Dear Caitlin,

Thank you for your email and I would be delighted to review your photos.

Dark circles under the eyes are a very common problem for people all over the world. The treatment of dark circles under the eyes must be directed at the cause of the dark circles. There are many different causes [...]

Dear Sonal,

Thank you for your email. Dark circles under the eyes, which I call the Arcus Deformity,  to differentiate this type of dark circle under the eye from the Tear Trough Deformity. Dark circles under the eyes are very common in India, Central Asia and the Middle East as well as the UK, [...]

Dear Betsy,

Blepharoplasty or eyelid tuck, a plastic surgery operation that is done to rejuvenate the eyelid and remove eyelid bags and dark circles under the eyes is the third most common cosmetic plastic surgery operation performed in the United States. When a person has dark circles under the eyes the blepharoplasty has to be done [...]

This new modern technique is a major improvement over the traditional scalpel incisional blepharoplasty and avoids the telltale sequelae of the “sad eyed look” and “hound dog eyes”.

CO2 laser resurfacing 0f the lower eyelids will not help the dark circles unless the problem is only pigment.

I agree with you that stress and fatigue have nothing to do with dark circles under the eyes.

The safest technique is a procedure called transconjunctival laser blepharoplasty-the procedure is done through a tiny laser incision on the inside of the lower eyelid so that no visible scar is created.

A new machine called the gentlewaves can help speed the resolution of the redness.

The problems you mention, hollow eyes, dark circles under the eyes, and the sad eyed look are problems that do occur after the old style incisional blepharoplasty.

The correction of true dark circles under the eyes requires a blepharoplasty operation with arcus marginalis release and fat grafting.