Why do I keep getting dark circles under my eyes?

By Sina Hartung, MMSC-BMI, Harvard Medical SchoolReviewed by Eureka Health Medical Group
Published: July 9, 2025Updated: July 9, 2025

Key Takeaways

Dark circles are usually caused by a mix of thin eyelid skin, visible blood vessels, genetics, lack of sleep, nasal allergies, and lifestyle factors such as smoking or a high-salt diet. Less often they signal anemia, thyroid disease, or kidney problems. Identifying your personal driver—skin anatomy, pigment, or blood flow—guides the best treatment, from antihistamines to laser therapy.

What is the most common reason people develop under-eye dark circles?

The skin under the eye is the thinnest on the body; when it loses collagen or becomes dehydrated, underlying veins and residual blood pigment show through as a bluish-gray shadow. “About 8 in 10 patients we see have primarily structural dark circles, not pigment,” notes the team at Eureka Health.

  • Thin dermis reveals underlying veinsThe lower eyelid dermis is under 0.5 mm thick, so even mild blood pooling looks dark.
  • Genetics set your baseline pigmentFamily history explains up to 60 % of chronic dark circles, especially in people of South Asian or Middle Eastern descent.
  • Age-related fat loss hollows the tear troughLoss of subcutaneous fat after age 30 creates a shadow even in well-rested adults.
  • Dehydration exaggerates translucencySkin water content can drop by 10 % after one night of poor sleep, making vessels more visible.
  • Aging thins under-eye skinCleveland Clinic reports that “the most common cause of dark circles is aging, which causes the skin under the eyes to thin and blood vessels to become more visible,” intensifying vascular shadows. (CC)

When are dark circles a sign of something serious?

Occasionally, periorbital darkness flags systemic disease that lowers blood oxygen or changes skin pigment. “Rapid-onset circles together with swelling should trigger a medical review within 24 hours,” says the team at Eureka Health.

  • Sudden puffiness plus darkness needs urgent carePeriorbital edema with new dark circles can indicate kidney failure or severe hypothyroidism.
  • Anemia often shows as hollow blue shadowsHemoglobin under 10 g/dL can reduce oxygenation, darkening vascular color.
  • Persistent nasal congestion may hint at chronic sinusitisInfraorbital venous stasis, known as ‘allergic shiners,’ accompanies up to 82 % of perennial allergy cases.
  • Bruising that won’t fade could be thrombocytopeniaPlatelet counts below 50 000/µL allow small bleeds that stain the lower eyelid brown.
  • Liver or kidney disease can deepen under-eye shadowsUCLA Health notes that chronic disorders affecting detoxification—such as liver or kidney disease—can produce new dark circles, so sudden discoloration in people with these conditions warrants prompt evaluation. (UCLA)
  • Post-injury orbital bruising signals possible bleedingAboutKidsHealth warns that dark circles appearing after a head injury may be due to periorbital bruising from internal bleeding, requiring emergency medical assessment. (AKH)

Which everyday habits make dark circles worse?

Lifestyle amplifiers are often overlooked but easy to fix. Sina Hartung, MMSC-BMI, explains, “Small behavior tweaks—like raising your head 10 degrees at night—reduce fluid pooling and lighten circles within days.”

  • Allergic rubbing deepens colorEach rub may break tiny capillaries, increasing hemosiderin by up to 30 %.
  • High-salt dinners cause morning shadowsSodium > 2 400 mg raises overnight eyelid fluid by roughly 15 %.
  • Smoking slows collagen turnoverSmokers have 22 % thinner periorbital skin on ultrasound imaging.
  • Screen time delays sleep onsetBlue light exposure past 11 pm halves melatonin and shortens REM sleep, worsening darkness.
  • Skipping sunscreen sparks extra melaninMayo Clinic notes that unprotected sun exposure increases pigment production around the eyes, making existing circles appear darker. (Mayo)
  • Flat sleep posture fuels morning puffinessSleeping with your head low lets blood pool under the eyes overnight, a habit Vogue reports can translate into darker, swollen circles by morning. (Vogue)

What can you do at home today to fade dark circles?

Targeted self-care addresses both color and swelling. “Consistent nightly routines beat expensive one-off creams,” says the team at Eureka Health.

  • Cold compress for 5 minutes shrinks vesselsA gel mask cooled to 4 °C reduces infraorbital blood flow by roughly 25 % for two hours.
  • Use a caffeine eye serum each morningTopical caffeine 3 % constricts vessels and cuts color intensity by an average of 16 % in studies.
  • Elevate the head of your bed by 1–2 inchesGravity limits overnight pooling and visibly reduces puffiness in over 70 % of users.
  • Apply broad-spectrum SPF 30 dailyUV exposure stimulates melanocytes; sunscreen lowers pigment-related dark circles by 20 % after 3 months.
  • Treat allergies promptlyOnce-daily oral antihistamines reduce ‘allergic shiners’ within one week in most patients.
  • Get 7–9 hours of sleep to limit shadowing“Getting more sleep” is highlighted by Cleveland Clinic as a first-line home treatment because restored circulation overnight lessens pooled blood that shows through thin under-eye skin. (ClevelandClinic)
  • Use blue-light filters to ease screen-induced dark circlesSEDermatology Specialists recommend you “invest in blue light filtering glasses and adjust your screen's lighting settings” to reduce eye strain, a common trigger for under-eye darkness. (SEDermatology)

Which lab tests or prescription treatments actually help?

Lab work clarifies uncommon medical causes, and certain in-office treatments address structural or pigment issues. “Matching the right intervention to the underlying driver is key,” notes Sina Hartung, MMSC-BMI.

  • Complete blood count rules out anemiaLook for hemoglobin under 12 g/dL in women or 13 g/dL in men.
  • Thyroid panel detects hypothyroidismTSH above 4.5 mIU/L can associate with periorbital puffiness and darkness.
  • Topical retinoids thicken dermis over monthsPrescription tretinoin 0.025 % increases collagen density by 15 % at six months but must be used under guidance.
  • Hyaluronic-acid fillers correct tear-trough hollowsA 0.3 mL injection can raise the depression by 1–2 mm and last 9–12 months.
  • Q-switched laser reduces excess pigmentThree sessions cut melanin index scores by about 30 % in darker-skinned patients.
  • Prescription hydroquinone creams lighten epidermal pigmentMayo Clinic reports that dermatologists often start 4 % hydroquinone or a triple-combination lightening cream, with many people seeing noticeably brighter under-eye skin after 8–12 weeks of consistent use. (Mayo)
  • Ferritin testing pinpoints iron-deficiency contributorsMedical News Today lists iron deficiency anemia as a reversible cause of dark circles, so ordering a serum ferritin panel can reveal patients who will benefit from iron supplementation rather than cosmetic procedures. (MNT)

Frequently Asked Questions

This content is for informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for diagnosis, treatment, and personalized medical recommendations.

Eureka Health

AI-powered health insights, 24/7

InstagramX (Twitter)

© 2026 Eureka Health. All rights reserved.