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Dark Under Eyes

Dark under eyes, often referred to as periorbital hyperpigmentation or tear trough shadowing, are one of the most common aesthetic concerns. 


They create a tired, hollow, or shadowed appearance even when well-rested. Causes can include skin thinning, pigmentation, vascular congestion, or loss of structural support beneath the eyes. 


At Haus of Ästhetik, we identify the true cause, pigment, volume, or vascular tone, before tailoring a treatment plan that restores brightness, smoothness, and vitality to the eye area safely and naturally.

Overview

Dark under eyes, often referred to as periorbital hyperpigmentation or tear trough shadowing, are one of the most common aesthetic concerns. 


They create a tired, hollow, or shadowed appearance even when well-rested. Causes can include skin thinning, pigmentation, vascular congestion, or loss of structural support beneath the eyes. 


At Haus of Ästhetik, we identify the true cause, pigment, volume, or vascular tone, before tailoring a treatment plan that restores brightness, smoothness, and vitality to the eye area safely and naturally.

  • This concern affects both men and women, often appearing in early adulthood and worsening with age. 


    Those with lighter skin and prominent orbital hollows tend to show vascular darkness, while deeper skin tones may develop melanin-based pigmentation. 


    It is frequently seen in patients with high screen exposure, irregular sleep, or sinus congestion.

    • Dark or discoloured area beneath the eyes (blue, brown, or purple hue)

    • Hollowness or shadowing along the tear trough

    • Fine lines and crepey skin texture

    • Mild swelling or puffiness (especially on waking)

    • Fatigue or “tired look” despite adequate rest

  • There is no NICE guidance specifically for tear-trough darkness or under-eye bags and pigmentation. Likewise the BNF does not provide targeted recommendations for under-eye fillers or pigment correction in that anatomical area.

  • 1. Teoxane Redensity II (Tear Trough Filler)

    • Specifically designed for the delicate under-eye region.

    • Contains low-viscosity hyaluronic acid combined with antioxidants, amino acids, and minerals.

    • Smooths hollowness, reduces shadowing, and improves dermal quality without puffiness.

    • Visible improvement within 1–2 weeks, lasting up to 12 months.

    • Fully regulated under MHRA and BNF guidance for POM administration.

    2. mesoestetic Dermamelan or Melan Tran3x (Pigmentation Correction)

    • Targets melanin overproduction and oxidative stress contributing to dark pigmentation.

    • Combines tyrosinase inhibitors and antioxidants to brighten and even skin tone.

    • Safe for all Fitzpatrick types under clinical supervision.

    3. Mesoestetic Eyecon Treatment Protocol

    • A dedicated professional programme for under-eye pigmentation, puffiness, and fine lines.

    • Involves gentle periocular peel, contour mask, and targeted homecare.

    • Restores brightness and smoothness over a course of 6 sessions.

    4. Teoxane R[II] Eyes Contour Cream

    • Clinically formulated for home maintenance with caffeine, peptides, and RHA hyaluronic acid.

    • Reduces puffiness and lightens darkness while supporting skin hydration.

    5. Collagen-Stimulating and LED Therapies

    • Red LED improves circulation and lymphatic drainage.

    • Stimulates fibroblasts for firmer, more oxygenated skin under the eyes.

    All injectables and peels are administered by qualified medical practitioners under CQC Regulation 12: Safe Care and Treatment, with full informed consent, batch traceability, and aftercare documentation.

  • Suitable for most adults seeking improvement in pigmentation, hollowing, or fatigue-related darkness. 


    A thorough consultation assesses vascularity, pigmentation depth, and anatomical factors to determine suitability. 


    Contraindications include pregnancy, breastfeeding, active infection, or recent surgery in the periocular area.

    • Tear trough filler: immediate structural improvement with smoother contour and reduced shadowing.

    • Pigmentation therapies: progressive lightening over 4–8 weeks.

    • LED and collagen treatments: cumulative radiance and firmness with repeated use.Patients typically report looking more rested, refreshed, and balanced while maintaining natural expression.

    • Avoid touching or massaging the area for 24 hours post-injectable treatment.

    • No makeup, alcohol, or exercise for 24 hours.

    • Apply cold compresses to minimise swelling if required.

    • Maintain hydration and daily SPF 50+ to prevent recurrence of pigmentation.

    • Use mesoestetic Melan Recovery or Teoxane R[II] Eyes for gentle home maintenance.

    • Schedule review appointments every 9–12 months for tear trough maintenance or sooner for pigmentation protocols.

  • Book a Periorbital Rejuvenation Consultation at Haus of Ästhetik for a detailed eye-area assessment. 


    We analyse structural support, pigmentation depth, and vascular tone using clinical criteria to select the safest, most effective treatment plan. 


    All procedures are performed under CQC Regulation 12: Safe Care and Treatment, with clear documentation, product traceability, and written aftercare. You’ll leave with restored brightness, confidence, and a natural, refreshed look.

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