Dark Circles Under Eyes? Your Liver Might Be the Hidden Cause, Says Dermatologist
Dark Circles Under Eyes? Your Liver Might Be the Cause

Are you battling persistent dark circles that refuse to fade despite ample sleep and expensive creams? While fatigue and genetics are common culprits, a dermatologist highlights a surprising internal organ that could be responsible: your liver. This connection underscores that skin issues can sometimes be a window into deeper health concerns.

The Unexpected Link Between Liver Health and Dark Circles

Dr. Rupika Singh, founder and chief dermatologist at Akiya Aesthetics, explains that the state of your liver can manifest on your skin. The liver is the body's primary detoxification organ, responsible for filtering out toxins. When it becomes sluggish or stressed due to factors like a poor diet, excessive alcohol consumption, or chronic sleep deprivation, it can lead to a general dullness and tired appearance of the skin. This overall lack of radiance can make the delicate under-eye area appear notably darker.

However, Dr. Singh clarifies that the liver is rarely the sole offender. "Most people with dark circles have a mix of reasons like genetics, fatigue, or dehydration along with internal causes," she states. It is typically a combination of factors that leads to those stubborn shadows.

How to Differentiate Liver-Related Dark Circles from Common Ones

Distinguishing between standard dark circles and those hinting at liver stress is crucial. According to Dr. Singh, liver-related pigmentation often comes with accompanying signs. "Other signs like overall dullness, puffiness, or a yellowish skin tone often accompany liver-related dark circles. You may also notice tiredness, low energy, or mild digestive issues," she elaborates.

In contrast, typical dark circles caused by lack of sleep, excessive screen time, or rubbing your eyes are usually more localised. They tend to improve significantly with corrective lifestyle measures such as proper rest, increased water intake, and dedicated under-eye care.

Other Key Contributors to Under-Eye Darkness

Beyond liver function and lifestyle habits, several other factors play a major role:

  • Genetics: The natural thinness of under-eye skin makes underlying veins and pigmentation more visible.
  • Aging: As we age, we lose collagen and fat around the eyes. This causes the area to hollow out, making shadows more pronounced.
  • Additional Factors: Dehydration, low haemoglobin (anaemia), sun exposure, allergies, and having deep-set eyes are common contributors. Dr. Singh adds that smokers may experience these aging-related changes much earlier.

Effective Strategies to Treat Stubborn Dark Circles

The path to reducing dark circles begins with identifying the root cause. Treatment must be tailored accordingly:

For Pigmentation: Eye creams containing brightening agents like vitamin C, niacinamide, kojic acid, or caffeine can help. "These ingredients help brighten and improve circulation," notes Dr. Singh.

For Hollowness: Structural loss leading to shadows may require professional treatments such as dermal fillers or PRP (Platelet-Rich Plasma) therapy administered by a dermatologist.

Lifestyle Foundation: Regardless of the cause, foundational habits remain essential. These include ensuring adequate sleep, staying hydrated, applying sunscreen daily, gentle under-eye care, light massage to boost circulation, and taking regular breaks from screens.

Dr. Singh offers a critical piece of advice: "If the darkness stays even after addressing these, it is best to get your blood work and liver function checked to rule out any internal reason." For persistent cases, laser treatments or mild chemical peels under professional supervision can offer visible improvement. The most effective approach, as seen in clinical practice, often involves addressing multiple contributing factors simultaneously.