Dark Circles Are Trending on TikTok – A Medical Perspective
By Dr Meg Minasian, Founder of The MW Clinic London
For years, patients have arrived in clinic asking how to “get rid of” dark circles under their eyes. They are often described as tired, ageing or unattractive. Recently, however, a noticeable shift has emerged. On platforms such as TikTok, dark circles are being embraced as a look in their own right.
Some creators are even enhancing under-eye shadow intentionally, framing it as expressive or editorial rather than something to correct. From a medical perspective, this change in narrative is interesting — and in many ways, refreshing.
Moving away from demonising dark circles
The under-eye area has long been scrutinised. Darkness has frequently been equated with fatigue or poor health. The assumption has been that it must be corrected.
The current trend challenges that idea. Normal anatomical features — including tear trough shadowing and natural under-eye contours — are being reframed as part of facial character rather than flaws.
In my view, reducing stigma around normal anatomy is a positive development.
What actually causes dark circles?
Before deciding whether to embrace or treat dark circles, it helps to understand what they are. I explain this in more detail in What causes dark circles under the eyes? and Why do I have dark circles under my eyes? .
In most people, dark circles are not a medical condition. They are usually caused by a combination of:
- Skin thinning in the under-eye area
- Visibility of underlying muscle and blood vessels
- The natural shadow created by the bony eye socket (tear trough)
- Age-related fat and bone volume changes
The under-eye region also contains no sebaceous glands, meaning it dehydrates easily and shows structural change earlier than other areas of the face.
Why the trend makes anatomical sense
Under-eye shadowing reflects normal facial structure. The cheek rises and then drops into the orbit of the eye, creating contour and shadow. Lighting can exaggerate this, particularly from above.
What is often labelled a “dark circle” is frequently just the natural transition between cheek and eye. Cultural perception determines whether that contour is viewed negatively or neutrally.
Safety should remain constant
While trends change, anatomy does not. The under-eye area is delicate and high-risk.
I always strongly advise against cannula-based filler injections under the eyes. Cannula use in this area can disrupt delicate lymphatic drainage, potentially leading to persistent swelling and worsening puffiness.
Similarly, botulinum toxin is not appropriate in the lower or lateral under-eye region. Weakening the orbicularis oculi muscle can contribute to atrophy, alter blink mechanics and compromise support in an area that already changes with age.
Trends should never override anatomical safety.
Supporting skin health without chasing perfection
For patients who feel their under-eye area appears more pronounced due to thinning or dehydration, supporting skin quality remains sensible.
Retinol-based formulations can stimulate collagen production over time. Daily broad-spectrum SPF helps prevent further collagen breakdown. These measures focus on maintaining skin health rather than pursuing unrealistic correction.
Perspective over pressure
One of the most positive aspects of this trend is that it reduces pressure. If dark circles are sometimes seen as aesthetic, there is less urgency to “fix” them.
Some patients will prefer to embrace their natural anatomy. Others may seek subtle improvements for personal reasons. Both perspectives are valid.
A balanced medical view
Dark circles are common. They are usually anatomical. They are often normal.
If cultural trends help reduce stigma and encourage acceptance, that is a welcome shift.
If you are unsure whether what you are seeing is normal anatomy or something that could benefit from medical advice, you are very welcome to arrange a consultation with me.
