As the saying goes, the eyes are the mirror of the soul.
The eye area is often one of the first to reveal signs of aging. Here, age-related changes become visible earlier and more noticeably than in other areas.
 
The main concerns for eyelid skin:
• Skin laxity
• Wrinkles
• Dark circles
• Tear troughs

This is a broad and interesting topic, so I’ll divide it into several parts. Today, I’d like to focus on dark circles under the eyes—their causes and how we can treat them.
 
Causes:
Dark circles under the eyes are never flattering. There are several reasons why they appear, from genetic predisposition and iron deficiency to age-related changes.
 
Treatment options:
✅ If darkness under the eyes is due to congestion or poor lymphatic drainage in this area, drainage and improved microcirculation are needed. Mesotherapy with drainage agents and vitamin C can be very effective.
 
For home care, we recommend specialized cosmetics to boost microcirculation and brighten the under-eye area.
 
✅ If dark circles are caused by thinning skin that reveals underlying capillaries and veins, gentle correction with a soft filler can help. This treatment masks the vessels and brightens the area, camouflaging the darkness.
 
✅ It’s important to check your blood iron levels—ferritin and serum iron. Iron deficiency can contribute to dark circles. If iron-deficiency anemia is detected, oral supplements or sometimes IV infusions are prescribed. A special diet to restore iron balance is also recommended.
 
We can determine the exact cause of your dark circles during a personal consultation.

Article author: Chief Physician Elena Alekseevna