What are the Causes of Under-Eye Bruises?
Under-eye bruises is the deepening of the color around the eyes as a result of various processes. The three most common types of bruises behind the eyes can be classified.
One of them is bruising caused by melanocytes, the cells that give color to the skin around the eyes and produce too much color matter. It is often hereditary. Such bruises around the eyes can be seen in people with an allergic nature, metabolic disease, thyroid disease, high cholesterol, diabetes or spending a lot of time in front of the computer; It can also be caused by a vitamin deficiency. The underlying muscle and vessel image presents an outward reddish-purple reflection due to the relatively thin skin under or around the eyes, the second most common cause of under-eye dark circles. In such cases, instead of a brown bruise around the eyes, we detect a more purple and reddish appearance. Another cause of dark circles under the eyes is the tear trough, which is a depression under the eyes. This indentation can be associated with a loss in collagen and fat content, as well as thinning and melting of the orbital bone of our eye as we age. Apart from these situations, the following situations are effective for bruises under custody;
- Insomnia: Excessive tiredness, insufficient sleep, or sleeping more than usual can contribute to dark circles under the eyes. Sleep deprivation can cause skin to appear dull and pale, revealing dark tissues and blood vessels below the surface. Insomnia can also cause fluid collection under the eyes and swelling in these areas. Dark circles under the eyes are sometimes caused by swollen eyelids.
- Age : Dark circles under the eyes are usually caused by the normal aging process. As people age, their skin becomes thinner and loses its elasticity. The amount of subcutaneous adipose tissue and collagen, which provides the elasticity of the skin, decreases. As a result, black blood vessels under the skin become more visible, causing the under eye area to appear darker.
- Eye strain : Looking at computer, tablet and phone screens can cause serious eye strain. When this tension continues for a long time, the blood vessels surrounding the eyes widen. As a result, the eye area and under-eye areas appear black.
- Allergies : Dark circles can be caused by allergic reactions and dry eyes. When an allergic reaction occurs, histamines are produced in response to structures in the body that are considered dangerous. The release of histamine not only causes pain such as itching, redness and swelling in the eyes, but also causes blood vessel dilation. As a result, the veins under the relatively thin under-eye skin become more prominent. Scratching and scratching the eye and its surroundings as a result of irritant allergies can aggravate the bruises. This can cause blood vessel irritation, swelling, and cracking. The bruising is exacerbated by blood vessel cracking.
- Genetics: If bruises under the eyes are common among family members, the prevalence of this condition is generally higher in other people. This syndrome is also present in childhood as an inherited trait and may increase further as the person matures.
What are the different treatment options for dark circles under the eyes?
Various treatments are applied according to the cause of under-eye bruises. For example, if there is bruising around the eyes caused by the increase in the brown pigment color matter that occurs around the eyes in general; We treat with laser, q-switched Nd:YAG laser, illuminating mesotherapy applications, peeling around the eyes.
If the vascular muscle layer under the skin around the eyes is visible due to thinning of the skin around the eyes, we perform procedures to improve the quality or thickness of the skin. Radiofrequency is one of these treatments. We can use lasers such as Salmon DNA, Mesotherapy or Nd:YAG laser or Fractional laser that do not peel the skin, which peels the skin but thickens it over time. Finally, if a bruise has formed by the pit of the tear duct, we perform a procedure known as under-eye filler.

How Does Under-Eye Filling Work?
Under-eye filler is performed by injecting a substance known as hyaluronic acid under the tear trough. This hyaluronic acid is a specific type of hyaluronic acid. Injecting a filler containing lower amounts of hyaluronic acid, minerals and amino acids such as copper and zinc fills the dimpled area while also improving skin quality. In other words, it stimulates collagen formation more effectively. We inject this filler with cannulas, which are normally non-pointed, round-tipped special needles. We reduce the risk of bruising in that area, as it is sensitive to vascularity.
Considerations After Treatment
It is important not to put too much pressure on the treated area after the under-eye filler. It is not recommended to lie face down for a long time on the day of application or the following few days. It is important not to aggravate the area when washing the face or removing makeup.
Another factor to remember is that water should not be touched to avoid infection. We recommend that you do not spend too much time in heated places such as Turkish baths, saunas and solariums. Such conditions can produce molecular changes in the filler, allowing the effect to wear off more quickly and in some cases producing responses such as edema.
What is the Effect Period of the Treatment? How long will the session take? What are the risks?
Since hyaluronic acid is a chemical that increases in volume when it absorbs water, maximum benefit is usually achieved in a month. Especially if cannula needles are used, the probability of damage to any vessels or nerves after surgery is very low; If pointed needles are used, there is a risk of bruising, and if intravenous injection is made, some large sores may develop on the skin.
Hyaluronic acid injections have a longer duration of action than collagen injections. The effects of hyaluronic injection typically last 6 to 12 months. That way, you don’t have to repeat multiple treatments to maintain the effect. In addition, hyaluronic acid produces more natural-looking effects than botox or some face lifts, as it expands the skin with moisture and plumps it from the inside. As a result, hyaluronic acid is a popular application for lip plumping, smoothing nesolobial wrinkles, and improving the appearance and shape of the chin.
Aging is a natural process that manifests itself in the entire human body, especially the face. The formation of hyaluronic acid in the skin and subcutaneous fat layer decreases as a result of variables such as constant activity of mimic muscles, the effect of external conditions, gravity, and smoking. With the decrease of some structural components such as collagen fibers in the skin, sagging and wrinkles appear. The FDA has accepted the approval of the hyaluronic acid facial filler. Hyaluronic acid, a safe and natural substance that does not contain animal ingredients, adds volume to the injection site.
Does Under-Eye Filling Treatment Cause Pain?
Since the cannula is injected from only one place during the treatment, the patient does not feel much discomfort. The injected filler contains a narcotic active ingredient. This active ingredient ensures that the filler does not cause discomfort after it is injected. Since the entrance is made from a single place, the patient does not feel much discomfort during the operation.
Who Gets the Treatment?
People with prominent under-eye cupping should definitely use under-eye fillers. In other words, if there is no hollow area under the eyes, it is wrong to apply it to those people.
What is the Effect Period of the Treatment?
The average duration of under-eye filler is 9 to 12 months. Considering the variables that will increase the effect of the filling described above, its permanence can be increased up to 12-18 months.