Thank you for your question. Dark eye circles actually have a combination of causes. The most common ones are:
- Pigmentation on the lower eyelids
- Vascular congestion and prominent blood vessels especially in fair skinned individuals or those with thin lower eyelids
- Shadowing of the area due to hollowing from fat loss/sagging or hypertrophic tarsal muscles
The solution hence should be a detailed consult and physical examination, which is then normally followed by a combination treatment approach.
My treatment approach is:
- Treat underlying medical condition (sinusitis or poor sleep worsens vascular congestion)
- Combination of lasers to thicken the lower eyelid skin, treat pigmentation, as well as treat prominent blood vessels or vasculature
- Mix of botox and fillers to treat any shadowing
- Maintain results with my recommended skincare
Detailed consultation and proper photography of this condition is very important.
Hope this helps!
