Under eye bags vs dark circles: the truth explained!

Clarity on bags and dark circles: why do some have them early and others later? What is a bag, what is a dark circle?

Dark circles usually refer to the hollow space beneath the eye, which is determined by the attachment of a muscle, the orbicular muscle, to the bone. This creates a line of demarcation that is a hollow, wrapping all around the eye. The bag refers to the fullness above the dark circle, which is made up of fat. When it becomes prominent, the bag is noticeable. Dark circles come from skin color and shadows; there’s the bag, there’s the dark circle, and the dark circle appears darker.

The reason some have them first and others later is due to constitutional factors or can happen because of aging. Bags usually appear more frequently in adulthood, starting from thirty to forty-five, and they worsen with time. Dark circles are often genetic.

Of course, there are many situations where bags, dark circles, and shadows all appear together, and with aging, skin elasticity decreases. But let’s focus on bags and dark circles. Many come to me saying they have bags and dark circles. Some say they have dark circles and bags.

A scientific study shows that fifty percent of people claiming to have bags actually have dark circles instead. So it’s unclear what we see in ourselves, each of us having a different perception.

To clarify, the bag is the puffiness, while the dark circle is the hollow space. They sit one on top of the other. The more swollen the bag is, the more empty the dark circle appears. For this reason, they should be managed together.

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About the author

Ophthalmologist and oculofacial plastic surgeon. He completed a two-year surgical fellowship at the University of Cincinnati (Ohio, USA). He is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), AICPE and the Orbital Society. He is an adjunct professor at the Ophthalmology Residency Program of IRCCS San Raffaele Hospital in Milan and a member of the Editorial Board of the journal Ophthalmic Plastic and Reconstructive Surgery (OPRS). He sees patients in Milan and Genoa and operates in Genoa at Villa Montallegro.