download periorbital dark circles treatments

Without intervention, POH usually progresses over time so early intervention and management is encouraged. Safety issues are of utmost concern when embarking upon treatments such as chemical peeling, filler injection, and laser therapy as not to worsen the pigmentation. Sun protection is a cornerstone of therapy. A complete medical history with ROS and physical examination is encouraged prior to treating the aesthetic component.

Most importantly POH may be a final common pathway of dermatitis, allergy, systemic disorders, sleep disturbances, or nutritional deficiences that lends itself to medical, surgical, and cosmeceutical treatments.

The disparity in the medical community's understanding of POH versus popular demand for treatment is best illustrated when you have only 65 cited articles to date indexed on PubMed line compared to the 150,000,000 results on Google search engine. As forecasted by the US Census, by 2030 1 in 5 Americans will be 65 plus years old and greater than 50% of the population will possess ethnic skin of color. With a shifting US demographic characterized by growing number of aging patients as well as skin of color patients, we will encounter POH with greater frequency. While 'dark circles' are seen in all skin types, POH is often more commonly seen in skin of color patients worldwide. It may occur in the young and old, however the development of dark circles under the eyes in any age is of great aesthetic concern because it may depict the individual as sad, tired, stressed, and old. It is challenging to treat, complex in pathogenesis, and lacking straightforward and repeatable therapeutic options.

Periorbital hyperpigmentation (POH) is a common worldwide problem.

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