Dark circles, bags and loose skin in the periocular contour

With the occurrence of dark circles and bags under the eyes, we look tired, ill or older than our real age. The team of experienced dermatologists at the Derma-Act clinics can solve this problem using innovative methods completely safely and effectively, without surgical intervention.

What are dark circles under the eyes?

Dark circles are a darker tone of the skin in the area under the eyes and occasionally on the upper eyelids. The skin in these regions is significantly thinner and blood vessels are transparent, giving the skin a violet shade. Dark circles are significantly more emphasized in people with paler skin and deep-set eyes.

About 50% of women suffer from dark circles under the eyes, which places the problem in the top 5 of undesired skin imperfections. Dark circles differ from bags under eyes. Bags are a swelling in the area of the upper eyelids caused by the loosening of fats under eyes or fluid retention.

What are the causes for the occurrence of dark circles under eyes?

We often say that the lack of sufficient sleep leads to the occurrence of dark circles. However, there are a number of other reasons due to which people suffer from this problem. Dark circles may be caused by genetic predisposition, may be associated with obesity, endocrine gland diseases, allergic problems or dermatitis resulting from of incorrect use of cosmetics.

The main causes of the occurrence of dark circles under the eyes are as follows:

Aging: The skin around eyes is very thin. With aging, the elastin and collagen required for the maintenance of skin elasticity decrease. Thus, the skin becomes thinner and the dark blood vessels under it become more visible. Besides, the loss of collagen combined with the loss of bone mass also create depressions under the eyes. As a result, the area that once had its full volume now looks hollow and darkened.

Exposure to sunlight: When exposed to sunlight, the skin produces an increased amount of melanin. This is especially relevant for the area around the eyes.

Fatigue: The lack of sleep or excessive fatigue may cause dilatation of blood vessels under the eyes, causing darkening and dark circles.

Allergies: Allergies cause the release of histamines which are responsible for the accumulation of fluid in the area around the eyes, the occurrence of swelling and darkening of blood vessels.

Heredity: If your parents have dark circles under their eyes, it is very probable that you will inherit them.

Smoking: Smoking accelerates aging since it decomposes collagen and elastin. If you are a smoker, then the thin tissue around your eyes is "obliterated" more quickly. It makes the blood vessels under your eyes more visible.

Diagnosis of acne

The guidelines for treatment of acne at the Derma-Act clinics are always personalized. Before prescribing them to a patient, diagnosis and analysis of the skin using the VISIA® system – a device for imaging and graphic presentation of the skin state, take place. Adolescent girls are also encouraged to undergo a prophylactic gynaecological examination and additional laboratory tests, as needed.
Follow-up examinations and imaging are prescribed for a more careful follow-up of the effectiveness of treatment. The therapy can be adjusted depending on the progression of the disease.


You probably know how difficult is to “obliterate” dark circles and bags under the eyes. Until recently, their treatment was considered impossible, but nowadays this is not true at all. The specialized medical team at the Derma-Act clinics is capable of employing modern methods by which the rejuvenation of the delicate skin under the eyes giving it a fresh and shining appearance, is achieved.

For treatment of dark circles, bags and loose skin in the periocular zone, we offer a combination of procedures to achieve an optimal result. The treatment plan includes different methods with hyaluronic fillers, hydration with mesotherapy and boosters, lifting with Plasma BT and tightening with TempSure и Maximus radio frequency lasers.

Hyaluronic fillers

  • Non-invasive;
  • No recovery period;
  • Natural results;
  • Completely safe.

Fillers are used in various aesthetic corrections such as filling wrinkles, lip augmentation, modelling of scars, face contouring, chin shaping, correction of dark circles in the eye contour, mild corrections of the nose, etc. Their main component is hyaluronic acid, which is a natural component of the human body. The benefits of a filler in the area of the eyes are as follows:

  • Deep hydration;
  • Filling fine lines and wrinkles;
  • Elimination of dark circles and loose skin;
  • Recovery of volume.

Non-surgical blepharoplasty with PLАSMA BT

  • Minimally invasive;
  • No recovery period;
  • No scars;
  • Completely safe.

Plasma Beauty Technology (Plasma BT) provides a non-surgical lift of the upper and lower eyelids and treats wrinkles in the eye contour. Until recently, blepharoplasty was the only method for removal of excessive skin on the upper and lower eyelids. However, new revolutionary technologies in the direction of non-surgical blepharoplasty, such as procedures with PLАSMA BT, are available today. The therapy acts locally without affecting surrounding tissues.

Through non-surgical blepharoplasty with Plasma BT, all the risks associated with traditional surgical intervention are avoided – no excess skin or fatty tissue is removed and the orbicular muscle is not modified. The procedure is quicker and safer than traditional blepharoplasty. It is a favourable option for patients who do not want to undergo classic surgery having indications for lifting of eyelids. Moreover, unlike surgical blepharoplasty, it enables the performance of additional corrections after the procedure.

RRS mesotherapy cocktails

The RRS preparations are professional mesotherapeutic cocktails which effectively combat various skin problems using their specifically developed formula. In practice, these high-quality mixtures stimulate the dermis and provide an ideal hydro-balance, biorevitalizing the skin. Apart from hydrating and renewing the skin structure, they also have a potent antioxidating effect.

The formulation of RRS® HA EYES is a cocktail for injection mesotherapy specifically designed for the skin around the eyes. The therapy improves the eye contour, fills superficial wrinkles around the eyes and is highly effective against dark circles and tired look.

SuneKOS 200 skin booster

SuneKOS 200 is an injection therapy with a patent formulation containing hyaluronic acid and the combination of six amino acids, effectively protecting skin from the signs of aging stimulating synthesis of collagen and elastin and restoring its natural elasticity.

The procedure is especially effective for decreasing dark circles and bags in the area around the eyes. It is applicable to the areas of the forehead, neck, décolletage and arms.

Tightening with MAXIMUS & TEMPSURE

  • Non-invasive;
  • No recovery period;
  • Natural results;
  • Completely safe.

Maximus is a non-invasive instrumental procedure which combines the effects of tripolar radio frequency and dynamic muscle contraction. Radio frequency energy heats the tissues in depth, thus stimulating the production of collagen and elastin, melting fatty tissue and improving blood circulation. Electrical muscle stimulation causes an increase of muscle tone and underlining of the muscle definition.
In the area of the face, the result is skin tightening, reduction of fine lines and wrinkles, lifting of the oval and a rejuvenated general appearance.

TempSure is a non-invasive instrumental procedure which acts through monopolar radio frequency. Tissues are heated evenly in depth, thus stimulating the formation of collagen and elastin and smoothing fine lines and wrinkles.

Benefits of treatment with Cutera excel V+

Impressive results

Administration with a simultaneous drug treatment is possible


No side effects

Applicable to all skin types

Even in the summer period

No recovery period

No interruption of daily work rhythm is required

Combined therapies

For an effective treatment of acne, we recommend combining:

Cutera Cool view therapy with Green Genesis in a single visit:
The Green Genesis tip has an anti-inflammatory effect, activates the regulatory mechanisms of the sebaceous gland functioning and relieves redness and inflammatory process.

Chemical peeling
Chemical peeling is a skin treatment for the purpose of a visibly improving tissue structure through the administration of different exfoliating solutions.
SKIN TECH Easy Phytic Solution offers a combination of active acids such as the glycolic, lactic and mandelic acids combined with the antioxidating effect of phytic acid.
PH Formula A.C.
– specifically designed for correction of the main acne manifestations such as comedones, papules and pustules. They are designed to act against the factors causing acne – seborrhea, hyperkeratinization, microbial colonisation, inflammation.

A non-invasive instrumental procedure that uses mechanical exfoliation with fine diamond heads, abrasive crystals and vacuum to remove the superficial epidermal layer of skin.

Aqua peeling
Innovative therapy for deep facial cleansing and regeneration of skin using specially developed serums and controlled vacuum.
The exfoliating serum is applicable on normal, dry and sensitive skin.
The composition is designed to exfoliate, deep-clean and hydrate by removing dead cells and making the skin smooth, soft and clean.
The cleansing serum is applicable on oily and acneic skin. Emulsification and removal of sebum from oily skin, extraction of comedones and therapy for black dots.
The moisturising serum constitutes an infiltration of hydrating and active ingredients. It contains substances enriched with growth factors.

Medication local and systemic therapies are prescribed after an examination by a dermatologist.


Frequently Asked Questions

In most cases, dark circles under the eyes are not a sign of a serious disease. They may be caused by dehydration or injury (bruising).
A change in certain habits in your life can facilitate the prevention or reduction of the formation of dark circles under eyes. Sleep sufficiently, reduce stress as much as possible, quit smoking, reduce alcohol consumption. Wear sunglasses and a sun-protection cream to protect the skin around eyes from hazardous UV rays.
The Derma-Act clinics offer a variety of laser dermatological and cosmetic procedures designed for the sensitive area around the eyes which are completely safe and supereffective. Our medical team has a year-long experience in the laser treatment of undesired dark circles and wrinkles around eyes.
After the treatment, your dermatologist will prepare a personal programme for maintenance of the results which will effectively prevent the occurrence of dark circles and bags under your eyes.

Before and After