Dark circles under the eyes can be caused by hollowing that casts a shadow, pigmentation in the skin, blood vessels showing through thin skin, or puffiness — and many people have a combination. Because each cause responds to something different, working out which you have is the most important step.
Shadows from hollowing may soften with tear trough filler, while thin, crepey under-eye skin often responds better to polynucleotides. Pigmentation needs a skincare-led approach, and puffiness is often about lifestyle, allergies or anatomy rather than treatment. We’ll be honest if a treatment isn’t likely to help.
Under-eye concerns are among the most common reasons people visit us in Notting Hill, often from Kensington, Chelsea and across West London — and among the areas where honest assessment matters most.






