Why do I have severe dark circles under my eyes, and what should I do?

In general, severe dark circles may be caused by aging, prolonged use of electronic devices, improper cleansing, lack of sleep, glaucoma, and other factors. Usually, they can be improved through eye care, adjusting eye usage habits, enhancing eye cleansing, regulating sleep habits, and medication. If these methods are ineffective, medical aesthetic procedures such as injection of Hyaluronic Acid (Hi-Body Panda Needle), autologous fat transfer, intense pulsed light therapy, photorejuvenation, and fractional laser treatments can also be considered.

Analysis of causes for severe dark circles:

1. Aging

With aging, the skin gradually loses collagen and elastic fibers. At the same time, the skin's metabolism slows down, making it easier for metabolic waste in the blood to accumulate in the tiny blood vessels around the eyes, worsening dark circles. Eye care with anti-aging ingredients such as retinol, peptides, and hyaluronic acid can be beneficial. Treatments such as photorejuvenation and fractional laser therapy can also help improve the condition.

2. Prolonged Use of Electronic Devices

When the eyes focus on electronic screens for extended periods, the eye muscles remain in a tense state, affecting circulation around the eyes. This can lead to vascular congestion and blood stagnation, which easily results in dark circles. Moreover, the blue light emitted by electronic screens may stimulate melanocytes to produce melanin, further darkening the circles. It is recommended to rest the eyes for 20 seconds every 20 minutes of screen time to allow relaxation. Intense pulsed light therapy can also be used for improvement.

3. Improper Cleansing

Residual makeup, dust, and oils can accumulate around the eye area, clogging pores. This affects the skin’s normal respiration and metabolism, making the skin rough and causing poor circulation, which worsens dark circles. It is recommended to use an eye-specific cleansing oil or milk to remove eye makeup. Gently wipe from the inner corner to the outer corner of the eye to ensure thorough removal of makeup.

4. Lack of Sleep

Sleep deprivation disrupts the body's circadian rhythm, preventing the eyes from getting sufficient rest, which hampers circulation. This can cause iron ions in hemoglobin to oxidize and appear as dark circles through the thin skin around the eyes. It is recommended to aim for 7 to 8 hours of sleep daily. Improvement can also be achieved through injections of Hyaluronic Acid (Panda Needle) or autologous fat transfer.

5. Glaucoma

Glaucoma is an eye disease caused by elevated intraocular pressure that damages the optic nerve. Patients often experience symptoms such as eye pain and pressure, which can lead to poor sleep quality, further aggravating dark circles. Medications such as timolol maleate eye drops and brimonidine tartrate eye drops can be used under medical guidance.

Analysis of Procedures for Improving Dark Circles:

Procedure Name	Injection of Hyaluronic Acid (Panda Needle)	Autologous Fat Transfer	Intense Pulsed Light Therapy	Photorejuvenation	Fractional Laser
Image Example
Procedure Overview	Sodium hyaluronate increases skin moisture and improves the hydration of the periorbital skin, thereby reducing the appearance of dark circles	Extract an appropriate amount of fat from areas of the body with abundant fat, process it, and inject the fat granules into the depressed areas around the eyes	Uses photothermal and photochemical effects to repair eye vascular function and stimulate collagen regeneration	Uses intense pulsed light to penetrate deep into the skin, using photothermal energy to break down and remove dark pigments	Water in the skin absorbs laser energy, creating thermal stimulation that promotes collagen production
Applicable Situations	Lack of Sleep	Aging	Aging	Improper Cleansing	Prolonged Use of Electronic Devices
Duration of Effect	3–6 months	1–2 years	3–6 months	3–9 months	6–12 months
Advantages	1. Simple procedure 2. Quick results, within 7–10 days	1. Minimal trauma 2. High biocompatibility	1. Improves skin texture 2. Minimal trauma	1. Promotes collagen and elastic fiber proliferation 2. Less likely to leave scars	1. Quick recovery, 10–20 days 2. Non-invasive
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