Richmond Anti-Aging Clinic
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Common Concerns

Dark Circles& Under Eye Hollows

Refresh the look. Restore the brightness.

Dark circles and under-eye hollows can make you look tired, aged, and unwell regardless of how much sleep you get. Whether caused by volume loss, pigmentation, or thin skin, our medical team provides targeted solutions to restore a refreshed, youthful appearance.

#1
Most common aesthetic complaint
HA
Hyaluronic acid filler for instant lift
Multi
Addresses pigment, volume & texture
Self-Check

What Do You See?

Dark circles have multiple causes, and each requires a different approach. Identifying your type is the first step to effective treatment. Select all that apply:

Most patients have a combination of causes. Our clinical team will determine the exact contributors and create a layered treatment plan for optimal results.

The Science

Why They Won't Fade

The under-eye area is unique: the skin is the thinnest on the body, with minimal fat padding and dense blood vessel networks. Understanding why dark circles persist helps us target the right cause.

1

Volume Loss (Tear Trough)

As we age, the fat pad under the eye shrinks, creating a hollow that catches shadow and makes the area look dark and sunken.

2

Thin Skin & Vascularity

The under-eye skin is only 0.5mm thick. Blood vessels show through as blue or purple discoloration, worsening with fatigue and dehydration.

3

Hyperpigmentation

Melanin overproduction in the periorbital area creates brown discoloration. Common in certain ethnic backgrounds and worsened by sun exposure.

4

Aging & Collagen Loss

Collagen and elastin breakdown makes under-eye skin thinner and less resilient, revealing underlying structures more prominently.

5

Lifestyle Factors

Poor sleep, allergies, dehydration, excessive screen time, and smoking all worsen dark circles by increasing inflammation and vascular congestion.

6

Genetic Predisposition

Bone structure, skin thickness, and melanin distribution are largely inherited, making some people predisposed to dark circles from a young age.

Our Solutions

Lift, Brighten, Refresh

We address dark circles from multiple angles: restore volume, improve skin quality, and reduce pigmentation for a comprehensive transformation.

Volume + Regeneration: Instant structural correction with fillers, combined with biologic therapies that improve skin quality from within.

Why Us

Medical Expertise

29+
Years
70k+
Patients
#1
In BC
1

Physician-Injected Fillers

Tear trough filler is a high-precision procedure. Our physicians inject with cannula technique for safety and natural-looking results.

2

Multi-Cause Diagnosis

We identify whether your dark circles stem from volume loss, pigmentation, vascularity, or a combination, and treat accordingly.

3

Regenerative Medicine

We combine traditional fillers with cutting-edge PRP and exosome therapy for results that look natural and continue improving.

4

Conservative Approach

Under-eye treatment requires restraint. We use precise, conservative volumes to avoid overfilling and unnatural results.

FAQ

Dark Circles Q&A

Yes, when performed by experienced physicians. We use cannula technique to minimize bruising and reduce the risk of vascular complications. Hyaluronic acid fillers are also reversible with hyaluronidase.
Tear trough filler typically lasts 12-18 months. The under-eye area has less movement than other facial areas, so filler tends to last longer here.
Our conservative approach uses precise micro-amounts of filler. We follow the 'less is more' principle. You can always add more at a follow-up, but we never want to overfill.
Yes. PRP stimulates collagen production that thickens the thin under-eye skin over time, reducing the visibility of underlying vessels. It is especially effective combined with filler for comprehensive improvement.
Pigmentation-based dark circles require a different approach: targeted skincare with brightening agents, PRP to improve skin quality, and sometimes gentle laser treatments. We diagnose the cause before recommending treatment.

Brighten Your Under Eyes

Book a consultation with our clinical team to determine the cause of your dark circles and create a targeted treatment plan.

Complimentary assessment to determine the best approach for your under-eye concerns.