Dark Circles, Puffy Eyes & Eye Bags Explained | Dermatologist Advice That Works



Puffy eyes in the morning? Dark circles that don’t seem to go away? Wondering what the correct solution is? Eye cream, filler… or surgery?

In this episode of After Hours Skin Clinic, Consultant Dermatologists Dr Emma Craythorne and Dr Ellie Rashid explain the real causes of:

– Under-eye puffiness
– Dark circles
– Tear trough hollowing
– Eye bags
– Post-inflammatory pigmentation
– Age-related under-eye changes
– Not all “eye bags” are the same and treating the wrong cause is why so many products fail.

We cover:
✔️ Why salt, alcohol, sleep and hormones make puffiness worse
✔️ The role of lymphatic drainage and fluid retention
✔️ Why allergies and eczema can cause long-lasting pigmentation
✔️ The anatomy behind shadows and hollowing
✔️ When caffeine eye creams help (and when they don’t)
✔️ How to use tretinoin safely around the eyes
✔️ Hydroquinone for true pigmentation
✔️ Why tear trough filler should be approached with caution
✔️ Polynucleotides vs filler
✔️ When blepharoplasty is the most definitive option
✔️ The inexpensive cooling trick that genuinely reduces puffiness

We also discuss skincare myths (including the haemorrhoid cream trend…).

If you want clear, evidence-based advice on how to achieve brighter, healthier under-eyes — without falling for hype — this episode will tell you what you actually need to know.

👇 Chapters below to jump to what matters most to you.
Suggested YouTube Chapter Timestamps
00:00 – Why puffy eyes & dark circles are so common
– Puffiness vs pigmentation vs true eye bags
– Anatomy: why shadows happen
– Fluid retention, salt, hormones & sleep
– Allergies, eczema & post-inflammatory pigmentation
– Tear trough filler: proceed with caution
– Eye cream ingredients that actually help
– How to use tretinoin safely around the eyes
– Lymphatic drainage massage & ice globes
– The cold spoon trick
– Injectables: polynucleotides vs filler
– When to consider blepharoplasty
– How to decide what’s causing yours
– Final takeaways

Klira – Founded by Dr Emma Craythorne, Klira is a bespoke luxury skincare formula prescribed by dermatologists. You may hear it mentioned from time to time on the podcast and if you want to find out more head over to klira.skin

Follow & Connect:
Instagram: @afterhoursskinclinic
Email: [email protected]

Producer: Ella Blaxill
Series Editor: Eve Streeter
Music by Simon Elms.

This is a Raconteur Studios Production.

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