Why You Still Look Tired—Even When You’re Not: The Truth About Under-Eye Bags and Dark Circles
"You look so tired lately."
It’s a phrase patients often tell us they hear—whether or not they’ve had a full night’s sleep. Dark circles and under-eye bags are some of the most common concerns we address at R+H Aesthetic Medicine. They can quietly undermine how someone feels about their appearance, making them seem older, stressed, or unwell—even when they feel just fine. Many patients describe the transformation they feel after treatment as nothing short of life-changing. One patient shared that after a simple tear-trough filler appointment, her concerned coworkers began asking her what vacation she had just come back from—she simply looked that refreshed.
So what causes under-eye shadows and puffiness, and what can be done about it?
The Science Behind Periorbital Dark Circles and Bags
The under-eye region—referred to medically as the periorbital area—is delicate and complex. Dark circles and puffiness can result from a variety of internal and external factors, often working together. Here's a breakdown of the most common causes:
1. Aging
As early as our twenties, collagen production begins to decline. The skin under the eyes is already among the thinnest on the body, and with aging, it becomes even more fragile and translucent. Simultaneously, the facial fat pads that once provided youthful volume begin to thin and shift, casting shadows and creating a hollow or sunken appearance.
2. Sun Overexposure
Because the under-eye area is especially sensitive, it is more prone to sun-induced pigmentation. Overexposure to UV rays increases melanin production, leading to uneven coloring and brown spots that deepen the appearance of dark circles.
3. Allergies
Histamine release from seasonal or chronic allergies causes inflammation, which can lead to itching and excessive rubbing. This not only breaks down the delicate capillaries in the area, leading to discoloration, but also exacerbates puffiness and irritation.
4. Genetics
According to a study published in Anais Brasileiros de Dermatologia, genetic hyperpigmentation plays a significant role in the development of periorbital dark circles. Individuals may inherit increased melanin production or a predisposition to thin skin under the eyes.
5. Lifestyle and Health Factors
Fatigue, dehydration, iron deficiency anemia, eczema, dermatitis, smoking, and alcohol use can all contribute to darkened and puffy under-eye areas. These factors may either cause vascular dilation, skin thinning, or fluid retention—all of which intensify the look of tired eyes.
Effective Treatments for Under-Eye Dark Circles and Bags
At R+H Aesthetic Medicine, we believe in a personalized approach rooted in SAFETY, COMFORT, RESULTS, AND LUXURY. Identifying the underlying cause of under-eye concerns is essential to achieving optimal results. Depending on your unique needs, our master artist injectors may recommend one or a combination of the following:
1. Chemical Peels
Targeted chemical peels help lighten pigmentation by exfoliating the skin and reducing melanin concentration in the epidermis.
2. IPL (Intense Pulsed Light)
IPL breaks down pigmented cells and diffuses redness by targeting melanin and hemoglobin, visibly brightening the area and evening out tone.
3. RF Microneedling (Morpheus8)
Using radiofrequency energy and microneedling, Morpheus8 stimulates the production of collagen and elastin. This strengthens the skin, reduces crepiness, and restores structure.
4. Dermal Fillers
Volume loss is one of the most common causes of hollowing under the eyes. Expertly placed dermal fillers restore volume and reduce shadowing, helping you look rested and rejuvenated.
5. Autologous Growth Factor Injections
Autologous Growth Factors have regenerative and healing properties. When injected in under eye areas, they trigger the skin to build collagen which thickens the delicate under eye skin, improving the appearance of dark circles.
The Importance of Expertise
Because the periorbital area is so delicate and nuanced, it is essential to work with experienced medical providers who understand facial anatomy and have advanced training in aesthetic medicine. Our master artist injectors at R+H Aesthetic Medicine are nationally recognized for their expertise and artistry, helping patients achieve subtle yet transformative outcomes.
A Thoughtful Approach to Skin Health
If you're struggling with dark circles or under-eye bags, you’re not alone—and you don’t have to accept them as permanent. At R+H Aesthetic Medicine, we offer comprehensive consultations to assess your specific concerns and guide you through a personalized treatment plan.
Ready to take the next step toward looking as vibrant and rested as you feel?
Call/Text Us Today:
Lake Tahoe: (530) 237-4730
Roseville: (916) 209-0545
West Sac: (916) 617-2331
To explore our current specials and exclusive offers, visit our current promotions.
Why You Still Look Tired—Even When You’re Not: The Truth About Under-Eye Bags and Dark Circles
"You look so tired lately."
It’s a phrase patients often tell us they hear—whether or not they’ve had a full night’s sleep. Dark circles and under-eye bags are some of the most common concerns we address at R+H Aesthetic Medicine. They can quietly undermine how someone feels about their appearance, making them seem older, stressed, or unwell—even when they feel just fine. Many patients describe the transformation they feel after treatment as nothing short of life-changing. One patient shared that after a simple tear-trough filler appointment, her concerned coworkers began asking her what vacation she had just come back from—she simply looked that refreshed.
So what causes under-eye shadows and puffiness, and what can be done about it?
The Science Behind Periorbital Dark Circles and Bags
The under-eye region—referred to medically as the periorbital area—is delicate and complex. Dark circles and puffiness can result from a variety of internal and external factors, often working together. Here's a breakdown of the most common causes:
1. Aging
As early as our twenties, collagen production begins to decline. The skin under the eyes is already among the thinnest on the body, and with aging, it becomes even more fragile and translucent. Simultaneously, the facial fat pads that once provided youthful volume begin to thin and shift, casting shadows and creating a hollow or sunken appearance.
2. Sun Overexposure
Because the under-eye area is especially sensitive, it is more prone to sun-induced pigmentation. Overexposure to UV rays increases melanin production, leading to uneven coloring and brown spots that deepen the appearance of dark circles.
3. Allergies
Histamine release from seasonal or chronic allergies causes inflammation, which can lead to itching and excessive rubbing. This not only breaks down the delicate capillaries in the area, leading to discoloration, but also exacerbates puffiness and irritation.
4. Genetics
According to a study published in Anais Brasileiros de Dermatologia, genetic hyperpigmentation plays a significant role in the development of periorbital dark circles. Individuals may inherit increased melanin production or a predisposition to thin skin under the eyes.
5. Lifestyle and Health Factors
Fatigue, dehydration, iron deficiency anemia, eczema, dermatitis, smoking, and alcohol use can all contribute to darkened and puffy under-eye areas. These factors may either cause vascular dilation, skin thinning, or fluid retention—all of which intensify the look of tired eyes.
Effective Treatments for Under-Eye Dark Circles and Bags
At R+H Aesthetic Medicine, we believe in a personalized approach rooted in SAFETY, COMFORT, RESULTS, AND LUXURY. Identifying the underlying cause of under-eye concerns is essential to achieving optimal results. Depending on your unique needs, our master artist injectors may recommend one or a combination of the following:
1. Chemical Peels
Targeted chemical peels help lighten pigmentation by exfoliating the skin and reducing melanin concentration in the epidermis.
2. IPL (Intense Pulsed Light)
IPL breaks down pigmented cells and diffuses redness by targeting melanin and hemoglobin, visibly brightening the area and evening out tone.
3. RF Microneedling (Morpheus8)
Using radiofrequency energy and microneedling, Morpheus8 stimulates the production of collagen and elastin. This strengthens the skin, reduces crepiness, and restores structure.
4. Dermal Fillers
Volume loss is one of the most common causes of hollowing under the eyes. Expertly placed dermal fillers restore volume and reduce shadowing, helping you look rested and rejuvenated.
5. Autologous Growth Factor Injections
Autologous Growth Factors have regenerative and healing properties. When injected in under eye areas, they trigger the skin to build collagen which thickens the delicate under eye skin, improving the appearance of dark circles.
The Importance of Expertise
Because the periorbital area is so delicate and nuanced, it is essential to work with experienced medical providers who understand facial anatomy and have advanced training in aesthetic medicine. Our master artist injectors at R+H Aesthetic Medicine are nationally recognized for their expertise and artistry, helping patients achieve subtle yet transformative outcomes.
A Thoughtful Approach to Skin Health
If you're struggling with dark circles or under-eye bags, you’re not alone—and you don’t have to accept them as permanent. At R+H Aesthetic Medicine, we offer comprehensive consultations to assess your specific concerns and guide you through a personalized treatment plan.
Ready to take the next step toward looking as vibrant and rested as you feel?
Call/Text Us Today:
Lake Tahoe: (530) 237-4730
Roseville: (916) 209-0545
West Sac: (916) 617-2331
To explore our current specials and exclusive offers, visit our current promotions.
