Dark Circles Under Your Eyes: What Your Lifestyle Might Be Telling You

Dark Circles Under Your Eyes: What Your Lifestyle Might Be Telling You

If you’ve ever looked in the mirror and noticed dark circles under your eyes, you’re not alone.

These “under-eye shadows,” medically called periorbital hyperpigmentation, are incredibly common—and often frustrating. You might assume they’re just from lack of sleep, but the reality is more complex.

Your under-eye area is one of the thinnest and most sensitive parts of your skin, and it reflects what’s happening both inside your body and in your daily habits.

Let’s break down what the research shows about the most common lifestyle contributors—and what your body might be trying to tell you.

First, It’s Not Just One Cause

Dark circles don’t come from a single factor.

They are usually influenced by a combination of:

  • Genetics
  • Skin thickness and anatomy
  • Blood flow and circulation
  • Lifestyle habits

Studies show that while genetics is the strongest predictor, lifestyle factors can significantly worsen how dark circles appear (Heidari et al., 2025; Matsui et al., 2015; Sarkar et al., 2016).

1. Sleep, Screen Time, and Eye Strain

Sleep

Lack of sleep is one of the most commonly reported contributors to dark circles.

Many studies across different populations have found an association between poor or insufficient sleep and darker under-eye appearance, although not every study shows a perfect correlation (Heidari et al., 2025; David et al., 2017; Ahuja et al., 2020; Sheth et al., 2014; Anusha et al., 2024).

Why this happens:

  • Reduced circulation
  • Increased fluid pooling under the eyes
  • Duller, thinner-looking skin

To learn how to optimize sleep, watch this video.

Screen Time and Eye Use

Long hours on screens or intense visual focus can also play a role.

Research shows links between dark circles and:

  • Prolonged computer or TV use
  • Bright screen exposure
  • Eye strain from uncorrected vision

(Heidari et al., 2025; David et al., 2017; Ankita et al., 2020; Galor et al., 2023).

When your eyes are overworked, it can lead to:

  • Strain and fatigue
  • Increased rubbing or touching
  • Changes in blood flow around the eyes

2. Stress and Emotional Load

Stress is one of the most consistent and powerful contributors.

In some studies, up to 70% of people reported stress and fatigue as worsening their dark circles (David et al., 2017; Sheth et al., 2014; Mac-Mary et al., 2019).

This makes sense when you consider what stress does in the body:

  • Increases cortisol
  • Disrupts sleep
  • Impacts circulation
  • Promotes inflammation

Your skin—especially delicate areas like under your eyes—often reflects this internal stress load.

3. Eye Rubbing, Allergies, and Sensitive Skin

This is one of the most important—and often overlooked—factors.

Eye Rubbing

Repeated rubbing of the eyes is strongly linked to dark circles.

Why it matters:

  • Causes inflammation
  • Triggers pigment changes
  • Can damage delicate blood vessels

Many studies describe eye rubbing as a key behavioral contributor (Heidari et al., 2025; David et al., 2017; Park et al., 2018).

Allergies and Atopy

Conditions like:

  • Seasonal allergies
  • Asthma
  • Eczema
  • Allergic rhinitis

can lead to itching, which leads to rubbing—and over time, darkening of the skin.

There’s also another mechanism:

Nasal congestion can slow blood flow (venous stasis), creating a darker appearance under the eyes (Park et al., 2018; Freitag & Cestari, 2007).

4. Sun Exposure

Sun exposure can worsen dark circles by increasing pigment production.

Many people report that their dark circles become more noticeable after:

  • Prolonged sun exposure
  • Lack of sun protection

Research supports this link, especially in individuals prone to pigmentation changes (Heidari et al., 2025; Ahuja et al., 2020; Mac-Mary et al., 2019).

5. Lifestyle Patterns and Overall Health

Some studies show that dark circles are more common in people with broader lifestyle patterns such as:

  • Smoking
  • Alcohol use
  • Low physical activity
  • Poor sleep habits

These tend to cluster together and reflect overall health stress on the body (Souza et al., 2014; Sarkar et al., 2016).

6. Nutrition, Hydration, and Internal Health

While not always consistently measured, several reviews suggest that dark circles may be influenced by:

  • Dehydration
  • Nutrient deficiencies
  • Chronic illness
  • Hormonal factors
  • Certain medications (including oral contraceptives)

(Ahuja et al., 2020; Sarkar et al., 2016; Saad, 2017).

This aligns with a broader perspective: your skin often reflects your internal health.

The Bigger Picture: Your Skin as a Mirror

Under-eye dark circles are not just a cosmetic issue.

They can be a subtle signal of:

  • Nervous system load (stress)
  • Sleep quality
  • Circulation
  • Inflammation
  • Lifestyle patterns

Rather than trying to “cover them up,” it can be more helpful to ask:

What is my body trying to communicate?

Practical Takeaways

If you’re looking to support your under-eye health, the research points to a few key areas:

  • Prioritize consistent, quality sleep
  • Reduce prolonged screen exposure where possible
  • Support your stress response system
  • Avoid rubbing your eyes
  • Address allergies and sinus congestion
  • Protect your skin from sun exposure
  • Support your body with hydration, nutrition, and movement

Conclusion

Dark circles under the eyes are influenced by both genetics and lifestyle, but your daily habits can significantly affect how they show up.

The most consistent contributors include:

  • Stress
  • Sleep patterns
  • Screen use and eye strain
  • Eye rubbing and allergies
  • Sun exposure

When you take a whole-body approach, you’re not just improving how your skin looks—you’re supporting how your body functions.

✨ Want to dive deeper into skin health? 🎥 Then continue your journey here:
Skin Health: Inside-Out & Outside-In Playlist
https://www.youtube.com/playlist?list=PL-Jz-7U8Hy6rhQ_mTTk1Hur_pfEmw4jYn

Fullscript Supplement Resources 

You can find high-quality omega-3 fatty acid supplements in my easy-to-access Dr. Patricia Approved Fullscript plan, available here:

References

Ahuja S et al. Epidemiological Study of Periorbital Hypermelanosis. International Journal of Scientific Research. 2020. DOI: 10.36106/ijsr/3523105

Ankita P et al. Study to Know the Impact of Ayurvedic Lifestyle on Dark Circles Around Eyes. 2020. DOI: 10.2174/2215083806999201211214329

Anusha R et al. Evaluation of Periorbital Hyperpigmentation among Young Females. IJISRT. 2024. DOI: 10.38124/ijisrt/ijisrt24oct1107

David B et al. A Clinico-Epidemiological Study of Periorbital Melanosis. International Journal of Research in Dermatology. 2017. DOI: 10.18203/issn.2455-4529.intjresdermatol20172205

Freitag F et al. What Causes Dark Circles Under the Eyes? Journal of Cosmetic Dermatology. 2007. DOI: 10.1111/j.1473-2165.2007.00324.x

Galor A et al. Impact of Lifestyle Challenges on the Ocular Surface. The Ocular Surface. 2023. DOI: 10.1016/j.jtos.2023.04.008

Heidari F et al. The Frequency of Periorbital Hyperpigmentation Risk Factors. Journal of Cosmetic Dermatology. 2025. DOI: 10.1111/jocd.70036

Mac-Mary S et al. Identification of Three Key Factors Contributing to Dark Circles. Clinical, Cosmetic and Investigational Dermatology. 2019. DOI: 10.2147/ccid.s217956

Matsui M et al. Physiological and Lifestyle Factors Contributing to Dark Circles. Anais Brasileiros de Dermatologia. 2015. DOI: 10.1590/abd1806-4841.20153520

Park K et al. Treatments of Infra-Orbital Dark Circles by Various Etiologies. Annals of Dermatology. 2018. DOI: 10.5021/ad.2018.30.5.522

Saad A. News in the Treatment of Periorbital Hyperpigmentation. 2017.

Sarkar R et al. Periorbital Hyperpigmentation: A Comprehensive Review. Journal of Clinical and Aesthetic Dermatology. 2016.

Sheth P et al. Periorbital Hyperpigmentation: Prevalence and Causative Factors. Indian Journal of Dermatology. 2014. DOI: 10.4103/0019-5154.127675

Souza D et al. Epidemiological Profile of Patients with Periorbital Hyperpigmentation. 2014.

Are you getting the full benefit of a Fullscript account?

If you haven’t already done so, set up your own Fullscript account so you can see my recommended core supplements, Protocols, and other favorites. And if you decide to purchase supplements which I’ve researched and recommend through Fullscript, I receive a small commission — and YOU receive a 10% discount! It’s a win/win.

>>> If you’re having trouble finding my list of Favorite Supplements, I hope this video helps you. <<< 

If you’re still unable to see my recommended core supplements in your account, select the ‘Catalog’ tab, then click on ‘Dr. Patricia Mills’ Fullscript Account Favourites’ and then select ‘Foundational Supplements’. 

Hey there, I'm Dr. Patricia Mills

As a Medical Doctor specializing in Physical Medicine and Rehabilitation, practicing Functional Medicine, it’s my mission to equip you with the wisdom and actionable strategies to reclaim your health.

Join me on this journey to experience the abundant joy of complete well-being, helping you look, feel, and be your best self.

GRAB YOUR FREE EBOOK

Rebalancing Your Hormones Naturally

Strategies you can start implementing now for immediate results.

CATEGORIES

You May Also Like…

The Anti-Inflammatory Diet for Rosacea Healing

The Anti-Inflammatory Diet for Rosacea Healing

Rosacea is more than just facial redness. It is a chronic inflammatory skin condition that can involve flushing, visible blood vessels, burning, bumps, dryness, and increased skin sensitivity. Many people notice that certain foods or drinks seem to trigger flares,...