Cause of Dark Circles Along Nasal Bridge / Eye Socket?

I got this picture while looking into Periorbital dark circles (which I have severely). Anyways if you look at the picture I have circled part of the eye which I have concern about. It seems along the bridge of my nose down to the bottom middle of my eye socket runs a prominent dark circle. Along the dark circles is skin texture much like this, but a degree worst. What is the cause of this and is there any way to fix it? The texture just makes my circles even more prominent.

Doctor Answers 1

Treatment of tear troughs

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These photo are limited so I cannot be surge but I think the main cause is insufficient bone under the eye creating a relatively depressed area. As a result you get a shadow in this area under your eyes. If that is the case your best option would be an implant to build up the bone rim under the eyes.

Los Angeles Plastic Surgeon

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