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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Dark Blue And Green Spots Under The Eye Indicate?

I have small dark blue/green spots under one of my eyes, my skin is not disclosured, the skin is thin here and the spots are obvious. It looks like a permanent black eye which is a daily battle to conceal. I have had this for 15 years, but want to know if there is anything I can do do reduce the impact.
Wed, 5 Apr 2017
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General & Family Physician,  's  Response
I totally understand your concerns about the aesthetic appearance of these dark blue spots under your eyes.
These are known as dark circles.
In order to give you the best medication to help you reduce these dark circles we must understand the possible cause.
1- Allergies can cause dark circles. if you feel your eyes are itching this can be a clue to this case. Allergies happen mostly during the allergy season and might sometimes be due to certain food. If this applies to you, you should prevent any contact with a known allergen and take antihistamine such as aerius
2- Anemia: if you are a female with heavy menses, you might have anemia which will make your dark circles worse. In this case i highly recommend you to do a complete blood count CBC, and if anemia is confirmed you should start on iron supplementation on one hand, and decrease your menses if they are heavy on the other hand mainly by using Oral contraceptive pills (OCPs)
3- hyperpigmentation: melanin deposition might sometimes be higher in this area. Ointments for dark circles containing hydroquinone are effective measures to a certain extent to decrease the darker appearance of the skin
4- Depressed skin : some patients lack sometimes fat tissue under the eyes making them look older and giving this area a dark appearance. if you look to the area under your eyes and you find as if there is missing fat layer (depressed skin compared to the jaw line) then you will benefit a lot from hyaluronic acid injections to this area (juvaderm for example)
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What Do Dark Blue And Green Spots Under The Eye Indicate?

I totally understand your concerns about the aesthetic appearance of these dark blue spots under your eyes. These are known as dark circles. In order to give you the best medication to help you reduce these dark circles we must understand the possible cause. 1- Allergies can cause dark circles. if you feel your eyes are itching this can be a clue to this case. Allergies happen mostly during the allergy season and might sometimes be due to certain food. If this applies to you, you should prevent any contact with a known allergen and take antihistamine such as aerius 2- Anemia: if you are a female with heavy menses, you might have anemia which will make your dark circles worse. In this case i highly recommend you to do a complete blood count CBC, and if anemia is confirmed you should start on iron supplementation on one hand, and decrease your menses if they are heavy on the other hand mainly by using Oral contraceptive pills (OCPs) 3- hyperpigmentation: melanin deposition might sometimes be higher in this area. Ointments for dark circles containing hydroquinone are effective measures to a certain extent to decrease the darker appearance of the skin 4- Depressed skin : some patients lack sometimes fat tissue under the eyes making them look older and giving this area a dark appearance. if you look to the area under your eyes and you find as if there is missing fat layer (depressed skin compared to the jaw line) then you will benefit a lot from hyaluronic acid injections to this area (juvaderm for example)