Dark circles under the eyes are a common cosmetic concern that affects both men and women of all ages. Whether caused by genetics, aging, lifestyle, or environmental stressors, these shadows can make the face look tired, older, and less vibrant. Many solutions promise quick fixes, but only a few deliver lasting, medically sound results. This article breaks down the science behind dark circles and highlights expert-approved treatments—both medical and lifestyle-based—for those who want to achieve clearer, brighter, and younger-looking under-eyes for good.
Dark circles under the eyes are a common concern affecting people of all ages—often linked to genetics, aging, or lifestyle habits. They aren’t all the same. Dermatologists typically classify them into three main categories—each requiring a different approach:
This type is characterized by brown, reddish-brown, or grayish discoloration under the eyes. It occurs due to excess melanin production, usually triggered by sun exposure, inflammation from chronic rubbing (as seen in allergic reactions), or hereditary skin traits. People with medium to dark skin tones are especially prone. Pigmentation is often concentrated in the lower eyelids, forming a shadow-like appearance that doesn't improve with rest alone.
Here, the discoloration is more bluish or purplish due to dilated blood vessels visible under thin under-eye skin. This type of dark circle can fluctuate depending on fatigue, crying, alcohol use, or even menstrual cycles. Because the skin under the eyes is already among the thinnest on the body, any minor swelling or blood vessel congestion can result in visibly darkened areas.
These result from the natural anatomy of the face, including hollow tear troughs, bony prominence, or fat displacement with age. As collagen and fat diminish over time, shadows become more prominent, creating a sunken or "tired eye" look—even in people who are well-rested.
Heredity: A major determinant, especially for pigmentation and vascular types.
Age: Skin naturally loses elasticity and thickness, making blood vessels and bone structures more visible.
Sleep Deprivation: This doesn't cause dark circles directly but can make them appear worse by causing fluid retention and paleness of the surrounding skin.
Rubbing and Allergies: Chronic irritation can worsen pigmentation and vascular congestion.
Diet and Hydration: High salt and alcohol intake, combined with poor water consumption, can increase puffiness and under-eye discoloration.
Because dark circles have multiple overlapping causes, choosing the wrong treatment may result in no improvement or even worsening of the condition. An accurate, dermatologist-led diagnosis is essential to distinguish whether pigmentation, vascular issues, or anatomical hollowness is the dominant factor.
At ROHTO AOHAL CLINIC, the treatment journey always begins with an in-depth skin consultation. Our specialists use tools like VISIA skin analysis, dermatoscopic evaluation, and visual inspection under medical lighting to assess melanin levels, skin thickness, fat volume, and underlying vessels. This thorough diagnostic process ensures that treatment plans are precise, customized, and effective.
What may look like pigmentation to the untrained eye could be shadows cast by hollow tear troughs or thin skin revealing capillaries. Misdiagnosis can lead to ineffective product use or choosing the wrong in-clinic procedures. This is why ROHTO AOHAL CLINIC places strong emphasis on understanding each patient’s skin biology before any treatment begins.
How to Remove Dark Circles Under Eyes Permanently with In-Clinic Treatments
There is no one-size-fits-all approach. Based on diagnosis, a dermatologist will curate a plan using the following clinically proven treatments:
Indication: Pigmentation-related dark circles and general under-eye skin rejuvenation.
Methods Used:
Q-Switched Laser: Targets melanin and breaks it down without damaging surrounding tissue.
Fractional CO₂ Laser: Resurfaces the skin, stimulates collagen, and improves overall texture.
Fractional CO₂ laser treatment at ROHTO AOHAL CLINIC is performed by experienced dermatologists using advanced equipment, ensuring both safety and optimal results.
Advantages:
Visible improvement in skin tone and pigmentation
Boosts collagen around the eyes
Safe when performed by licensed professionals
Considerations:
Multiple sessions often required
Mild redness or peeling post-treatment
Avoidance of sun exposure is crucial after treatment
At Rohto Aohal Clinic, laser treatments are performed using Japanese-imported equipment, calibrated for Asian skin tones to minimize side effects and maximize outcomes.
Indication: Mild to moderate pigment-related circles.
Peels Used:
Lactic Acid
Glycolic Acid
Mandelic Acid (for sensitive skin)
Benefits:
Brightens the skin
Improves cellular turnover
Evens tone gradually over time
Recovery Time:
Minimal downtime (a few hours to a day of mild peeling or dryness)
Recommended in a series of 3–6 sessions
ROHTO AOHAL CLINIC’s dermatologists customize peel concentrations to ensure safety and optimal results, especially for those with darker skin who are at risk of post-inflammatory hyperpigmentation.
Indication: Structural dark circles due to hollowness.
Substance Used: Hyaluronic acid-based dermal fillers (Restylane, Juvederm)
Advantages:
Instant improvement in under-eye volume
Natural-looking correction of shadows
Minimal downtime
Duration: Effects last between 6 to 12 months, depending on metabolism and filler type.
Safety: Must be performed by trained professionals due to proximity to blood vessels and risk of bruising.
ROHTO AOHAL CLINIC ensures all filler procedures are ultrasound-guided when necessary, using cannula techniques to minimize trauma and swelling.
Indication: Skin laxity and collagen depletion causing visible shadows.
Techniques Used:
Thermage FLX
Ultherapy
Software HIFU
Mechanism: These devices use focused energy to heat deeper layers of skin, stimulating collagen and elastin production without damaging the surface.
Benefits:
Non-invasive, no needles
Improves skin tightness over time
Zero to minimal downtime
Timeline: Results develop gradually over 8–12 weeks and continue improving for months.
Indication: Uneven texture, pigment accumulation, or dull skin.
How It Works:
Microneedling creates controlled micro-injuries
PRP, rich in growth factors, is applied topically or injected
Stimulates healing and pigmentation regulation
Results:
Smoother skin texture
Lightened pigmentation over time
Improved collagen matrix
ROHTO AOHAL’s protocol includes strict sterilization and patient-specific PRP concentration, ensuring safety and efficacy in each session.
ROHTO AOHAL CLINIC is a dermatology leader in Vietnam, backed by Rohto Pharmaceutical Japan. With over 120 years of experience in skincare science, the clinic is synonymous with safe, advanced, and customized treatments for a range of facial concerns, especially under-eye rejuvenation.
We differentiate between structural, vascular, and pigmentation types using a multi-modal analysis before selecting treatment. This allows for precise targeting and higher success rates.
All treatments are carried out with equipment and protocols imported from Japan. From laser calibrations to skincare product formulations, everything is tailored to meet the unique needs of Asian skin.
Clients receive detailed consultations, realistic expectations, and clear cost breakdowns before any treatment is performed. Our high patient satisfaction rates stem from our integrity, expertise, and results-driven ethos.
Personalized diagnostic approach
Board-certified dermatologists with specialized under-eye training
FDA-approved equipment
Dedicated aftercare and patient education
Medical-grade facilities in both Hanoi and Ho Chi Minh City
Though in-clinic treatments are the cornerstone of permanent improvement, daily skincare supports and prolongs results.
Retinol: Stimulates collagen, thickens skin
Vitamin C: Antioxidant, brightens and reduces pigmentation
Caffeine: Temporarily constricts blood vessels, reduces puffiness
Peptides: Promote elasticity
Rohto’s own lines, such as DermaCEPT and AOHAL, offer dermatologist-formulated serums and creams specifically designed for sensitive under-eye areas.
Many over-the-counter creams are not formulated for true correction. Only those with medical-grade actives and clinically tested formulas offer real benefits—and even these work best as supportive measures alongside clinical care.
Sleep 7–9 hours per night
Elevate your head during sleep to reduce under-eye swelling
Drink plenty of water — at least 2 liters per day
Avoid rubbing eyes, especially during allergy seasons
Use SPF daily around the eyes, even on cloudy days
Limit screen time and rest eyes regularly
Combined with treatment, these changes create lasting under-eye clarity and radiance.
While some treatments deliver long-term or semi-permanent results, aging and lifestyle will always impact longevity.
Fillers: 6–12 months
Lasers/Peels: 12–24 months with good care
RF/Ultrasound: Continued improvement with annual sessions
PRP/Microneedling: Best done in a series, followed by yearly touch-ups
Clients should view “permanent” as long-term correction with maintenance—not a one-time cure.
“One eye cream solves everything” – False. Most creams only address hydration or puffiness.
“Only surgery helps” – In fact, non-invasive treatments like fillers and lasers are highly effective.
“Home remedies are enough” – Cucumber slices and cold spoons may offer temporary relief but don’t correct root causes.
“Dark circles mean poor sleep” – Sleep helps, but many cases are genetic or structural.
Q: Can dark circles be completely removed?
A: Many cases can be dramatically improved or corrected with medical care and skincare, though maintenance is usually needed.
Q: Are fillers safe under the eyes?
A: Yes, when done by trained dermatologists using proper techniques and FDA-approved products.
Q: How long before I see results?
A: Some treatments offer immediate results (e.g., fillers), while others (e.g., RF, PRP) take weeks.
Q: Can young people get treatment?
A: Adults 20+ with proper consultation can safely undergo treatment. Teens should focus on skincare and lifestyle.
Dark circles under the eyes may seem like a stubborn cosmetic issue, but with accurate diagnosis and the right combination of medical treatments, skincare, and lifestyle adjustments, long-term improvement is absolutely possible. At Rohto Aohal Clinic, our dermatologist-led approach ensures each treatment plan is tailored to your unique skin biology—whether the root cause is pigmentation, vascular congestion, or anatomical hollowness. Backed by Japanese skincare expertise, advanced technology, and a commitment to natural-looking results, we help you achieve brighter, younger-looking eyes with safety, precision, and confidence.
ROHTO AOHAL CLINIC - CONTACT INFORMATION
Branch: 02 Pham Dinh Toai, Vo Thi Sau ward, District 3, Ho Chi Minh City
☎ Phone: (028) 3930 9555
Branch: 207/4 Nguyen Van Thu, Da Kao Ward, District 1, Ho Chi Minh City
☎ Phone: (028) 3827 9737
Branch: 50 Nguyen Thi Thap, Tan Hung Ward, District 7, Ho Chi Minh City
☎ Phone: (028) 6686 8048
Branch: 136 Trieu Viet Vuong, Nguyen Du Ward, Hai Ba Trung District, Ha Noi City
☎ Phone: (024) 3375 5588
Email: info@rohtoaohalclinic.com.vn
Business License No. 3700239769-001 issued on 04/07/2014 by Ho Chi Minh City Derpartment of Planning & Investment
Managed by: BRANCH NO. 2 OF ROHTO-MENTHOLATUM (VIETNAM)
