Hello dear See they seems acne or dark spots due to stress Hormonal alterations Please do not worry and follow instructions below. Usually the appearance ranges from red inflammatory to comedonal white heads. These may or may not be associated with periods. Medications: 1. Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days or Tab Minocycline ( take precautions to avoid in pregnancy) 5.Oral contraceptives - Diane-35 with addition of Spironolactone on recommendation only by gynacologist in person only
Supportive medications Niacinamide serum –antiinflammatory in nature twice daily for 1 week In addition use aloevera - tulsi solution to apply topically for 1 month
In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification Regards
Long-standing darkening around the eyes, especially on the upper eyelids, is usually caused by a combination of factors such as genetics, stress, pigmentation, thin skin, eye rubbing, allergies, sun exposure, dehydration, or nutritional deficiencies. Since you have had this for 6–7 years and it appears very dark “like black paint,” it may be more related to hyperpigmentation or vascular dark circles rather than simple tiredness. Ice cubes can temporarily reduce puffiness, but they usually do not treat the actual cause, and vitamin E capsules often give limited results and may even irritate sensitive skin in some people.
You should focus on:
Daily broad-spectrum sunscreen around the eyes (gel/lightweight if oily skin) Good hydration and balanced diet rich in iron, vitamin B12, and protein Avoid rubbing the eyes Use gentle eye creams containing caffeine, niacinamide, retinol, or vitamin C (slowly and carefully) Reduce stress as much as possible because chronic stress can worsen pigmentation and dull skin
Since the problem is severe and persistent for many years, seeing a dermatologist (skin doctor) would be a good idea. They can determine whether this is pigmentation, allergy-related darkening, eczema, or thinning skin, and may suggest treatments such as prescription creams, chemical peels, or laser therapy if appropriate. Sometimes doctors also recommend checking blood tests like iron levels, vitamin B12, or thyroid function if fatigue or pallor is present.
Hello, thank you for sharing your concern. Dark circles like you’re describing are quite common, but they usually have multiple causes, not just one. Most likely causes in your case might be Genetic / constitutional pigmentation (very common) or Stress + screen exposure or Thin under-eye skin, etc. Ice cubes and vitamin E alone usually don’t give significant improvement, which is why you’re not seeing results. What you should do now-
1. Basic care (very important)- Avoid rubbing your eyes. Use sunscreen daily, even around eyes. Wear sunglasses outdoors. Keep yourself well hydrated.
2. Improve diet- Include Green vegetables, Fruits & Milk / protein sources. If possible, get these tests done- CBC & Vitamin B12.
3. Use proper under-eye treatment- Look for creams containing Caffeine (reduces darkness/puffiness), Niacinamide (for pigmentation) & Hyaluronic acid (hydration). Apply gently, don’t rub.
4. Sleep & stress- Even if sleep is “okay”, stress alone can worsen pigmentation. Try relaxation techniques.
Should you see a skin doctor? Yes, if possible, because Long duration (6–7 years). You May need Medical creams (like mild retinoids or depigmenting agents) or Procedures (peels/lasers) if severe. Natural improvement takes weeks to months. Complete removal is difficult, but significant lightening is possible. This is a very common, non-dangerous condition, but it needs consistent care and the right treatment, not just home remedies.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello Dark circles can be quite stubborn, especially when they’ve been around for so long. It sounds like you’ve been trying some good home remedies like ice cubes and vitamin E, but if you’re not seeing improvement, it might be time to consider a few other options.
1. Hydration: Make sure you’re drinking enough water throughout the day. Dehydration can contribute to dark circles.
2. Sleep: Aim for 7-9 hours of quality sleep each night. Lack of sleep can worsen dark circles.
3. Diet: Incorporate foods rich in vitamins C and K, as well as antioxidants. Fruits, vegetables, and nuts can help improve skin health.
4. Sun Protection: Use a good sunscreen around your eyes to prevent further pigmentation. Look for a sunscreen specifically designed for the delicate eye area.
5. Eye Creams: Consider using an eye cream that contains ingredients like caffeine, hyaluronic acid, or retinol. These can help reduce puffiness and improve skin texture.
6. Consult a Dermatologist: Since you’ve been dealing with this for several years, it would be a good idea to see a dermatologist. They can assess your skin and recommend treatments like chemical peels, laser therapy, or topical treatments that might be more effective.
Meeting with a skin doctor can provide you with tailored solutions and possibly faster results.
Thank you
