daily, just like a pharmaceutical. If a homeopathic remedy is taken under the guidance of a qualified professional, it should not cause any adverse effects.



Diurex can help relieve fluid retention and can make blood vessels contract. Diurex is available over-the-counter. The drug is usually considered safe although it can increase the risk of dehydration. Diurex usually costs about $20 for 25 pills.


Midol is typically used by women during their menstrual cycles. However, like Diurex, Midol can relieve fluid retention and can mildly lighten dark circles. Midol is available over-the-counter. If dosage instructions are followed exactly, the drug should not cause any adverse affects. Although Midol can be taken by both men and women, it should not be taken by men with enlarged prostates. Midol usually costs about $20 for 40 pills and there are also many cheaper generic brands that are just as effective.

Prescriptions from a Dermatologist

Dermatologists can prescribe other creams and drugs that will lighten dark circles. However, they will very likely cost more than over-the-counter pharmaceuticals. Also, be sure to ask the dermatologist about any possible side effects.


Because dark circles do not cause sensory impairment or any other health problems, surgery should be considered a last resort. Not only are eye surgeries extremely expensive, but they are also very risky.

Laser Resurfacing Surgery

Laser resurfacing surgery can be used to remove dark blemishes anywhere on a person’s skin. It is particularly recommended for blemishes on the face. During the surgery, the pulsating laser beams will slowly remove unwanted skin layer by layer. This procedure is also referred to as a “laser peel”. Unfortunately, although laser resurfacing surgery can be highly effective, it can be very risky. The procedure can cause scarring as well as changes in pigmentation. The procedure also increases a person’s risk of developing hyperpigmentation. Laser resurfacing surgery usually costs about $1,000 per eye.

Fat Grafting

Fat grafting, also known as fat transfer surgery, can almost completely eliminate dark circles. The outpatient procedure takes fat, from either a different area of the person’s body or from a donor, and transfers it to the area that is in need. The procedure is quite safe and there are very few possible side effects. There will, naturally, be some bruising and the patient may need to take painkillers for a few weeks. However, these symptoms should be temporary. When treating dark circles, fat transfers usually cost about $1,500 per eye.


Blepharoplasty is a cosmetic procedure that is often referred to as “eye bag removal”. The procedure removes excess muscle, fat, and skin from around the eyes. Although the procedure is, for the most part, effective, it also carries with it many risks: blepharoplasty can cause infections, skin injuries, and haematoma (a hemorrhage or blood clot behind the eyeball). Work on both eyes can cost as much as $4,000.

Other Treatments


Since Botox effectively tightens skin, thus removing wrinkles, it can also remove dark circles. Botox usually costs about $325 per injection. The number of injections needed depends on the severity of the condition as well as on the person’s personal preferences.

However, Botox has many possible side effects: if the procedure is done improperly or if the person does not react well to the chemicals, Botox can have a reverse effect and can cause the skin to droop and sag even more. There will be pain and bruising around the injection site for several weeks; also, many people experience flu-like symptoms for about a week after receiving an injection. A person who has Botox injected around his or her eyes may begin to have trouble blinking.

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  • Reply Deepika

    I have an extremely oily skin and i have got scars as well as dark circles on my face. Is there anyway i can reduce it may be by using home remedies. Please suggest me.

  • Reply Linda

    Hi, I used a whitening product on my face for a few weeks. It turned red n whitened during the first 2 weeks. By the 3rd week my skin started to feel tight, red and burning.. I stopped using the product for a week and my skin started to turn dark.. I am very frightened and don’t know what to do.. Please help me.

  • Reply Kia

    Linda, just use extra virgin olive oil on your face

  • Reply yvette grajales

    I recently started using vitamin k2, 2 weeks to be exact and the compliments I’ve been getting are phenomenal. I take a pill in the morning and also apply a pill on my face in the morning and night. I hv seen my dark circles dramatically lighter. Hope this helps.

  • Reply Mohammed Basheer

    I’ve realized getting healthy and getting plenty of water and sleep lightens the circles.

  • Reply Nico

    Vitamin K is NOT a blood thinner it’s function is blood clotting, to much of it might give a stroke and/or a heart attack and you better not use it at all as a supplement if you are on real blood thinners like Warfarin, just to let you know.

  • Reply Karla

    Vitamin K is actually used for treatment of patients with life-threatening bleeding.

    ACC, “2017 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants” December 2017

    NCS/SCCM, “Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage,” 2016

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