Under eye dark circles are caused due to several different factors. Heredity, poor lifestyle, allergies, obesity, eye cosmetics, poor vision and many other factors may be responsible. These factors cause dark circles by several different mechanisms. Pigmentation of eyelid skin, thinning of eyelid skin, thickening of eyelid skin, stagnation of blood circulation all play a contributory role.
During treatment it is important to understand the causative factors and responsible mechanisms in each individual case. Topical medications and treatments are decided accordingly. Chemical peels and mesotherapy can give excellent results within a short period of time.