Dark Eye Circles - Combination Treatment

Dark circles, medically termed periorbital hyperpigmentation (POH), are a common cosmetic concern. They are caused by various factors, including pigmentation irregularities, vascular changes, structural shadows, and lifestyle-related issues. POH affects people of all ages and skin types, with genetic predisposition often playing a key role.

Types of Dark Circles

Pigmented Dark Circles: Caused by increased melanin production.
Vascular Dark Circles: Result from visible blood vessels or poor circulation.
Structural Shadows: Created by volume loss or facial anatomy.
Mixed-Type: A combination of pigmentation, vascular issues, and structural shadows.

Common Causes of Dark Circles

Genetic Factors: Hereditary pigmentation or vascular conditions.
Aging: Thinning skin and fat loss accentuate under-eye hollows.
Sun Exposure: Stimulates melanin production, worsening hyperpigmentation.
Lifestyle: Poor sleep, stress, dehydration, and smoking contribute.
Allergies: Rubbing due to itching worsens discoloration (allergic shiners).
Medical Conditions: Anemia, thyroid issues, or sinusitis can cause dark circles.

A detailed history and physical examination are crucial for identifying underlying causes. Aesthetic assessments include:

Wood's Lamp Examination: Differentiates epidermal vs. dermal pigmentation.
Blood Tests: Rule out anemia or nutritional deficiencies.
Imaging: Rarely needed but may help in complex cases (e.g., sinusitis).

At GoldyZ Multan, we use multimodal treatment approach by combining 2 or more different options given below:

Topical Treatments

Topical creams and serums are a common first step. Ingredients like retinoids help stimulate collagen production, while Vitamin C brightens the skin and reduces pigmentation. Kojic acid and niacinamide are also effective for lightening dark spots and improving skin texture when applied regularly.

Chemical Peels

Mild chemical peels, such as those with glycolic or lactic acid, can exfoliate the skin gently. By removing the top layer of dead skin, these peels promote cell renewal and reduce the appearance of dark circles over time.

Microneedling

Microneedling involves creating tiny punctures in the skin using fine needles to boost collagen production. This process not only rejuvenates the skin but also helps diminish discoloration and improve the skin's overall texture under the eyes.

PRP Therapy

Platelet-Rich Plasma (PRP) therapy uses the patient's own blood plasma to regenerate the skin. PRP is rich in growth factors that enhance skin quality, reduce pigmentation, and restore a youthful glow, making it an effective solution for dark circles.

Dermal Fillers

Hyaluronic acid-based fillers are ideal for addressing volume loss, which often contributes to shadowing around the eyes. Fillers can smooth out hollow areas and give the appearance of brighter, more rested eyes.

Laser Therapy

Laser treatments are highly effective for targeting pigmentation and improving vascular issues under the eyes. Different lasers, such as fractional CO2 or Nd:YAG, can be used depending on the cause of the dark circles.

Carboxytherapy

Carboxytherapy involves the infusion of carbon dioxide beneath the skin. This stimulates blood flow, improves oxygen delivery to the tissues, and reduces discoloration caused by poor circulation.

Mesotherapy

Mesotherapy delivers a customized blend of vitamins, antioxidants, and skin-brightening agents directly into the dermal layer. It improves hydration, reduces pigmentation, and revitalizes the under-eye area.

RF or Ultrasound Therapy

Radiofrequency (RF) and ultrasound-based treatments like HIFU (High-Intensity Focused Ultrasound) tighten loose skin and improve puffiness under the eyes. These treatments stimulate collagen production and offer noticeable results over time.



Treating periorbital dark circles requires a personalized approach based on the underlying cause, such as pigmentation, volume loss, or vascular issues. Consulting with an aesthetic specialist ensures the most appropriate and effective treatment plan. Don't hesitate to contact us for a free consultation. Book you appointment Now! 0308-2266677