Arcus marginalis release is a surgical technique used to correct dark circles under the eyes.
In the case of excess skin on the lower eyelid, access is made two to three millimeters below the eyelid margin and laterally in the area of the smile creases. The scars are very inconspicuous.
Eye circles without excess skin can alternatively be corrected via an approach on the inner side of the lower eyelid in the conjunctival fold. In an arcus marginalis release, the slack connective tissue (ligamentum orbitomalare) is removed. The fat pads behind the ocular ring muscle (suborbicularis oculi fat: SOOF) and the fat pads of the orbit (corpus adiposum orbitae, orbital fat) are redistributed. The procedure can be performed on an outpatient basis and under twilight sleep.