Is It Normal For Babies To Have Dark Circles Under Their Eyes?

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Dark circles under baby eyes are generally uncommon. However, they may not indicate a cause of concern, even if the condition is present. Most dark circles are not caused by poor health or infant sleep deprivation (1). Instead, some babies may have them due to the thin and sensitive skin around the eyes or because of genetics, as they may have inherited the trait from their parents. However, if you notice dark circles in your babies, it is advisable to consult a doctor to rule out the chances of having an underlying issue. This post explains the possible causes of dark circles in babies and answers some commonly asked questions related to the topic.

In This Article

What Are Dark Circles?

Dark circles are dark blemishes around the eyes. They could be a signal of some inconvenience or an allergy, and rarely a critical condition. The skin around the eyelids is called the periorbital skin. If the dark circles are caused due to higher than usual melanin production, it is called ‘periorbital hyperpigmentation (2).

Are Dark Circles In Babies Normal?

Dark circles in babies are not common. However, they are not always a cause for worry. Dark circles in babies could be due to nasal congestion or merely hereditary (1).

Nasal congestion may cause dark circles under their eyes
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Image: Shutterstock

The constant rubbing of the eyes due to overtiredness can cause sensitive skin to turn red, adding to the stress on the delicate skin under the eyes. However, there is no harm in consulting a pediatrician if you feel worried about your baby’s dark circles.

What Causes Dark Circles Under Baby’s Eyes?

According to Pediatrician Dr. Cindy Gellner from the University of Utah Health, dark circles under the baby’s eyes can often result from sleep issues or nasal congestion (3).

Babies might get dark circles from the exposure to allergens or irritants. Here is a list of a few possible reasons for dark circles in babies:

  • The thin and sensitive skin under the eyes makes blood vessels look darker. It is the most common cause.
  • A few babies may have comparatively thinner skin than others, making dark circles more noticeable.
  • Dark circles might be an inherited trait and run in families. In this case, the baby could get them.
  • Congestion of the nose might lead to an obstruction in the veins and a reduction in blood flow, resulting in the swelling of veins under the eyes. This makes dark circles prominent.
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Dark circles can also be caused by vitamin K deficiency and facial anatomy/structure (7).
  • Tiredness in babies could be another cause of dark circles. The complexion of a tired baby might be pale, resulting in the darker appearance of blood vessels beneath the skin under the eye.

    Causes of dark circles in babies
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  • In rare cases, allergic conditions, eczema, bacterial infections in the sinuses, respiratory infection, or dehydration could also be the cause of dark, bluish circles under eyes in babies (4).

In extremely rare cases, bulging and dark circles around the eyes may mean a tumor of the nerves. The condition is called neuroblastoma (5). According to the UCSF Benioff Children’s Hospitals, dark circles may indicate neuroblastoma spread to the area behind the eye (6).

Dark circles are not uncommon, so generally, nothing needs to be done. If the baby is eating well, has a healthy weight gain, and is sleeping well, there is generally no need to be concerned. However, you may take some simple measures to manage them.

Measures To Take For Dark Circles In Babies

You may try these remedies at home:

  • It is important to address sleep disturbance in infants and ensure that the baby sleeps enough, eats well, is active, and shows healthy weight gain.

    Good sleep helps reduce dark circles in babies
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  • If allergies are the cause, protect your baby from potential irritants like pollen, dust, etc to avoid sinus congestion. Clean your baby’s eyes using a wet washcloth and warm water.
  • Clip their nails to avoid scratches on the face and eyes.

When To See A Doctor?

You may take your baby to a doctor if they:

  • Do not eat or sleep well or are constantly unhappy.
  • Suddenly dark rings develop.
  • Have a constantly running nose.
  • Have watery, red, or itchy eyes.
  • Have a constantly itchy nose, and sneeze more than is considered normal.

protip_icon Caution
Dennie Morgan lines are extra creases that appear below the lower eyelid. They accompany dark circles, which may indicate atopic dermatitis (8).

Can Dark Circles In Babies Be Treated?

Dark circles in babies can be treated by treating the cause. In case your baby has developed dark circles due to nasal congestion, administering medications to relieve the congestion is the solution. Likewise, if your baby has developed dark circles due to allergies, then treating the allergy and keeping the baby away from allergens is the ultimate solution.
Whatever may be the cause, the right diagnosis, and prompt treatment, could help in managing and treating dark circles in babies.

Whatever may be the cause, the right diagnosis, and prompt treatment could help in managing and treating the dark circles in babies.

Frequently Asked Questions

1. Are puffy eyes in babies linked to dark circles?

Puffy eyes could be due to a long crying spell or sleeping in an awkward position. They are mostly not related to dark circles.

2. Is there any relation between under-eye bags and dark circles?

Under-eye bags could just be the fat under your baby’s skin and may not be associated with dark circles.

3. Are dark circles associated with fever and teething?

Parents often associate dark circles with teething and fever. However, this is not definitive as there is no concrete evidence or research.

4. Why do I sometimes see redness under my baby’s eyes?

Redness under a baby’s eye can be the result of several reasons, such as allergies, infection, irritation, or simply because the baby is rubbing the eye when tired. Babies can be sensitive to food or airborne particles and could display redness under the eyes as an allergic reaction to the substance.

6. Are dark circles related to liver disease in babies?

Dark circles under the eyes in babies can be a sign of various factors, including allergies, lack of sleep, or nutritional deficiencies. However, they are not typically related to liver disease. If you have concerns about your baby’s health, it is always best to consult your doctor for a proper diagnosis. There is no evidence to show that liver disease can cause dark circles in babies. However, liver disease causes the skin to bruise easily (9).

7. How can I help prevent dark circles under my baby’s eyes?

In some cases, such as excessive melanin, you can do nothing except let the skin become lighter as time passes. However, if your baby has dark circles due to nasal congestion or less sleep, you can help take steps to relieve their trouble. You can also frequently trim your baby’s nails so they don’t bruise themselves.

8. Why does my baby have purple under eyes?

Dr. Leah Alexander, a pediatrician from Fairview, New Jersey, explains, “The outermost layer of skin, known as the epidermis, is much thinner in infants, especially during the newborn period. This thinness makes the blood vessels within the middle layer (dermis) more visible. Consequently, the eyelids or skin under the eyes may develop a purple or reddish hue.”

Dark circles under baby eyes could be due to the same factor in adults – a lack of proper sleep or nasal congestion. Observe if there are any other accompanying signs to the dark circles. The treatment usually depends on the cause. For example, promoting a good sleeping schedule, treating nasal irritation, and reducing contact with potential allergens could reduce dark circles in babies. However, since it is not a common condition in babies, you can consult a pediatrician to find the cause.

Infographic: When Are Dark Circles In Babies A Cause For Concern

Several factors contribute to dark circles in babies, including poor health, little sleep, and thin and sensitive skin. However, in most cases, these circles self-resolve. The infographic below outlines specific conditions for which you should see your child’s pediatrician immediately. You may save and share it with other parents too!

when to see a doctor if your baby has dark circles (infographic)

Illustration: Momjunction Design Team

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Key Pointers

  • Dark circles, although uncommon in babies, may be caused due to various factors, including sleeplessness, skin pigmentation, and genetic factors.
  • Some more causes are certain allergies, dehydration, nasal congestion, eczema, and infections.
  • Ensuring sufficient sleep, proper nutrition, and avoiding irritants may improve the appearance of dark circles.
  • If the condition is severe and persistent, a pediatrician consultation is recommended to rule out any underlying health conditions and for timely and suitable treatment.
dark circles under baby eyes_illustration

Image: Dalle E/MomJunction Design Team

Dark circles are synonymous with a lack of sleep but this phenomenon may be caused by other reasons as well. Learn more about the causes and treatments for dark circles in this video.

References

MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.

1. Dark circles under the eyes; About Kids Health
2. Rashmi Sarkar et al.; Periorbital Hyperpigmentation: A Comprehensive Review; National Center For Biotechnology Information (2016)
3. What Are Those Dark Circles Under My Child’s Eyes?; University Of Utah Health
4. Eye Allergy; American College of Allergy, Asthma and Immunology
5. Pediatric Neuroblastoma; Children’s National
6. Neuroblastoma; UCSF Benioff Children’s Hospitals
7. Ellen C Gendler, MD; Treatment of Periorbital Hyperpigmentation; OXFORD ACADEMIC (2005)
8. Dermatology; Rady Children’s Hospital – San Diego
9. Cirrhosis of the Liver; Cleveland Clinic

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