KEY TAKEAWAYSDark circles are one of those concerns patients bring up almost apologetically, usually after mentioning they already sleep enough, drink enough water, and still cannot get rid of them. If that describes you, there is a good chance your dark circles are genetic rather than a lifestyle failure, and understanding which type you have changes everything about how to treat it.
Pigmentary. Caused by excess melanin deposition in the delicate under-eye skin. This type is strongly hereditary and tends to run in families. It is also disproportionately common in darker skin tones, meaning many Malaysians are working against a genetic predisposition that lighter-skinned populations simply do not have to the same degree.
Vascular. The skin under the eyes is some of the thinnest on the body, and in people with naturally thin or pale under-eye skin, underlying blood vessels can show through as a bluish or purplish tinge. This type often worsens with fatigue and poor sleep, since dilated blood vessels become more visible when tired.
Structural. As we age, or sometimes from birth in the case of naturally prominent tear troughs, volume loss beneath the eye creates a hollow that casts a shadow, giving the appearance of dark circles even without extra pigment or visible vessels.
Many people actually have a combination of two or three types simultaneously, which is why a single product marketed as a cure-all rarely works for everyone.
| DOCTOR INSIGHT
Dr. Shilpa Suresh, Premier Clinic KL City, Bangsar & Mont Kiara “Pigmentary dark circles are genuinely one of the harder concerns to treat completely, especially in medium to deep skin tones. I am upfront with patients that we are aiming for meaningful improvement, not complete elimination, because the underlying melanin activity in the skin does not simply switch off.” |
| WHAT OUR PATIENT SAID
Aisyah, 34 “My mother and both my siblings have the same dark circles I do, so I always assumed it was just genetics and nothing could really be done. It turned out mine were a mix of pigmentation and some volume loss, and treating both together made a noticeably bigger difference than any eye cream I had tried over the years.” |
One factor that gets overlooked in Malaysia specifically is allergic rhinitis, which is extremely common given the year-round humidity and dust exposure. Chronic nasal congestion causes blood vessels around the eyes to dilate and darken, while the itching that comes with it leads to frequent eye rubbing, which further irritates the delicate skin and can worsen pigmentation over time.
| DOCTOR INSIGHT
Dr. Rachel Chong, Premier Clinic TTDI & Bangsar “I ask almost every patient with dark circles whether they have chronic sinus issues or rub their eyes often. It surprises people how often the answer is yes, and how much just addressing the underlying allergy and reducing eye rubbing helps before we even start any in-clinic treatment.” |
| OUR PATIENT’S EXPERIENCE
Kok Wei, 29 “I have had a stuffy nose more or less permanently for years and never connected it to my dark circles until it was pointed out during a consultation. Managing my allergies properly with my GP actually reduced the darkness a bit on its own, even before I started any treatment at the clinic.” |

For pigmentary dark circles, treatment usually centres on topical brightening ingredients, chemical peels formulated for the delicate eye area, or laser treatments, always approached cautiously given the higher risk of triggering further pigmentation in darker skin if settings are not properly calibrated.
For vascular dark circles, treatments that thicken and strengthen the thin under-eye skin, along with addressing lifestyle contributors like sleep and allergies, tend to help most.
For structural dark circles, volume restoration through tear trough filler or skin boosters can reduce the shadowing effect significantly, since the issue is fundamentally about lost volume rather than pigment or vessels.
| DOCTOR INSIGHT
Dr. Foo Wing Jian, Premier Clinic Mont Kiara “The number one question I get is why an eye cream that worked for a friend did nothing for the patient in front of me. It almost always comes down to treating the wrong type. A cream aimed at pigment will not fix a hollow that is really a volume problem, and no amount of patience will change that.” |
Some factors that contribute to dark circles are difficult or impossible to change completely, while others can be improved.
| You may not be able to completely change | You may be able to improve |
| Your natural skin pigmentation | Excess pigmentation triggered by irritation or sun exposure |
| Your genetically determined skin thickness | The appearance of the skin with appropriate skincare or professional treatment |
| Your natural facial structure | Shadowing caused by certain types of volume loss |
| Your tendency to develop under-eye hollows | Lifestyle factors that worsen puffiness or tired appearance |
| Family predisposition | Eye rubbing and allergy-related irritation |
The goal is therefore not always to “cure” dark circles completely. A more realistic approach is to identify which factors are contributing and determine which of them can be improved.
It depends on the type and cause. Structural and vascular dark circles often respond very well to treatment, while genetic pigmentary dark circles can usually be significantly improved but rarely eliminated entirely.
Hydration helps with overall skin health and can reduce mild puffiness, but it will not meaningfully change genetic pigmentation or structural volume loss, which are the more common underlying causes.
Dark circles are often a combination of genetics, individual skin thickness, allergy patterns, and even sleep habits, so siblings with similar genetics can still present quite differently depending on these other factors.
Yes, pigmentary dark circles are more prevalent and often more pronounced in medium to deep skin tones due to how melanin is distributed and produced in the under-eye area.
Getting enough sleep does not necessarily prevent dark circles. Genetics, natural skin pigmentation, thin under-eye skin, tear troughs, eye bags, allergies and age-related changes can all contribute to a darker appearance beneath the eyes.
Improving sleep and staying hydrated may help reduce a tired or puffy appearance, but these changes are unlikely to completely remove dark circles caused by pigmentation or facial structure.