Filling Dark Circles with Hyaluronic Acid

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Dark circles under the eyes, when not genetic, can be a tell-tale sign of tiredness and stress and, for many, a constant aesthetic concern.

In this article, we explore how filling dark circles with hyaluronic acid can rejuvenate the look and reduce deep dark circles around the eyes.


Types of dark circles

Dark circles can be classified as pigmentary, vascular and anatomical. Each type of dark circles has different characteristics and, consequently, different treatment approaches. There is often a combination of different types of dark circles, which will require more extensive treatment.


Vascular dark circles

Vascular dark circles have a bluish or purplish color due to the transparency of the skin, which allows the underlying blood vessels to be seen. They sometimes appear swollen due to fluid retention in the eye area.


Melanic / pigmentary dark circles

Pigmentary dark circles are characterized by subocular hyperpigmentation, with a darker tone than the surrounding skin, often related to genetic issues or specific ethnicities. Hormonal factors and excessive sun exposure can also be causes of excess melanin around the eyes.


Anatomical dark circles

Anatomical dark circles are deep circles, usually the result of a loss of volume in the infraocular region. They are characterized by a depression in this region and a dark shadow that can give the impression of fatigue.


What type of dark circles is hyaluronic acid filler indicated for?

Fillers are particularly effective for anatomical dark circles, where loss of volume and depression in the lower part of the eyes are the main symptoms. Hyaluronic acid will help to add volume and brighten the area.


What causes dark circles?

Dark circles can be caused by a variety of factors, including genetic predisposition, ageing (reduction of collagen and elastin), lack of sleep, dehydration, stress, poor circulation, allergies or other pathologies. Smoking and alcohol can also aggravate the appearance of dark circles.


How to reduce dark circles under the eyes?

Reducing dark circles can be tackled in a number of ways. Lifestyle adjustments, such as improving sleep, increasing water intake and reducing alcohol consumption, can eventually help. Topical treatments with creams containing vitamin C, retinol or peptides can improve skin quality and circulation. However, for an effective and long-lasting solution, aesthetic procedures such as hyaluronic acid fillers or the fractional CO2 laser are recommended.


What does filling dark circles consist of?

Filling dark circles with hyaluronic acid is a minimally invasive aesthetic procedure that consists of injecting controlled amounts of hyaluronic acid into the dark circles. Hyaluronic acid, a substance naturally present in the body, is injected into the subocular region to restore lost volume and improve skin quality. This procedure can diminish the appearance of dark circles by smoothing the transition between the lower eyelid and the cheek. Hyaluronic acid will also help moisturize the skin and make the area less purplish.


Hyaluronic acid fillers: what results to expect

Patients can expect to see a significant reduction in the depth of dark circles soon after the procedure. The definitive result appears around 2 to 4 weeks after the treatment. The results are very natural and can last approximately 1 year, depending on the individual response to the treatment.


Does it hurt to fill in dark circles? Is there an anesthetic?

Filling in dark circles under the eyes may only cause a little temporary discomfort, but it is generally a very well-tolerated procedure. Most fillers already contain a local anesthetic to reduce discomfort during the injection.


Is filling dark circles with hyaluronic acid safe?

Hyaluronic acid is considered an extremely safe product for use in dermal fillers. At the Living Clinic, safety and excellent results are priorities. Therefore, premium brand products are always used and the procedure is only carried out by doctors who are specialists in the field. Hyaluronic acid is a substance naturally present in the body, known for its ability to retain water and contribute to the volume and hydration of the skin. As it is biocompatible, the risk of allergies or rejection by the body is low, making it one of the safest and most widely used dermal fillers on the global market. However, as with any medical or aesthetic procedure, there are risks and potential side effects that must be considered.


Side effects of filling dark circles

Some transient side effects that may occur are minor bruising, redness, swelling or mild pain that are related to the injection.


Scientific studies and evidence

There is a growing body of scientific literature supporting the use of hyaluronic acid to improve the appearance of deep dark circles. Clinical studies have shown significant improvements in the appearance of dark circles, with a high patient satisfaction rate and low occurrence of side effects. Some of the studies include:


Mustak, H, Fiaschetti, D, Goldberg, RA. Filling the periorbital hollows with hyaluronic acid gel: Long-term review of outcomes and complications. J Cosmet Dermatol. 2017; 00: 1–6.

Nanda, S., Bansal, S., & Lakhani, R. (2021). Use of hyaluronic acid fillers in treatment of periorbital melanosis induced by tear trough deformity: anatomical considerations, patient satisfaction, and management of complications. Journal of Cosmetic Dermatology, 20(10), 3181-3189.


Park KY, Kwon HJ, Youn CS, Seo SJ, Kim MN. Treatments of Infra-Orbital Dark Circles by Various Etiologies. Ann Dermatol. 2018 Oct;30(5):522-528. doi: 10.5021/ad.2018.30.5.522. Epub 2018 Aug 28. PMID: 33911473; PMCID: PMC7992473.


Which professional fills in dark circles at the Living Clinic?

At Living Clinic, dark circles are filled in by a dermatologist or a doctor dedicated to Aesthetic Medicine.


What is the price of filling in dark circles?

The cost of the treatment varies depending on the number of syringes used in the treatment. Find out more in Hyaluronic Acid Injection Price. (colocar Link Inglês preço hialurônico 2)


Book an appointment

Book an appointment at the Living Clinic and find out more about filling dark circles with hyaluronic acid, as well as whether it is the right treatment for your particular case.

Responsible for the treatment

Dr. Paola Halfeld
Dr. Paola Halfeld

Dr. Paola Halfeld is a specialist in Dermatology from the Brazilian Medical Association and holds a Master in Public Health from the University of Porto. She completed her degree in Medicine at Estácio de Sá University in Rio de Janeiro. Subsequently, she completed her integrated master’s degree in medicine at the University of Algarve, registering with the Portuguese Medical Society in 2020.

She is a member of the Brazilian Society of Dermatology and a member of the European Academy of Dermatology and Venereology.

During her training, she completed internships at leading institutions such as the Oswaldo Cruz Foundation (Fiocruz) and the National Cancer Institute (INCA). She was a fellow in aesthetic dermatology and trichology (an area of dermatology that studies and treats hair disorders).

Dr. Halfeld is a regular participant in medical conferences and events, contributing to scientific communications as main author and co-author, in addition to numerous courses and training courses in many areas of dermatology. She recently presented her master’s study at the World Congress of Dermatology in Singapore.

Dr. Halfeld has a special interest in the treatment of diseases affecting the scalp and hair and in cosmetic dermatology. It is her practice to perform a complete physical examination for skin cancer screening in all her patients.

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