Periorbital hyperpigmentation is a generally benign, extremely common condition that is notoriously resistant to treatment. According to the author, the key to successful treatment is determining the primary cause and complying with maintenance and preventive regimens. A multimodal approach may be required, encompassing topical bleaching agents, chemical peels, laser therapy, and/or surgery.
The eyes, a focal point of facial expression, not only convey the full range of human emotion but also have a significant impact on how one is perceived in terms of health and beauty. Efforts to enhance and accentuate the eyes range from simple application of moisturizing creams and colored pigments to medical procedures such as injections and surgery. Improvement of the eyes and periorbital area is of particular concern to an aging person with fine lines, loose skin, excess fat, and hyperpigmentation (dark circles). Such conditions, resulting from a combination of thin skin, shifting gravity, loss of collagen, and excess sun exposure, are generally medically benign but nonetheless unattractive, frequently causing a sad, tired, or unhealthy appearance that many find troubling.
