Dark circles under the eyes may be caused by a variety of underlying issues, which include thin skin or loss of underlying fat, which allows for the skin to reflect the color of the dark blood vessels and muscles below. Or the color problem can lie within the skin itself from genetics coupled and made worsened by sun chronic sun damage. If the loss of underlying volume and thin skin are believed to be the root of the problem, the injection of a filler, such as Belotero Balance or Teosyal Redensity II to which a tiny amount of a whitish colored filler, Radiesse, has been added can help to lighten the infraorbital region while simultaneously restoring a thicker intermediate layer between the underlying muscles and vessels and the overlying skin. If the skin itself is hyperpigmented then the regular and long-term at-home use of prescription-strength bleaching agents, such as hydroquinone, arbutin, kojic acid and licorice extracts combined with a series of superifical peels using varying strengths of low strength TCA or high concentration glycolic or salicylic acid may prove helpful, of course always coupled with strict sun protection measures and the use of high SPF sunscreens. Light-based therapies, in particular, run a particular risk of giving rise to prolonged or even permanent postinflammatory hyperpigmentation. So, do your due diligence before entertaining undergoing treatments with these relatively expensive bells and whistles devices. Make sure that you consult with an experienced board certified aesthetic dermatologist. Best of luck to you.
