Hi, though darks circle causes pigmentation. The main cause on most of the time are depression of soft tissue around eyes giving an appearance of hills and valleys.
The more dark look is caused shadows of this hills into depression.
Which is a sign of orbital fat volume loss.
Treatment includes non surgical single or on combination,eg fat grafting, fillers,peels ,laser.
Surgical options is Blephroplasty with fat repositioning.
Regards
Dr Punit Dubey
Facial Plastic Surgeon
CranioMaxilloFacial and Cosmetic Surgeon
Noida Ghaziabad Delhi
Answered2018-11-04 08:30:53
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