
Periorbital Dark Circle/Crows Feet Treatments
Periorbital dark circles and crow’s feet are common concerns related to the eyes and can be addressed through various treatments.
Periorbital hyperpigmentation, also known as periocular hyperpigmentation, periorbital melanosis, dark circles, infraorbital darkening, infraorbital discoloration, or idiopathic cutaneous hyperchromic of the orbital region, is a common condition encountered in dermatology practice.1-4 It is an ill-defined entity that presents as bilateral round or semicircular homogenous brown or dark brown pigmented macules in the periocular region.1,2 It can affect an individual’s emotional well-being and influence quality of life.
causes periorbital dark circles are:
Periorbital dark circles can be caused by a variety of factors, including:
- Thin or translucent skin around the eyes, which allows blood vessels and underlying structures to be more visible.
- Loss of fat and collagen as we age, leading to hollows and shadows.
- Genetics, as some people may naturally have darker pigmentation around the eyes.
- Allergies, nasal congestion, or sinus problems that cause blood vessels to dilate and contribute to a darkened appearance.
- Lifestyle factors such as lack of sleep, stress, smoking, and poor nutrition can also contribute to the development of dark circles.
The Common Complaints are:
- Dark Circles
- Deep Set Eyes / Hollow Eyes
- Eye Bags
- Fine Lines and Wrinkles (Crow’s feet)
- Thinning of Eye Lashes
- Thinning of Eyebrows
- Tired Eyes
Common Causes are:
- Frequent cold/ Allergies/ Atopic Dermatitis (eczema)
- Frequently Rubbing the Eyes
- Using Harsh Cleansers
- Nutritional Deficiency
- Deep Set Eyes
- Thin skin Vasculature
- Hereditary
- Lifestyle factors like Smoking, Chronic Alcoholism, Emotional Stress
Crow's feet are
Crow’s feet are the fine lines and wrinkles that appear at the outer corners of the eyes, particularly when smiling or squinting. They are typically caused by the repetitive movement of facial muscles over time, along with a decrease in collagen and elastin production in the skin.
Treatment options for periorbital dark circles and crow's feet are:
Topical creams and serums: Over-the-counter or prescription creams containing ingredients like retinol, vitamin C, peptides, or hyaluronic acid can help improve the appearance of dark circles and reduce the visibility of fine lines.
Dermal fillers: Injectable fillers, such as hyaluronic acid-based fillers, can be used to plump hollow areas under the eyes and reduce the appearance of dark circles. They can also be used to soften the appearance of crow’s feet by adding volume and filling in the lines.
Laser or light therapies: Laser treatments, such as fractional laser resurfacing or intense pulsed light (IPL), can stimulate collagen production and improve skin texture and pigmentation around the eyes, reducing the appearance of dark circles and crow’s feet.
Botox injections: Botulinum toxin injections, such as Botox, can relax the muscles around the eyes and temporarily reduce the appearance of crow’s feet. Botox works by blocking nerve signals to the muscles, preventing them from contracting and forming wrinkles.


Periorbital Dark Circle/Crows Feet treatments – Frequently Asked Question
Are the results of treatment for periorbital dark circles and crow's feet permanent?
The results of treatment for periorbital dark circles and crow’s feet are typically not permanent. Injectable fillers and Botox injections provide temporary results that can last several months, depending on the specific product used and individual factors. Repeat treatments are usually necessary to maintain the desired outcome.
Are there any risks or side effects associated with treatments for periorbital dark circles and crow's feet?
Some common risks and side effects associated with treatments for periorbital dark circles and crow’s feet may include temporary redness, swelling, bruising, or discomfort at the treatment site. With injectable fillers and Botox injections, there is a small risk of infection, allergic reactions, or uneven results. It’s important to discuss the potential risks and complications with your plastic surgeon or dermatologist before undergoing any treatment.
Can I combine treatments for periorbital dark circles and crow's feet with other procedures?
Yes, it is possible to combine treatments for periorbital dark circles and crow’s feet with other cosmetic procedures to achieve more comprehensive results. For example, combining injectable fillers or Botox injections with other facial rejuvenation procedures like laser resurfacing or facelift surgery.