Journal de dermatologie et des maladies dermatologiques

Periocular Pigmentation: Overcoming the Difficulties

Abstract

Banu Taskin

Periocular pigmentation is bilateral, round, homogeneous macules especially on the infraorbital regions. Despite its prevalence, there are few published studies about dark circles and its pathogenesis. Possible causative factors of the dark circles include excessive pigmentation, periorbital edema, thin-translucent lower eye-lid skin overlying the orbicularis oculi muscle; and shadowing due to skin laxity and tear trough. A clinical approach to the treatment of periocular pigmentation should include identification and therapeutic targeting of each contributing etiologic factor for an individual patient. Treatment modalities, both monotherapy and in combination, have been used for periocular hyperpigmentation. They include bleaching creams, topical retinoic acid, chemical peels, laser therapies, injectable fillers, fat transfer and surgery.