Woman looking in mirror at her eyes.
Woman looking in mirror at her eyes.

What Is the Biggest Cause of Eye Bags & Dark Circles?

Eye bags and dark circles are common concerns that can make people self-conscious about their appearance. These issues can cause you to look tired, older, or stressed even when well-rested. So, what causes these pesky under-eye issues, and how can they be effectively treated?

At Wave Plastic Surgery & Aesthetic Laser Center, we help patients achieve a natural, refreshed look using the latest treatments and procedures. This article will explore the most common causes of eye bags and dark circles and provide applicable, helpful solutions.

Contact us today to schedule a consultation. Let us do the groundwork and recommend the best research-backed approach to treating your under-eye bags and dark circles. Call: 888-674-3001

Understanding the Difference Between Eye Bags and Dark Circles

Woman measuring eyes in the mirror.

Before addressing the causes of eye bags and dark circles, it’s important to understand that they are different conditions, each requiring a unique approach to treatment.

1. What Are Eye Bags?

Eye bags are the puffiness or swelling that occurs beneath the eyes, giving a tired or aged appearance. While aging is the most common cause, other factors can also contribute, such as:

  • Fluid retention: Caused by high-sodium diets, lack of sleep, or dehydration
  • Allergies: Inflammation and irritation can increase swelling
  • Natural aging: As skin and muscles weaken, fat may shift downward, creating puffiness
  • Lifestyle choices: Smoking, alcohol consumption, and even excessive sun exposure

While eye bags are generally harmless, they can affect how rested or youthful you appear.

2. What Are Dark Circles?

Dark circles refer to the shadowy, dark areas beneath the eyes that result from various causes, including:

  • Thinning skin: As we age, collagen production slows, and the skin under the eyes becomes thinner, making blood vessels more visible.
  • Pigmentation: Increased melanin production or sun exposure can cause darkening of the skin.
  • Visible blood vessels: Prominent blood vessels under thin skin can give the area a bluish or purplish hue.
  • Fatigue and stress: These factors worsen the appearance of dark circles by increasing blood flow and making skin appear paler.

3. Why It Matters

Woman with marks on face near the eyes

Although eye bags and dark circles can occur together, they require different treatments. Fillers may be the solution for dark circles caused by volume loss, while blepharoplasty can effectively reduce puffiness from fat deposits. Understanding the root cause is critical to choosing the best treatment.

What Is the Biggest Cause of Eye Bags and Dark Circles?

The primary causes of eye bags and dark circles can be summed up in two main categories: aging and fatigue. These factors significantly contribute to the appearance of puffiness and dark shadows, making them the biggest culprits.

1. Aging: The Leading Cause of Eye Bags and Dark Circles

Aging is the number one cause of dark circles and eye bags. As we age, our skin becomes thinner, losing fat and collagen, making the under-eye area appear more hollow and dark.

Senior woman applying eye makeup
  • Thinning Skin and Collagen Loss: Over time, the skin under the eyes loses its elasticity, allowing blood vessels to show through more clearly. This results in a shadowy, dark appearance.
  • Fat Displacement: With age, the fat that supports the eyes can shift, leading to sagging or the appearance of puffy bags.

While aging is unavoidable, there are effective ways to reduce its impact.

If you need options to combat these effects, contact Wave Plastic Surgery at 888-674-3001. We’re here to help you determine which services will accomplish your desired look.

Learn More: Best Anti-Aging Skin Treatments

2. Fatigue and Lack of Sleep

The second major cause of eye bags and dark circles is fatigue. Sleep deprivation or poor-quality sleep can make your skin look pale, allowing blood vessels and dark tissues beneath the skin to become more visible.

Close-Up Shot Of A Girl Applying Concealer Under Her Eyes
  • Fluid Retention: Lack of sleep can cause fluid to accumulate under the eyes, leading to puffiness or bags.
  • Increased Blood Flow: When you’re tired, blood flow increases to the under-eye area, which can make dark circles more prominent.

If you’re struggling with chronic eye bags or dark circles, there are treatments available that can help refresh your appearance.

Contact Wave Plastic Surgery at 888-674-3001 to learn how we can help you look your best.

Other Contributing Factors

In addition to aging and fatigue, several other factors contribute to the development of eye bags and dark circles.

3. Genetics: A Common Underlying Cause

For many people, eye bags and dark circles are inherited. If you have family members who also struggle with these concerns, you might have a genetic predisposition.

  • Inherited Thin Skin: Thin skin around the eyes is often hereditary, making dark circles more noticeable.
  • Hyperpigmentation: Genetic pigmentation can also lead to a darker under-eye area.

4. Allergies and Sinus Congestion

Allergies are a lesser-known but significant cause of puffiness and dark circles. When you have an allergic reaction, blood vessels under the eyes can dilate, contributing to puffiness and discoloration.

  • Sinus Pressure: Congestion from allergies or sinus problems can increase pressure in the blood vessels under the eyes, leading to puffiness and dark circles.

5. Lifestyle Choices

Certain lifestyle factors can significantly contribute to the appearance of eye bags and dark circles:

  • Smoking: Smoking depletes collagen and accelerates aging, making under-eye bags more pronounced.
  • Alcohol and Salt Intake: Both alcohol and a high-sodium diet can lead to fluid retention, causing puffiness and dark circles.

If lifestyle changes haven’t improved your under-eye concerns, it might be time to explore treatment options at Wave Plastic Surgery & Aesthetic Laser Center in Los Angeles, San Francisco, and Orange County. Our team specializes in addressing these issues with advanced techniques.

Call us today at 888-674-3001.

6. Sun Exposure and Pigmentation

Overexposure to the sun can lead to hyperpigmentation, especially in sensitive areas like the skin under the eyes. The sun stimulates melanin production, leading to darker skin and exacerbating the appearance of dark circles.

  • Protect Your Skin: Applying sunscreen and wearing sunglasses can protect the delicate skin under your eyes from UV damage, helping to prevent pigmentation issues.

Effective Treatments for Eye Bags & Dark Circles

Various effective treatments are available for eye bags and dark circles. Depending on the severity of the issue and the desired results, these range from noninvasive options to surgical procedures. Most of these treatments are supported by scientific research, ensuring their efficacy and safety. 

1. Blepharoplasty (Eyelid Surgery)

Blepharoplasty, or eyelid surgery, is one of the most popular treatments for under-eye bags. This surgical procedure removes excess skin, fat, or muscle from the lower eyelids, effectively reducing puffiness and sagging. It works because it directly addresses the fat deposits and loose skin that cause under-eye bags, offering long-term results for a smoother, rejuvenated look.

Learn More: Lower Blepharoplasty At Wave

Related: Removing Under-Eye Bags With Blepharoplasty

2. Dermal Fillers

For those dealing with dark circles, especially caused by hollowness or volume loss, hyaluronic acid dermal fillers like Juvéderm and Restylane are highly effective. 

Beautician administering dermal fillers beneath eye area

These fillers are injected into the tear troughs under the eyes, restoring lost volume and smoothing out the skin. They work by filling in the hollow areas, which minimizes the shadowing effect that contributes to dark circles, creating a more youthful and refreshed appearance.

Learn More: Ultimate Guide To Dermal Fillers

3. Laser Resurfacing

Laser resurfacing, such as CO2 lasers, is a popular treatment for both eye bags and dark circles. This procedure uses laser energy to remove the outer layers of damaged skin, encouraging the growth of new, healthier skin. It’s particularly effective for improving skin texture and reducing fine lines and pigmentation, making dark circles and under-eye puffiness less noticeable. It works by promoting collagen production, which tightens the skin and helps reduce discoloration.

4. Ultherapy

Ultherapy is a non-invasive treatment that uses ultrasound energy to lift and tighten the skin around the eyes. It works by stimulating collagen production deep within the skin, which improves elasticity and tightens loose skin, reducing the appearance of mild eye bags and dark circles. This treatment is ideal for those looking for subtle, natural results without surgery.

Learn More: Your Top 10 Ultherapy Questions Answered

5. Morpheus8 (Microneedling with RF)

Morpheus8 combines microneedling with radiofrequency (RF) energy to target deeper layers of the skin. This treatment stimulates collagen production, which tightens and firms the skin, reducing puffiness and smoothing out wrinkles. It’s particularly effective for addressing both skin texture and under-eye puffiness, making it a versatile option for rejuvenating the eye area.

Learn More: Morpheus8 At Wave

6. Chemical Peels

Chemical peels are effective for treating dark circles caused by hyperpigmentation. 

Esthetician applies chemical peel or topical treatment

Applying a chemical solution to the skin exfoliates the outer layers, allowing for fresher, more even-toned skin to emerge—peels increase cell turnover and reduce pigmentation, leading to brighter, more youthful-looking under-eye skin.

Learn More: Non-Surgical Facelift

7. Skincare Products 

Over-the-counter and medical-grade skincare products can also effectively manage mild dark circles and puffiness cases. Eye creams containing retinoids, vitamin C, or hyaluronic acid help improve skin texture, brighten pigmentation, and hydrate the skin, making the under-eye area appear smoother and more refreshed over time. These products work best as part of a regular skincare routine, offering gradual but noticeable improvements.

Related: How To Get Rid of Under-Eye Bags

If you’re ready to rejuvenate your under-eye area, Wave Plastic Surgery offers various solutions in Los Angeles, San Francisco, and Newport Beach.

Call us at 888-674-3001 to schedule your consultation and find the best treatment for your needs.

Related: How To Remove Dark Circles Under Eyes

Prevention Tips for Eye Bags & Dark Circles

While treatments are effective, prevention is critical to minimizing the appearance of eye bags and dark circles. Here are some practical tips to help keep your under-eye area looking fresh and youthful:

1. Get Enough Sleep

Aim for 7-9 hours of quality sleep each night. Lack of sleep can cause blood vessels to dilate and fluid to build up, leading to puffiness and dark circles. A consistent sleep schedule is essential for skin rejuvenation.

2. Stay Hydrated

Drink plenty of water throughout the day to maintain skin elasticity and hydration. Dehydration can make the skin under your eyes appear sunken and emphasize dark circles.

3. Use Sunscreen

Blurred woman holding spray bottle of sunblock

Protect the delicate skin around your eyes from harmful UV rays by applying sunscreen daily. Sun exposure can increase pigmentation, making dark circles more noticeable. Opt for a broad-spectrum SPF and consider wearing sunglasses for added protection.

4. Reduce Salt Intake

A high-sodium diet can cause water retention, leading to puffiness around the eyes. Reducing salt intake can help minimize swelling and prevent eye bags from forming. Balance your diet with potassium-rich foods like bananas and leafy greens to regulate fluid levels.

5. Avoid Rubbing Your Eyes

Rubbing or pulling at the sensitive skin around your eyes can irritate them and lead to puffiness or dark circles. If allergies are a problem, use soothing eye creams to minimize the urge to rub and protect the delicate skin.

6. Eat a Nutrient-Rich Diet

Incorporate foods rich in vitamins C and E, such as citrus fruits, nuts, and leafy greens, into your diet. These nutrients support collagen production and protect your skin from damage, helping to prevent dark circles and puffiness.

Incorporating these simple habits into your routine can significantly reduce the appearance of eye bags and dark circles. Professional treatments can offer effective solutions if you’re already struggling with these concerns.

Ready to Rejuvenate Your Eyes?

Woman smiling closeup with white background.

Aging and fatigue are common causes of eye bags and dark circles, but genetics, lifestyle habits, and allergies can also play a role. At Wave Plastic Surgery & Aesthetic Laser Center, we offer personalized solutions to address these concerns. Whether you’re looking for non-invasive treatments like fillers or advanced surgical options, our experienced, award-winning surgeons in Orange County, Los Angeles, and San Francisco are here to help you achieve a natural, refreshed look.

Contact us at 888-674-3001 to schedule a consultation and discover your best treatment plan!

References

1. Vrcek, I., Ozgur, O., & Nakra, T. (2016). Infraorbital Dark Circles: A Review of the Pathogenesis, Evaluation and Treatment. Journal of cutaneous and aesthetic surgery, 9(2), 65–72. https://doi.org/10.4103/0974-2077.184046

2. Matsui, M. S., Schalka, S., Vanderover, G., Fthenakis, C. G., Christopher, J., Bombarda, P. C., Bueno, J. R., Viscomi, B. L., & Bombarda Júnior, M. S. (2015). Physiological and lifestyle factors contributing to risk and severity of peri-orbital dark circles in the Brazilian population. Anais brasileiros de dermatologia, 90(4), 494–503. https://doi.org/10.1590/abd1806-4841.20153520

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Peter Lee

Dr. Peter Lee, MD, FACS, Founder, CEO and Chief Surgeon of WAVE Plastic Surgery Center and Advanced Endotine Bioskills surgeon educator and trainer, is a top Los Angeles board-certified Plastic, Reconstructive, and Cosmetic Surgeon. Dr. Peter Lee is a board-certified Diplomate of the American Board of Plastic Surgery and Fellow of the American College of Surgeons. Drawing patients from around the world, he is both an innovator and thought leader who has advanced the discipline of plastic surgery through his lifelong commitment to excellence and education. In addition to being bilingual in English and Korean, Dr. Lee has mentored and trained master surgeons in South Korea, China and other Asian countries in state-of-the-art techniques and scientific advancements in the field.

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With a wide range of breast, body, and face procedures, our goal at Wave Plastic Surgery is to allow for all of our patients to achieve their ideal appearance, no matter their age or ethnicity. Our doctors all have extensive experience working with patients of all different backgrounds and have developed expertise in Asian plastic surgery procedures such as eyelid and nose surgery. We work with all sorts of men and women—both local to the Los Angeles area and from far out of town—to help find the right procedure to help them reach their goals.

Wave Plastic Surgery offers an inclusive menu of non-surgical treatment options that will cover all types of anti-aging and skin concerns from wrinkles, sagging skin, hair loss, women’s health, poor skin texture, large pores, skin discoloration, Rosacea, acne, scars, volume loss, and aging hands, neck and chest.