Periorbital Dark Circles | Causes and Treatment | Cosmetology

Periorbital dark circles or dark circles

Overview of periorbital dark circles

Periorbital dark circles or dark circles under the eyes are normal in the two (both men and women) people. Dark circles are often accompanied by cysts that make you look older than you are. To make matters worse, it can be difficult to get rid of it.

Although it can affect anyone, dark circles under the eyes are more common among people:

  • Elderly
  • Have a genetic predisposition to this condition (periorbital hyperpigmentation)
  • From non-white ethnic groups (darker skin colour is more prone to hyperpigmentation around the eye area)

While fatigue may seem the most plausible explanation for this condition, several factors can contribute to dark circles under the eyes. In most cases, it is not a cause for concern and does not require medical attention.

Causes of periorbital dark circles

Dark circles under the eyes can be caused by many conditions such as

  • Stress
  • Cruelty
  • Lack of sleep and fatigue
  • Rub the eyes frequently
  • Eye strain (watching TV, seeing a computer screen)
  • Aging cavities (thinning of the skin due to fat and collagen loss with age)
  • Medical conditions like allergies, eczema, hypothyroidism, anaemia, etc.
  • Refractive errors are not corrected
  • Smoking
  • Alcohol consumption
  • Irregularities of skin pigmentation

How are periorbital dark circles diagnosed?

The right finding of dark circles under the eyes can be troublesome. It’s common:

  • Personal, medical, and family history
  • Physical examination
  • Wood lamp evaluation, which allows the doctor to assess the depth of pigmentation.

Risk factors

Some people are more prone to developing dark circles under the eyes than others, and risk factors include the following:

  • Indian skin or brown skin colour: Dark circles are very common in Indian skin tone because the tendency to produce melanin is higher Genetics
  • A family history of dark circles can also contribute to increasing the tendency of dark circles under the eyes, a very common example is the pigment demarcation line around the eyes.

How are periorbital dark circles treated?

Treatment for dark circles under the eyes depends on its nature. Include general measures:

  • Enough sleep
  • Stop smoking
  • Lay down with additional pads to hoist the head and decrease eyelid growing
  • Massage the temporary swelling while applying the cold compress
  • Also, cold compresses reduce the appearance of prominent blood vessels
  • Cosmetic camouflage
  • Light-reflecting concealers (often yellow or golden in colour) are coated with a translucent face powder that should be applied in the shade and not on the puffy skin.

Unfortunately, many treatments on the market lack evidence of their effectiveness.

It can include medical treatments to reduce pigmentation:

  • Protect from sun exposure by using sunglasses
  • Topical agents. But skin pigmentation responds poorly, and eyelids are sensitive to this may irritate stronger products (see melasma)
  • Chemical peeling to reduce fine lines and surface pigmentation
  • Laser or Intense Pulsed Light (IPL) therapy.

Tissue loss (cavity) and tear pelvis can be managed with medical and plastic surgery procedures:

  • Fillers (dermal implants) such as hyaluronic acid injections or fat grafts
  • Surgery to remove excess fat, muscle, and skin (eyelid surgery or laser eye lift).

Significant training and experience are required to improve results. The improvement may be partial. The incorrect technique may make dark circles under the eyes appear more prominent than they were before the procedure.


People can help prevent the appearance of dark circles under the eyes by addressing lifestyle factors.

  • Get enough sleep and reduce stress: Researchers have found that stress increases the appearance of dark circles, while rest habits and a healthy lifestyle reduce colour change.
  • Protect the eyes from the sun: Wearing UV protective sunglasses that cover around the eyes and wearing sunscreen around the eyes can help prevent or reduce dark circles.
  • Quit smoking and reduce alcohol consumption: Smoking and excessive alcohol consumption can speed up the aging process of the body and may increase the risk of developing dark circles under the eyes.
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