Dark circles. Diagnosed first, treated properly.
Most dark circles aren't one problem — they're three overlapping problems. Pigmentation, vascular shadowing, and structural hollowing. Treating the wrong one is why over-the-counter creams and even single-treatment clinic visits rarely deliver. We diagnose what you actually have, then match the right protocol.
Aesthetics by Cosmedocs — invisible art.
The three causes
Pigmentation
Excess melanin in the under-eye skin — common in Mediterranean, South Asian, Middle Eastern and Afro-Caribbean skin. Brown, not blue.
Best treated with
Under-Eye Reset Protocol
Vascular shadowing
Thin, translucent skin showing the underlying muscle and vessels as a blue–purple cast. Worse with fatigue, dehydration, allergies.
Best treated with
Under-Eye Reset Protocol
Structural hollowing
Tear trough volume loss creates a shadow — the skin colour is normal, but the dip casts dark. Press gently and the 'dark circle' lightens.
Best treated with
Tear trough filler
Choose your pathway
Selected at consultation after a clinical assessment under daylight-balanced lighting.
The Under-Eye Reset
Brightening medical peel + microneedling with prescription brightening cocktail + polynucleotides + exosomes. The full aesthetic-medicine response to pigmented and vascular dark circles.
£1,500 / 3 sessions
See protocol For hollowing onlyTear Trough Filler
If the dark circle is a shadow from volume loss — not a colour problem — hyaluronic acid filler restores the contour and the shadow disappears with it.
From £450
See protocolCombined cases — when hollowing coexists with pigmentation (very common over 35), we sequence both: filler first to restore structure, then the Under-Eye Reset for skin quality. Planned at consultation.
Doctor-led diagnosis
Every dark-circle consultation is performed by a GMC-registered doctor — not an injector.
Truth-first protocols
If a treatment won't work for your pattern, we'll tell you. Pigmentation cases are not sold filler.
Harley Street since 2007
Nineteen years of periorbital aesthetics. Over a million treatments performed across the group.
Common questions
What actually causes dark circles?+
Three things, often together. Pigmentation (melanin in the under-eye skin), vascular shadowing (thin skin showing the muscle and vessels beneath as a blue–purple cast), and structural hollowing (the tear trough casting a shadow). Each one needs a different treatment — which is why a single-treatment approach rarely fully clears them.
Will tear trough filler alone fix my dark circles?+
Only if the cause is purely hollowing. For pigmented or vascular dark circles, filler does not address the colour problem and can sometimes make it look worse by reflecting light through translucent skin. A diagnostic consultation determines which protocol fits.
What is the Under-Eye Reset protocol?+
A three-session combination programme designed for pigmented and vascular dark circles: a brightening medical peel, microneedling with our prescription brightening cocktail, plus polynucleotides and exosomes to thicken and regenerate under-eye skin. £1,500 for the full course of 3 sessions.
Can I combine the Under-Eye Reset with tear trough filler?+
Yes — and we often do, when hollowing and pigmentation coexist. Filler restores the structural shadow, the Reset protocol corrects the colour and skin quality. Sequencing matters; we plan it at consultation.
How long until I see results?+
Visible brightening after session two (around week 6). Full result settles 8–12 weeks after the third session, as polynucleotides and exosomes complete their regenerative cycle.
Your consultation begins here
Find out which kind of dark circle you actually have.
A 30-minute clinical assessment under daylight-balanced lighting — and a written protocol you can take away.
Book a consultationDark circles treatment London — Cosmedocs Harley Street
Dark circles under eyes treatment in London at Cosmedocs Harley Street since 2007. We treat periorbital hyperpigmentation, vascular dark circles, melanin-pigmented under-eye skin, and tear trough hollowing. Our Under-Eye Reset protocol combines a brightening medical peel, microneedling with a prescription brightening cocktail (tranexamic acid, vitamin C, kojic acid, niacinamide), polynucleotides for under-eye skin regeneration, and exosomes for dark circles — three sessions for £1,500. Suitable for pigmented dark circles in South Asian, Middle Eastern, Mediterranean and Afro-Caribbean skin, and for blue–purple vascular dark circles. For structural hollowing we offer tear trough filler. Doctor-led assessment, GMC-registered injectors, 10 Harley Street, London W1G 9PF. Related searches: exosomes dark circles London, polynucleotides under eyes, pigmentation under eyes treatment, dark circles peel London, microneedling dark circles, dark eye circle treatment Harley Street.