These are of two types familial & acquired & is characterised by saggy skin around eyes, brown hue, pigmented lesions, blue/pink/purple hue, periorbital puffiness, shadow hue, infraorbital palpebral bags & infraorbital grooves.
As such no medical treatment is required in such cases but it gives tired, exhausted & elderly looks cosmetically.
Acquired cases can be treated by improving the life style like proper sleep, quitting alcohol, smoking, and medically by treating the underlying cause like depression, skin disorders, water retention, premature ageing etc..
Management includes
Topical application of camouflage, concealer & creams containing retinoids, peptides, caffeine, hydroquinone.
Lasers (PDL, IPL, Q-switched) & Radiofrequency.
Chemical peels, laser ablation, Medical tattooing & Dermal fillers are the invasive procedures.
Surgical intervention like Blepharoplasty, Fat grafting & Tear trough implants and cheek implants can be performed.



Dr Sachin k Maurya, Medical Director, Antiaging skin clinic Group