LMA Clinic
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Dark Circles

We pride ourselves in being one of the leading clinic’s in the treatment of dark circles of the under eye in the UK.

Under-eye circles are a common aesthetic concern and can give the face a fatigued appearance, making them difficult to cover with the concealer.

Dark circles, along with puffy eyelids, remain challenging to treat, both surgically and non-surgically due to their resilient genetic influence and multifactorial nature.

Recent anatomic studies have ascertained that a primary factor contributing to the development of the tear through deformity, such as a dark circle under the eye, is an age-related unmasking of the tear trough ligament.

Cause of Peri-orbital Dark Circles

When determining the most effective treatment, or combination of treatments for dark circles under-eye, it is vital first to identify the cause, of which there are many possibilities.


Constitutional pigment: Your degree of pigment is genetic, which makes certain ethnicities with increased melanin-pigment production more susceptible, irrespective of outside factors – Black, Asian and Mediterranean skin types are examples of these.

True pigment: Factors such as UV exposure, hormonal shifts (e.g. melasma through pregnancy or birth control) can cause pigmentation around the eyes. Also trauma (post inflammatory hyperpigmentation) from atopic eczema for example, or perfumed cosmetics can influence this.

Aging Volume loss

Volume loss or fat descent in the cheeks, and under eye volume loss, gives form to what is commonly known as the “tear trough”. This is a depression under the eye, which creates a shadow, i.e. dark circle. Although most people form tear troughs as a result of aging, there are some who have them as a natural deformity from a young age.

Thinning under eye skin

Eyelids present the thinnest skin on the body and with age, our skin naturally thins further. This translucent covering affords only a thin veil for the dark, underlying structures, such as the muscle and veins.

Skin Laxity

An ever-decreasing ability to form fresh collagen and elastin sees the skin’s support network diminish. Bulging under eye fat: With age, bone reabsorption speeds up and with an enlarged eye orbit, the fat in which the eyeball resides herniates downwards and outwards. Lifestyle Whilst everyone needs their vices, unfortunately there are some (personally controllable) factors that will lend themselves fiendishly well to dark circles:


Smoking causes vascular problems, constricting the blood vessels, resulting in poor circulation and making the blood vessels appear darker and more prominent. Sleep deprivation: Lack of sleep can create paler, more translucent skin, illuminating the vessels below.

Caffeine and alcohol consumption

Too much caffeine and alcohol will lead to dehydration, causing blood vessels to become swollen. It will also lessen one’s ability to sleep.

Dietary deficiencies

Dark circles (in conjunction with other symptoms) may be a sign of iron-deficiency anaemia, for example. In the majority of cases, eating the right foods or supplements may treat dietary deficiencies.

Other causes

  • Allergies or nasal congestion, inflaming and enlarging the under eye vessels.
  • Some medical conditions (such as thyroid or liver problems)
  • Some medications (such as meds for high blood pressure) We can see just how many influencing factors there are with dark circles.

Treatment Options

Hyaluronic acid fillers have become the key foundation for treating most under-eye dark circles. Traditional nonsurgical treatments using hyaluronic acid fillers are focused at filing the depth of the hollow by placing volume supraperiosteally or subcutaneousely, in an attempt to smooth the tear through deformity.

ZO Medical Skin Health range contains active vitamin A and biomimetic proteins to encourage natural collagen production and help restore skin’s elasticity. The exclusive blend of bioengineered plant stem cells provides potent antioxidants and inflammation management to protect against future signs of skin aging. We also added enzymatic vasodilators, caffeine and coenzyme A to reduce the appearance of puffiness along with optical diffusers to soften the appearance of dark circles. Nourishing shea butter moisturizes and replenishes the delicate skin barrier.

Chemical Peels: There are specific, superficial to medium depth peels to target pigment on the delicate eye area in the full range of skin types. The latest peels use synergistic properties to lighten the skin as well as make it stronger and more resilient.

Dark Circle Treatment at our clinic

Patients travel from all over the UK and from around the world to have Dr Ayham Al-Ayoubi perform treatments to reduce dark circles under eye at the London Medical and Aesthetic Clinic, which is one of the leading training centres for Dermal Filler treatment in the UK and Europe. Dr Ayham Al-Ayoubi may use a combination of treatment options in order to maximise the aesthetic result.

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