Dark Circles Under the Eyes: Treatment Varies by Type | [Official] Smart Skin Clinic Group, Tokyo and Yokohama


Dark Circles and Sagging Under the Eyes
That bear,
Depending on the type
Treatment is changing.
Dark circles under the eyes can be caused by poor blood circulation, pigmentation, or shadows created by sagging skin. Even if they look similar, the underlying causes are different, and choosing the wrong treatment won’t produce any results. The first step is to identify the specific type.
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Type of Dark Circles
The bear,
It can be broadly divided into three categories.
The treatment you choose will depend on which category applies to you.
The skin under the eyes is the thinnest on the face, causing the blood vessels beneath it to show through, appearing bluish-purple. These dark circles tend to become more pronounced due to lack of sleep or eye strain, and their appearance can vary from day to day depending on one’s physical condition.
This condition results from the accumulation of melanin caused by friction from rubbing or exposure to ultraviolet rays. A telltale sign is that the color does not fade even when the skin is gently stretched and remains consistent regardless of your physical condition.
This is a condition in which the position of the skin and fat changes, causing shadows to fall on the resulting unevenness, making it appear dark. The discoloration becomes less noticeable when you look up and more noticeable when you look down. It is a matter of shape, not color.
How to tell them apart
If you rely solely on your own judgment,
I can't tell them apart.
This is because these three elements do not always appear separately; more often than not, they overlap.
There are many cases where they overlap
Blue and black dark circles appear simultaneously, with shadows cast over brown dark circles—in reality, this situation is quite common. Even if you treat just one of them, the remaining factors may prevent the overall appearance from changing.
Thin skin is a common factor
The skin under the eyes is thinner than the skin on the cheeks. As a result, blood vessels are more visible, the skin is more susceptible to friction, and sagging becomes more apparent. Improving the quality of this underlying skin is important regardless of the specific type of treatment.
Things to Check During a Medical Examination
Changes in skin color when gently pulled, differences in pigmentation when looking up or down, and the presence or absence of protruding orbital fat. By examining these three points, you can determine which factors are involved and to what extent.
That is exactly why our clinic offersFirst, we determine the type of condition before selecting a treatment.Please treat the self-check as a general guide only and have it confirmed during your examination.
Treatment Options
Regarding the area under the eyes,
Three Approaches.
Which ones you need depends on the type of bear and the condition of its skin.
We use products such as Sune Kospa Forma, which are specifically designed for the eye area. These products are gentle on the thin skin and are intended to restore firmness and thickness.
Jubeluck, Renisna, Purial, and others. These ingredients stimulate collagen production in the dermis and improve the overall quality of the skin. They help reduce the appearance of visible blood vessels and pigmentation.
Jalpro Super Hydro, etc. Addresses both fine lines caused by dryness and shadows caused by a lack of firmness. For those with fine lines around the eyes.
From the Doctor
If you choose the wrong type,
I don't see any changes.
"No matter what I try, nothing changes under my eyes"—this is the comment we hear most often when people consult us about their eye area.
In many cases, the issue lies not in the effectiveness of the treatment but in the misdiagnosis of the condition. Treating dark circles caused by shadows with a pigment-based treatment will not produce any results, and the reverse is also true.
At our clinic, we first examine any changes in skin color when the skin is stretched and any differences in pigmentation depending on the position of the face. Based on this, we explain the extent to which each factor is involved and present several possible treatment options.
The skin under the eyes is the thinnest on the face; while it shows changes easily, it is also particularly prone to stress. That is precisely why we recommend only the treatments you truly need. We do not use counselors; instead, a doctor will listen to your concerns from the very beginning.

General Director, Smart Skin ClinicKota Ishii
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Our clinic makes a "promise to our patients" that we do not engage in sales tactics. Please feel free to consult with us while you are still at the stage of simply wondering.
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Risks and Side Effects
- Redness, swelling, pain, and bruising at the injection site
- Temporary stiffness, asymmetry
- In thread-based treatments, tightness and indentations
- The extent of the results and the duration of downtime vary from person to person.
Those who are not eligible for the treatment
- Women who are pregnant or breastfeeding
- People with impaired immune function or those undergoing immunosuppressive therapy
- People who are prone to keloids, hypertrophic scars, or pigmentary disorders
- People with a tendency to bleed or those taking anticoagulants or similar medications
- Individuals with sunburn, eczema, dermatitis, or severe inflammation in the treatment area
About Fees
The treatment for under-eye concerns varies depending on the type of dark circles and the condition of your skin. Therefore, fees differ for each procedure. During your consultation, we will explain the necessary treatments and provide a total cost estimate. We will not make any additional recommendations.
Legal Notices
The treatments described on this page involve the use of drugs or medical devices that are not approved in Japan. The drugs and devices used for treatment have been imported through personal import procedures based on the judgment of our clinic’s physicians. There are no domestically approved drugs or medical devices with the same ingredients or performance characteristics. Please refer to the Ministry of Health, Labor and Welfare’s website for information on drugs and medical devices that require caution when imported through personal import procedures.
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