Loss of tissue (hollowing) and tear trough can be managed by aesthetic medical and surgical procedures: Laser or intense pulsed light (IPL) treatments.Chemical peels to reduce fine lines and surface pigmentation.Topical agents however dermal pigmentation responds poorly, and eyelids are sensitive so the stronger products may irritate (see melasma).Protection from sun exposure using sunglasses.Medical treatments to reduce pigmentation can include: Unfortunately, many of the remedies on the market lack evidence of efficacy. These should be applied in the shadows, not on the puffy skin. Light-reflecting concealers (these are often yellow or gold in colour) covered by translucent face powder.Cold compresses also minimise the appearance of prominent blood vessels.Massage temporary swelling while applying a cold compress.Sleep with extra pillows to elevate the head and reduce eyelid swelling.Treatment of dark circles under the eyes depends on its nature. How are dark circles under the eyes treated? Wood lamp evaluation, which allows the clinician to assess the depth of pigmentation.How are dark circles under the eyes diagnosed?Ĭorrect diagnosis of dark circles under the eyes can be difficult. Superficially located blood vessels and blood stasis may contribute to the darkened appearance. Shadowing is more noticeable at times, due to: Thin translucent skin is commonly observed with: Loss of fatty tissue in the eyelid or around the eye (tear trough) is associated with:īulging or puffy eyelids may be due to systemic conditions, particularly: Dermal melanin deposition is often due to post- inflammatory pigmentation, which may follow: Pigmentation under the eyes is associated with dermal deposition of melanin. People with a genetic predisposition to dark circles under the eyes.The elderly (but they are also a common complaint in adolescents).Those prone to dark circles under the eyes include: The appearance can be challenging to treat. Shadowing due to anatomic shape of the orbit.Loss of fatty tissue in the eyelid or around the eye.Dark circles under the eyes describe a common appearance of the lower eyelids that has various causes.

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