Purple discolouration beneath the eyes is a common concern that often leaves individuals feeling self-conscious. Unlike brown pigmentation associated with sun exposure, purple under-eye tones stem from deeper structural and vascular factors. Understanding the underlying cause is essential for selecting effective treatment, as topical products alone rarely deliver lasting results when the issue lies beneath the skin surface.
In this blog, we explore the most common reasons purple under-eye discolouration occurs and explain how different causes require different treatment approaches.
Professional Treatments for Purple Under Eyes
Addressing purple under-eye discolouration effectively typically requires professional medical aesthetic interventions targeting underlying causes. The most successful outcomes arise from carefully matching treatment modalities to specific contributing factors.
Advanced aesthetic medicine offers several evidence-based options working at different tissue levels, each with distinct mechanisms and appropriate indications.
The Ezra Clinic Insight: At The Ezra Clinic, Profhilo is often selected for purple under-eye concerns linked to thin, fragile skin, as it strengthens the dermis and improves hydration without adding unnecessary volume to the delicate eye area.
Injectable skin boosters and mesotherapy
Injectable skin boosters and mesotherapy protocols offer targeted delivery of hydrating substances, vitamins and minerals directly into under-eye tissues. These treatments focus on nourishing skin and supporting cellular function, potentially improving microcirculation and reducing stagnant blood pooling.
Mesotherapy typically involves multiple superficial injections of customised nutrient cocktails designed to rejuvenate poorly circulating tissues. These approaches work best when purple discolouration primarily results from poor circulation and compromised skin vitality rather than significant structural volume loss. Multiple sessions are usually required to achieve noticeable results.
Eyes 2.0 Package
The Eyes 2.0 package combines three forms of under-eye rejuvenation: skin boosters, microneedling and polynucleotides. When carried out individually and independently, these treatments provide focused but limited benefits. Microneedling helps to raise collagen production, for example, while boosters deliver hydration deep into the lower and surface layers of skin and polynucleotides also help considerably to remodel and enhance connective tissue.
When combined, through Eyes 2.0, these three eyelid rejuvenation methods are more effective and work in tandem with one another. The microneedling, for example, not only improves skin quality on its own, but also creates microchannels within the skin that the polynucleotides and boosters flow through to spread their benefits on a wider level more rapidly and efficiently.
This combination of techniques, applied together in a single treatment session, is therefore more effective than each one on its own. They deliver deeper and broader benefits, tackling a plethora of common complaints around the eye area, from fine lines to wrinkles, sagging, and dryness. It is a comprehensive package of treatments to improve texture, health, hydration, and cellular repair.
Tear trough filler in selected cases
For individuals whose purple circles primarily result from volume loss and tear trough hollowing, carefully placed dermal filler can provide structural correction. By restoring volume and smoothing the transition between the lower eyelid and cheek, filler reduces shadowing and contributes to purple discolouration. However, tear trough filler requires exceptional technical skill and meticulous patient selection. Not every patient with purple circles is suitable for tear trough filler, particularly those whose discolouration stems primarily from visible vessels rather than volume depletion. The treatment carries risks including swelling, bruising and vascular complications. Comprehensive consultation with an experienced aesthetic practitioner is essential.
Energy-Based Treatments
Energy-based treatments, including laser, radiofrequency and ultrasound technologies, offer an effective way to improve crepey skin by stimulating collagen remodelling within the deeper layers of the skin. By delivering controlled energy, these treatments help improve tissue thickness, firmness and overall texture.
Each technology is suited to different skin areas and severity levels, which is why professional assessment is essential. Energy-based treatments are often used as part of a combination plan, particularly when both laxity and texture need to be addressed, to achieve balanced and long-lasting results.
The Ezra Clinic Insight: Combining mesotherapy with microneedling and polynucleotides in the new Eyes 2.0 treatment creates a powerful, non-surgical approach to skin rejuvenation, enhancing ingredient absorption while stimulating the skin’s natural repair and renewal processes.
Polynucleotides: Regenerative Skin Repair Beyond the Face
Polynucleotides are an emerging regenerative treatment that supports cellular repair and improves skin quality, elasticity and resilience over time. They are particularly suitable for thin, fragile or compromised skin that may not tolerate more aggressive approaches.
A key advantage of polynucleotides is their versatility, as they can be used not only on the face but also on the neck, décolletage, hands, arms and other body areas affected by crepey skin. By promoting tissue repair and reducing inflammation, they deliver gradual, natural improvements and are often combined with other treatments as part of a comprehensive plan.
