Journal of Cutaneous and Aesthetic Surgery
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SYMPOSIUM
Year : 2016  |  Volume : 9  |  Issue : 2  |  Page : 65-72

Infraorbital dark circles: A review of the pathogenesis, evaluation and treatment


1 TOC Eye and Face, Austin, USA
2 Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

Correspondence Address:
Tanuj Nakra
TOC Eye and Face, 3705 Medical Parkway, Suite 120, Austin, Texas
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.184046

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Infraorbital dark circles represent a common and multifactorial challenge in the world of aesthetic medicine and are the result of a variety of factors including deep facial anatomy, soft tissue changes, as well as contributions from the skin. A variety of treatment options exist, and a customised management strategy can be developed for the particular anatomic changes present. A literature search using MEDLINE and non-MEDLINE sources was performed utilising keywords including: 'Dark circles' 'infraorbital dark circles', 'infraorbital pigment', 'under-eye circles' and 'lower eyelid bags'. A comprehensive review of the literature was performed and the data were assimilated with evidence from our practice. This review provides a detailed discussion of the aetiology, pathogenesis, evaluation and management of infraorbital dark circles. An understanding of the deep and superficial anatomy is crucial to the management of this complex entity. The armamentarium for treatment includes minimally invasive interventions such as makeup and cosmeceuticals, a variety of laser and chemical treatments, fillers and fat transfer, as well as more invasive surgical manoeuvres.


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