There are four main structural causes of dark circles: Pigmented, Vascular, Muscular, and Sunken types. Treatment methods must be tailored specifically to each cause.

| 1. Pigmented | 2. Vascular & Muscular | 3. Fat Protrusion | 4. Sunken (Hollow) | |
|---|---|---|---|---|
| Primary Cause | Severe hyperpigmentation due to lack of sleep, vitamin deficiency, allergies, or the habit of rubbing the eyes. | Exceptionally thin under-eye skin revealing underlying vessels/muscle. | Herniation or bulging of under-eye fat pads. | Volume loss resulting in a hollow or sunken appearance under the eyes. |
| Treatment Method | Primary focus on Laser toning and Skin Boosters. | Varies depending on whether it is accompanied by hollowness or fat protrusion. If present, treat those first. If not, focus primarily on Vascular Laser treatments. | Severe cases: Under-eye fat repositioning or lower blepharoplasty surgery is highly recommended. Mild cases: Treated with Dermal Fillers or Collagen Boosters. |
Treated effectively with Dermal Fillers or Collagen Boosters to restore volume. |
| Recommended Protocol | • 10 sessions • Routine daily care recommended |
• 10 sessions • Routine daily care recommended |
• 1-3 sessions • Treatment cycle: Every 1-2 years |
• 1-3 sessions • Treatment cycle: Every 1-2 years |