Injecting dark circles under the eyes against a tear trough

Dark circles under the eyes are a common cosmetic problem caused by genetic predisposition, lack of sleep, stress or skin ageing. Make-up can often only help to a limited extent.

The treatment of dark circles under the eyes has made significant progress in recent years thanks to advances in plastic surgery, making them less visible.

Causes of dark circles under the eyes

The main causes of dark circles under the eyes include:

Genetics: Sometimes dark circles under the eyes are simply hereditary.
Lack of sleep: A lack of restful sleep often leads to discolouration of the skin under the eyes.
Stress: Prolonged stress can also cause dark circles under the eyes.
Skin ageing: With increasing age, the skin loses elasticity and volume, which can increase dark circles under the eyes.

How does a tear trough develop?

A tear trough is mainly caused by the age-related loss of volume in the area below the eyes. Several anatomical and physiological factors play a role here:

Loss of volume of the subcutaneous fatty tissue: With increasing age, the fatty tissue under the skin decreases, especially the infraorbital fat (under the eye). As a result, the skin loses its cushioning and lies closer to the bone, which makes the tear trough visible.
Loss of elasticity of the ligaments and connective tissue: The elastic structures, such as the orbicularis retaining ligament, lose their elasticity. As a result, the fatty tissue migrates downwards following the force of gravity and the contour of the tear trough deepens.
Thinner skin and visible blood vessels: The skin under the eyes is very thin and becomes even thinner with age. This allows the fine blood vessels underneath to show through, which further emphasises the tear trough and is often perceived as dark shadows.
Genetic predisposition: Some people naturally have a more pronounced tear trough, which can be visible even at a young age. The individual anatomy, such as the position of the lower eyelid on the bony edge of the eye socket, also influences the shape.
Ageing process of the midface: Over time, the midface sags, which further emphasises the tear trough and makes the eye area look tired and tired.

To summarise, the tear trough is caused by a combination of loss of volume in the fatty tissue, loss of elasticity in the retaining ligaments, thinning skin and genetic predisposition. It is a natural consequence of the ageing process and not a result of a lack of sleep or short-term tiredness.

The lacrimal groove runs in an arc from the inner corner of the eye under the eye to the outer edge of the eyelid and is an anatomical structure that becomes visible through the retraction of the padding under the eye and the protrusion of blood vessels

How can plastic surgery help?

Different treatment methods depending on your initial situation

A specialist in plastic and aesthetic surgery can help improve the appearance of dark circles under the eyes using various injection techniques. These treatment methods usually involve the use of fillers and other injectable substances.

Another method is autologous fat injection. This involves taking the body's own fat, usually from the abdominal or thigh area, preparing it and then injecting it into the affected areas of skin under the eyes. This technique offers the advantage of a natural filling substance and can lead to long-term results.

Frequently used: Filler treatment or injections with hyaluronic acid

One of the most common and effective methods of treating dark circles under the eyes is the use of dermal fillers. These substances, often consisting of hyaluronic acid, are injected under the skin to create volume and smooth the skin. Treatment with fillers can:

Restore the volume under the eyes
Smoothing the skin and reducing wrinkles
Improve the appearance of dark circles under the eyes

Procedure and implementation

Dark circles under the eyes are usually injected in the following way:

Consultancy: A detailed consultation to understand the patient's needs and expectations.
Preparation: Cleaning of the area to be treated and anaesthesia if necessary.
Injection: Precise injection of the filler into the lower eyelid area
Aftercare: Instructions on how to care for the treated area and avoid complications.

Results and duration of effect

The results of the filler treatment are usually visible immediately and can last for several months to years, depending on the material used and individual skin conditions. Regular top-up treatments may be necessary to maintain the results.

Risks and side effects

As with any medical treatment, there are risks and possible side effects associated with dark circles injections. These include

Swelling and redness
Bruising
Infections
Allergic reactions
Irregularities in the complexion
Vascular occlusions

It is important that the treatment is carried out by an experienced plastic surgeon in order to minimise the risk of complications and achieve optimal results.

Conclusion

Injecting dark circles under the eyes by a plastic surgeon is an effective method of improving appearance and boosting self-confidence. With expert treatment and careful aftercare, the best results can be achieved so that the areas around the eyes no longer appear so dark.

If you are interested in such a treatment, we will be happy to advise you to determine the best course of action for your individual needs.

Frequently asked questions and answers

How long does an injection for dark circles or tear troughs last?

The durability of injections for dark circles varies depending on the material, skin reaction and lifestyle of the patient. The effect usually lasts for several months, sometimes even up to a year or longer. Regular top-up treatments are necessary for long-lasting results. It is advisable to discuss this on an individual basis.

Is it possible to remove dark circles permanently?

Permanent removal of dark circles is a complex matter and often not completely possible. In some cases, autologous fat grafting can achieve the desired result.

Is the injection of dark circles painful?

Injecting dark circles can be uncomfortable, but the pain is usually minimal. We often use a local anaesthetic to make the procedure as painless as possible.

Slight swelling or bruising may occur after the treatment, but this usually subsides quickly.

What do dark circles / dark shadows under the eyes say about health?

Dark circles under the eyes can have various causes and are not always a sign of serious health problems. They are often caused by lack of sleep, stress or genetic predisposition. Factors such as allergies, iron deficiency or dehydration can also play a role. In some cases, dark circles under the eyes can also indicate health problems such as kidney or liver disease. During your consultation, we will clarify whether a health cause could be the reason in your case.

What should you look out for when choosing a doctor / clinic?

When choosing a specialist, make sure that you use the term Specialist in Plastic and Aesthetic Surgery. Other designations such as beauty doctor, cosmetic surgeon, etc. are unprotected and not a sign of qualification (more on "What should you consider when choosing a specialist?„.

Make sure that you receive a comprehensive preliminary examination and information about the course of treatment, possible risks and the healing process.

Why should you come to us?

Extensive experience, maximum hygiene and infection protection, continuous further training and and maximum care are the basis of our practice. This is also reflected in the large number of positive patient reviews, our seals and awards.

Benefit from our many years of experience. Dr Michaela Montanari has been a member of the board of the German Society for Aesthetic Plastic Surgery (DGÄPC) since 2021.

Do you have questions about the treatment of your dark circles?

We will be happy to answer all your questions about correcting dark circles under your eyes. Arrange your personal consultation. We will advise you individually about your options.