Dark eye circles have multiple components:
- Atrophy (Thinning) of the skin allowing a shadow to occur
- Pigmentation, idiopathic or postinflammatory
- Superficial arteries and veins
- Dilatation of capillaries
Possible treatments:
- Low concentration of retinoids or with creams containing growth factors should be tried first, in an attempt to obtain some thickening of eyelid skin.
- Injection of Hyaluronic Acid Fillers: Belotero, Juvederm or Restylane to more effectively obtain thickening of the skin.
- Laser resurfacing and more recently fractional resurfacing can be very effective in tightening, thickening the skin and in removing the hyperpigmentation.
For treatment of