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Dark circles and bags under the eyes
Medically reviewed by Dr. Shirin Milani / Dr. Veith Moser — Specialists in Plastic, Aesthetic and Reconstructive Surgery (Austrian Medical Chamber)Last updated: 26.03.2026
Dark circles or bags under the eyes are caused by the lower eyelid falling. There is often a family tendency to do this and it is not uncommon for patients to come to us around the age of 30. Those tear bags give a sad and tired impression, which cannot be concealed even with make-up.

Dark circles and bags under the eyes
More beautiful eyes by reducing bags under the eyes
The drooping of the lower eyelid over time leads to dark circles and teardrops problems that often make those affected appear older than they actually are. Those tear bags give a sad and tired impression, which cannot be concealed even with make-up. There is often a family tendency towards the formation of bags under the eyes. Patients often come to us around the age of 30 to have their eyes — and thus the entire face — to give a fresher expression again.
The inner part, also called tear trough “tear trough” called, is often the first sign of the development of dark circles under the eyes and leads many patients to the doctor. Treatment of dark circles under the eyes
With modern hyaluronic acids, the problem areas below the eyes can be very be treated well. Hyaluron leads to a harmonization of the affected areas. Another alternative in the treatment of dark circles under the eyes is the radio frequency method (Thermage®). This technique can be used to treat mild cases of dark circles and hanging cheeks correct without surgery. In addition, the formation of new connective tissue leads to prophylaxis or prevention of further sagging.
Severe cases of unsightly dark circles under the eyes or bags under the eyes with a very lax, lax lower eyelid as well as very advanced findings continue to represent a domain of surgery.
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