Why Do I Have Black Circles Under My Eyes?

Dark circles under your eyes can be bothersome, but WHY.EDU.VN provides expert insights into the common causes and effective remedies for under-eye darkness. Learn how factors like sleep deprivation, genetics, and lifestyle contribute to these shadows, and discover practical solutions to brighten your appearance and rejuvenate your skin. Uncover the secrets to reducing under-eye circles and achieving a refreshed, youthful look with our comprehensive guide to dark circles and eye bags.

1. Understanding Dark Circles Under Eyes

Dark circles under the eyes, medically known as periorbital hyperpigmentation, are a common cosmetic concern characterized by the darkening of the skin beneath the eyes. According to a study published in the Journal of Clinical and Aesthetic Dermatology, periorbital hyperpigmentation affects individuals of all ages and ethnicities, but is more prevalent in people with darker skin tones due to increased melanin production. This discoloration can range from a mild shadow to a more pronounced dark hue, impacting a person’s perceived appearance and self-esteem.

1.1. What Are Dark Circles?

Dark circles refer to the darkened skin that appears beneath the eyes. They can manifest in various shades, including blue, purple, brown, or black, depending on the individual’s skin tone and underlying causes. The appearance of dark circles may be influenced by factors such as genetics, age, lifestyle, and environmental stressors.

1.2. Common Misconceptions About Dark Circles

Many people mistakenly believe that dark circles are solely caused by fatigue or lack of sleep. While sleep deprivation can exacerbate the appearance of dark circles, it is not the sole culprit. Other factors, such as genetics, allergies, sun exposure, and dehydration, can also contribute to their formation. Additionally, some individuals confuse dark circles with under-eye bags or puffiness, which have distinct causes and require different treatment approaches.

1.3. Differentiating Between Dark Circles, Eye Bags, and Puffiness

It’s crucial to distinguish between dark circles, eye bags, and puffiness, as each condition has unique characteristics and underlying causes.

  • Dark Circles: Characterized by discoloration of the skin beneath the eyes, often caused by hyperpigmentation, thin skin, or visible blood vessels.

  • Eye Bags: Refer to the swelling or puffiness that occurs beneath the eyes due to fluid retention, weakened tissues, or fat accumulation.

  • Puffiness: Generalized swelling around the eyes, often caused by fluid retention, allergies, or inflammation.

Understanding the specific characteristics of each condition is essential for selecting the appropriate treatment and management strategies.

2. Causes of Dark Circles

Dark circles under the eyes can arise from a multitude of factors, ranging from lifestyle choices to underlying medical conditions. A comprehensive understanding of these causes is crucial for effective prevention and treatment.

2.1. Genetic Predisposition

Genetics play a significant role in determining an individual’s susceptibility to developing dark circles. According to a review published in Clinics in Plastic Surgery, individuals with a family history of dark circles are more likely to experience them themselves. Genetic factors can influence skin thickness, pigmentation, and the visibility of blood vessels beneath the eyes, all of which contribute to the appearance of dark circles.

2.2. Lifestyle Factors

Lifestyle choices can significantly impact the formation and severity of dark circles.

2.2.1. Sleep Deprivation and Fatigue

Lack of sleep and chronic fatigue can lead to the dilation of blood vessels beneath the eyes, causing them to become more visible through the thin skin. Additionally, sleep deprivation can disrupt the body’s natural repair processes, leading to a buildup of fluid under the eyes, resulting in puffiness and shadows.

2.2.2. Diet and Hydration

An unhealthy diet lacking essential nutrients and inadequate hydration can contribute to the appearance of dark circles. A diet high in processed foods, salt, and sugar can lead to inflammation and fluid retention, exacerbating puffiness and discoloration around the eyes. Dehydration can also make the skin appear dull and accentuate the visibility of blood vessels.

2.2.3. Alcohol and Smoking

Excessive alcohol consumption and smoking can have detrimental effects on the skin, including the development of dark circles. Alcohol can dehydrate the body and disrupt sleep patterns, while smoking impairs blood circulation and collagen production, leading to premature aging and thinning of the skin around the eyes.

2.3. Medical Conditions and Allergies

Certain medical conditions and allergies can contribute to the formation of dark circles.

2.3.1. Allergies and Nasal Congestion

Allergic reactions can trigger inflammation and congestion in the nasal passages, leading to dilation of blood vessels around the eyes. Additionally, the constant rubbing and scratching associated with allergies can further irritate the skin and contribute to hyperpigmentation.

2.3.2. Anemia and Iron Deficiency

Iron deficiency anemia can result in reduced oxygen supply to the tissues, leading to pale skin and increased visibility of blood vessels beneath the eyes. This can cause the appearance of dark circles, particularly in individuals with thin or translucent skin.

2.3.3. Eczema and Dermatitis

Skin conditions such as eczema and dermatitis can cause inflammation, itching, and dryness around the eyes, leading to hyperpigmentation and the formation of dark circles. Constant scratching and rubbing can further exacerbate these symptoms and contribute to long-term skin damage.

2.4. Age and Sun Exposure

As we age, the skin around the eyes becomes thinner and loses collagen and elasticity, making blood vessels more visible and contributing to the appearance of dark circles. Sun exposure can also exacerbate this process by damaging collagen and elastin fibers, leading to premature aging and hyperpigmentation.

3. Identifying Your Type of Dark Circles

Determining the specific type of dark circles you have is essential for tailoring your treatment approach and achieving optimal results. Dark circles can manifest in various forms, each with its own underlying causes and characteristics.

3.1. Pigmented Dark Circles

Pigmented dark circles are characterized by increased melanin production in the skin beneath the eyes, resulting in a brownish or hyperpigmented appearance. This type of dark circle is more common in individuals with darker skin tones and can be caused by factors such as sun exposure, inflammation, or genetic predisposition.

3.2. Vascular Dark Circles

Vascular dark circles are caused by the visibility of blood vessels beneath the thin skin around the eyes, resulting in a bluish or purplish hue. This type of dark circle is more common in individuals with fair skin and can be exacerbated by factors such as sleep deprivation, allergies, or certain medications.

3.3. Structural Dark Circles

Structural dark circles are caused by shadows cast by hollows or depressions beneath the eyes, resulting in a darkened appearance. This type of dark circle is often associated with aging and the loss of collagen and fat in the under-eye area.

3.4. Mixed Dark Circles

Mixed dark circles are a combination of pigmented, vascular, and structural factors, resulting in a complex appearance that is difficult to categorize. This type of dark circle requires a multi-faceted treatment approach to address all underlying causes and achieve optimal results.

4. Home Remedies for Dark Circles

For mild to moderate dark circles, various home remedies can help improve the appearance of the under-eye area. These remedies are often cost-effective, readily available, and gentle on the skin.

4.1. Cold Compresses

Applying cold compresses to the under-eye area can help constrict blood vessels and reduce swelling, minimizing the appearance of dark circles. Soak a clean cloth in cold water or wrap a few ice cubes in a towel and apply it to the eyes for 10-15 minutes at a time.

4.2. Teabags

Teabags, particularly those containing caffeine, can help reduce dark circles by constricting blood vessels and reducing fluid retention. Steep two teabags in hot water for 3-5 minutes, then chill them in the refrigerator for 15-20 minutes. Apply the cool teabags to your eyes for 10-15 minutes, then rinse with water.

4.3. Cucumber Slices

Cucumber slices are a classic remedy for dark circles due to their cooling and anti-inflammatory properties. Place chilled cucumber slices over your eyes for 15-20 minutes to help reduce swelling and brighten the skin.

4.4. Potato Slices

Potato slices contain enzymes that can help lighten the skin and reduce dark circles. Grate a raw potato and extract the juice, then soak cotton pads in the juice and apply them to your eyes for 15-20 minutes. Rinse with water.

4.5. Almond Oil

Almond oil is rich in vitamin E and antioxidants, which can help nourish and protect the skin around the eyes. Gently massage almond oil into the under-eye area before bed and leave it on overnight. Rinse with water in the morning.

5. Over-the-Counter Treatments

In addition to home remedies, several over-the-counter treatments can help improve the appearance of dark circles. These products often contain ingredients that target specific causes of dark circles, such as hyperpigmentation, inflammation, or vascular issues.

5.1. Eye Creams with Active Ingredients

Eye creams containing active ingredients such as vitamin C, retinol, kojic acid, or hyaluronic acid can help brighten the skin, reduce hyperpigmentation, and improve hydration. Look for products that are specifically formulated for the under-eye area and free of irritants.

5.2. Concealers and Color Correctors

Concealers and color correctors can provide temporary coverage for dark circles by neutralizing discoloration and brightening the under-eye area. Choose a concealer that is one or two shades lighter than your skin tone and apply it sparingly to the dark circles, blending well.

5.3. Sunscreen for the Under-Eye Area

Protecting the under-eye area from sun exposure is crucial for preventing hyperpigmentation and premature aging. Use a broad-spectrum sunscreen with an SPF of 30 or higher and apply it liberally to the under-eye area every day, even on cloudy days.

6. Professional Treatments for Dark Circles

For persistent or severe dark circles, professional treatments offered by dermatologists or cosmetic surgeons may provide more effective and long-lasting results.

6.1. Chemical Peels

Chemical peels involve the application of a chemical solution to the skin, which exfoliates the outer layers and stimulates collagen production. This can help reduce hyperpigmentation and improve skin tone, reducing the appearance of dark circles.

6.2. Laser Therapy

Laser therapy uses focused beams of light to target specific pigments or blood vessels in the skin, reducing discoloration and improving skin texture. Different types of lasers can be used to treat various types of dark circles, depending on the underlying cause.

6.3. Dermal Fillers

Dermal fillers, such as hyaluronic acid, can be injected into the under-eye area to restore volume and reduce shadows caused by structural dark circles. This can help create a smoother, more youthful appearance.

6.4. Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting platelet-rich plasma derived from the patient’s own blood into the under-eye area. PRP contains growth factors that stimulate collagen production and improve skin regeneration, reducing dark circles and improving skin texture.

6.5. Blepharoplasty (Eyelid Surgery)

Blepharoplasty is a surgical procedure that involves removing excess skin, fat, or muscle from the eyelids to improve the appearance of the eyes. This can help reduce eye bags, puffiness, and dark circles caused by structural issues.

7. Lifestyle Changes to Prevent Dark Circles

Making certain lifestyle changes can help prevent the formation of dark circles or minimize their appearance. These changes focus on promoting overall health and well-being, as well as protecting the delicate skin around the eyes.

7.1. Getting Adequate Sleep

Aim for 7-8 hours of quality sleep each night to allow your body to repair and rejuvenate itself. Establish a regular sleep schedule and create a relaxing bedtime routine to promote restful sleep.

7.2. Staying Hydrated

Drink plenty of water throughout the day to keep your skin hydrated and prevent fluid retention. Aim for at least 8 glasses of water per day, and increase your intake during hot weather or after exercise.

7.3. Eating a Balanced Diet

Consume a balanced diet rich in fruits, vegetables, whole grains, and lean protein to provide your body with the nutrients it needs for optimal health. Limit your intake of processed foods, salt, and sugar, which can contribute to inflammation and fluid retention.

7.4. Reducing Alcohol and Smoking

Limit your alcohol consumption and quit smoking to protect your skin from damage and premature aging. Alcohol can dehydrate the body and disrupt sleep patterns, while smoking impairs blood circulation and collagen production.

7.5. Managing Allergies

If you suffer from allergies, take steps to manage your symptoms and prevent flare-ups. Avoid allergens, use over-the-counter or prescription antihistamines, and consider allergy immunotherapy if necessary.

8. Makeup Tips to Conceal Dark Circles

While addressing the underlying causes of dark circles is essential, makeup can provide temporary coverage and improve the appearance of the under-eye area.

8.1. Choosing the Right Concealer

Choose a concealer that is one or two shades lighter than your skin tone and has a creamy, blendable formula. Look for concealers that are specifically formulated for the under-eye area and contain light-reflecting particles to brighten the skin.

8.2. Applying Concealer Correctly

Apply concealer sparingly to the dark circles, using a small brush or your fingertip. Gently pat the concealer into the skin, blending well along the edges to avoid harsh lines. Set the concealer with a light dusting of translucent powder to prevent creasing and prolong wear.

8.3. Color Correcting Techniques

Color correcting can help neutralize discoloration and improve the effectiveness of concealer. Use a peach or orange color corrector to counteract blue or purple tones, and a yellow color corrector to brighten dullness. Apply the color corrector before concealer, blending well into the skin.

8.4. Highlighting and Contouring

Highlighting and contouring can help create the illusion of brighter, more lifted eyes. Apply a highlighter to the inner corners of your eyes and along the brow bone to brighten the area. Use a contour shade along the lower lash line to create depth and definition.

9. When to See a Doctor

While dark circles are typically a cosmetic concern, it’s essential to seek medical advice if you experience certain symptoms or suspect an underlying medical condition.

9.1. Unusual Symptoms

If you notice any unusual symptoms, such as swelling, pain, itching, or changes in vision, consult a doctor to rule out any underlying medical conditions.

9.2. Sudden Onset of Dark Circles

If you experience a sudden onset of dark circles without any apparent cause, it’s essential to seek medical advice to determine the underlying cause and receive appropriate treatment.

9.3. Dark Circles Affecting Only One Eye

If dark circles are present only on one eye or are more pronounced on one side, consult a doctor to rule out any underlying medical conditions.

9.4. Concerns About Underlying Medical Conditions

If you suspect that your dark circles may be caused by an underlying medical condition, such as anemia, allergies, or thyroid problems, consult a doctor for diagnosis and treatment.

10. Debunking Myths About Dark Circles

There are many misconceptions surrounding dark circles, which can lead to confusion and ineffective treatment approaches. It’s essential to debunk these myths and rely on accurate information for managing dark circles.

10.1. Myth: Dark Circles Are Always Caused by Lack of Sleep

While sleep deprivation can exacerbate the appearance of dark circles, it is not the sole cause. Other factors, such as genetics, allergies, sun exposure, and dehydration, can also contribute to their formation.

10.2. Myth: Eye Creams Can Completely Eliminate Dark Circles

While eye creams can improve the appearance of dark circles by hydrating the skin, reducing hyperpigmentation, and improving circulation, they cannot completely eliminate them. For persistent or severe dark circles, professional treatments may be necessary.

10.3. Myth: Dark Circles Are a Sign of Poor Health

Dark circles are not necessarily a sign of poor health. While certain medical conditions can contribute to their formation, they are often caused by lifestyle factors, genetics, or aging.

10.4. Myth: Only Women Get Dark Circles

Dark circles can affect individuals of all genders and ages. While women may be more likely to seek treatment for dark circles due to societal pressures, they are not the only ones who experience them.

11. Latest Research on Dark Circles

Stay informed about the latest research on dark circles to gain a deeper understanding of their causes, prevention, and treatment.

11.1. New Ingredients and Technologies

Researchers are continuously exploring new ingredients and technologies for treating dark circles, such as topical antioxidants, peptides, and light-based therapies. Stay updated on the latest advancements to make informed decisions about your treatment options.

11.2. Studies on Effectiveness of Different Treatments

Keep an eye out for studies that evaluate the effectiveness of different treatments for dark circles, such as chemical peels, laser therapy, and dermal fillers. Look for research that is published in reputable medical journals and conducted by qualified professionals.

11.3. Genetic Factors and Dark Circles

Researchers are also investigating the genetic factors that contribute to the formation of dark circles. This research may lead to the development of targeted treatments that address the underlying genetic causes of dark circles.

12. Expert Advice on Dark Circle Prevention and Treatment

Consult with dermatologists, cosmetic surgeons, and other experts to receive personalized advice on preventing and treating dark circles.

12.1. Dermatologist Recommendations

Dermatologists can provide expert advice on skincare products, treatments, and lifestyle changes that can help improve the appearance of dark circles. They can also diagnose any underlying medical conditions that may be contributing to your dark circles.

12.2. Cosmetic Surgeon Insights

Cosmetic surgeons can offer insights on professional treatments for dark circles, such as chemical peels, laser therapy, and dermal fillers. They can also assess your suitability for surgical procedures, such as blepharoplasty, if necessary.

12.3. Skincare Specialist Tips

Skincare specialists can provide valuable tips on choosing the right skincare products, applying makeup correctly, and maintaining healthy skin habits to prevent dark circles.

13. Personal Stories and Testimonials

Read personal stories and testimonials from individuals who have successfully managed their dark circles to gain inspiration and practical advice.

13.1. Success Stories of Dark Circle Treatment

Discover how others have overcome their dark circles using various treatments and lifestyle changes. Learn from their experiences and apply their strategies to your own situation.

13.2. Real-Life Experiences with Different Remedies

Gain insights into the effectiveness of different remedies for dark circles by reading real-life experiences from individuals who have tried them. Compare and contrast their results to determine which remedies may be most suitable for you.

13.3. Before-and-After Photos

View before-and-after photos of individuals who have undergone treatment for dark circles to visualize the potential results. This can help you set realistic expectations and make informed decisions about your treatment options.

14. Dark Circles in Different Age Groups

Dark circles can affect individuals of all ages, but their causes and treatment approaches may vary depending on the age group.

14.1. Dark Circles in Children and Teenagers

In children and teenagers, dark circles are often caused by allergies, sleep deprivation, or genetics. Treatment focuses on managing allergies, improving sleep habits, and using gentle skincare products.

14.2. Dark Circles in Adults

In adults, dark circles can be caused by a combination of factors, including lifestyle choices, medical conditions, and aging. Treatment may involve lifestyle changes, over-the-counter remedies, or professional treatments.

14.3. Dark Circles in Seniors

In seniors, dark circles are often associated with aging and the loss of collagen and fat in the under-eye area. Treatment may focus on restoring volume with dermal fillers, improving skin texture with laser therapy, or addressing structural issues with blepharoplasty.

15. Addressing Dark Circles in Men vs. Women

While dark circles can affect both men and women, their concerns and treatment preferences may differ.

15.1. Skincare Products for Men

Men may prefer skincare products that are lightweight, non-greasy, and easy to use. Look for eye creams and concealers that are specifically formulated for men’s skin and address their specific concerns.

15.2. Makeup Techniques for Men

Men may prefer makeup techniques that are subtle and natural-looking. Focus on using minimal product and blending well to create a seamless finish.

15.3. Professional Treatments for Men

Men may be more open to professional treatments for dark circles that offer quick and effective results, such as laser therapy, dermal fillers, or blepharoplasty.

16. The Psychological Impact of Dark Circles

Dark circles can have a significant psychological impact on individuals, affecting their self-esteem, confidence, and social interactions.

16.1. Self-Esteem and Confidence

Dark circles can make individuals feel self-conscious about their appearance, leading to decreased self-esteem and confidence. They may feel that they look tired, aged, or unhealthy, which can affect their overall sense of well-being.

16.2. Social Interactions

Dark circles can impact social interactions by making individuals feel less attractive or approachable. They may avoid social situations or feel anxious about being judged or scrutinized by others.

16.3. Mental Health

In severe cases, dark circles can contribute to mental health issues such as depression, anxiety, and body dysmorphic disorder. It’s essential to address the psychological impact of dark circles and seek professional help if necessary.

17. The Role of Nutrition in Improving Dark Circles

Proper nutrition plays a crucial role in maintaining healthy skin and reducing the appearance of dark circles.

17.1. Vitamins and Minerals for Skin Health

Certain vitamins and minerals are essential for skin health, including vitamin C, vitamin E, vitamin K, iron, and zinc. Consume a balanced diet rich in these nutrients to promote healthy skin and reduce dark circles.

17.2. Antioxidant-Rich Foods

Antioxidant-rich foods, such as fruits, vegetables, and green tea, can help protect the skin from damage caused by free radicals and reduce inflammation. Include these foods in your diet to promote healthy skin and reduce dark circles.

17.3. Hydration and Skin Elasticity

Staying hydrated is essential for maintaining skin elasticity and preventing dryness. Drink plenty of water throughout the day to keep your skin hydrated and reduce dark circles.

18. Dark Circles and Cultural Perceptions

Cultural perceptions of dark circles can vary widely, with some cultures viewing them as a sign of beauty or sophistication, while others consider them to be undesirable.

18.1. Beauty Standards Around the World

Beauty standards vary around the world, with some cultures valuing fair skin and flawless complexions, while others appreciate natural imperfections and unique features. Consider the cultural context when assessing your own dark circles and determining your treatment goals.

18.2. Societal Pressures and Appearance

Societal pressures to conform to certain beauty standards can lead to anxiety and self-consciousness about dark circles. It’s essential to challenge these pressures and embrace your natural beauty.

18.3. Embracing Natural Beauty

Embrace your natural beauty and focus on promoting overall health and well-being, rather than striving for unattainable ideals. Dark circles are a common and natural feature that can be managed and accepted.

19. Future Trends in Dark Circle Treatments

Stay informed about future trends in dark circle treatments to anticipate new and innovative solutions for managing this common cosmetic concern.

19.1. Personalized Skincare

Personalized skincare involves tailoring treatments to individual needs and skin characteristics. Future trends may include customized eye creams and treatment plans based on genetic testing, skin analysis, and lifestyle factors.

19.2. Non-Invasive Technologies

Non-invasive technologies, such as radiofrequency, ultrasound, and LED therapy, are becoming increasingly popular for treating dark circles. These technologies offer minimal downtime and can provide significant improvements in skin texture, tone, and elasticity.

19.3. Regenerative Medicine

Regenerative medicine involves using the body’s own cells and tissues to repair and regenerate damaged skin. Future trends may include stem cell therapy, growth factor injections, and other regenerative techniques for treating dark circles.

20. The Importance of a Holistic Approach to Dark Circle Management

A holistic approach to dark circle management considers all aspects of an individual’s health and well-being, including lifestyle, diet, skincare, and mental health.

20.1. Combining Lifestyle Changes, Skincare, and Professional Treatments

The most effective approach to dark circle management involves combining lifestyle changes, such as getting adequate sleep, staying hydrated, and eating a balanced diet, with appropriate skincare and professional treatments. This multi-faceted approach can address the underlying causes of dark circles and provide long-lasting results.

20.2. Prioritizing Overall Health and Well-Being

Prioritizing overall health and well-being is essential for maintaining healthy skin and reducing the appearance of dark circles. Focus on promoting healthy habits, managing stress, and seeking professional help when needed.

20.3. Embracing Self-Care and Self-Acceptance

Embrace self-care and self-acceptance to promote a positive body image and improve your overall sense of well-being. Dark circles are a common and natural feature that do not define your worth or beauty.

Remember, addressing dark circles is a journey, not a destination. Experiment with different remedies and treatments, consult with experts, and embrace a holistic approach to achieve your desired results.

If you’re struggling to find the right answers and need expert guidance, visit WHY.EDU.VN. Our platform connects you with specialists who can provide detailed, easy-to-understand solutions tailored to your unique needs. Don’t stay in the dark—get the answers you deserve at WHY.EDU.VN. For any questions, reach out to us at 101 Curiosity Lane, Answer Town, CA 90210, United States, or Whatsapp: +1 (213) 555-0101. Let why.edu.vn light your way to clarity!

FAQ About Dark Circles

Here are some frequently asked questions about dark circles to help you better understand this common condition.

Question Answer
1. Are dark circles always caused by lack of sleep? No, while sleep deprivation can exacerbate dark circles, they can also be caused by genetics, allergies, sun exposure, dehydration, and underlying medical conditions.
2. Can eye creams completely eliminate dark circles? Eye creams can improve the appearance of dark circles by hydrating the skin, reducing hyperpigmentation, and improving circulation, but they cannot completely eliminate them. Professional treatments may be necessary for persistent or severe dark circles.
3. Are dark circles a sign of poor health? Dark circles are not necessarily a sign of poor health. While certain medical conditions can contribute to their formation, they are often caused by lifestyle factors, genetics, or aging.
4. Are dark circles contagious? No, dark circles are not contagious and cannot be spread from person to person.
5. Can I get rid of dark circles permanently? While it may not be possible to completely eliminate dark circles permanently, various treatments and lifestyle changes can significantly improve their appearance. Consistency and patience are key to achieving optimal results.
6. What are the best home remedies for dark circles? Some effective home remedies for dark circles include cold compresses, teabags, cucumber slices, potato slices, and almond oil.
7. What are the professional treatments for dark circles? Professional treatments for dark circles include chemical peels, laser therapy, dermal fillers, PRP therapy, and blepharoplasty.
8. How can I prevent dark circles? You can prevent dark circles by getting adequate sleep, staying hydrated, eating a balanced diet, reducing alcohol and smoking, and managing allergies.
9. Can makeup conceal dark circles? Yes, makeup can provide temporary coverage for dark circles by neutralizing discoloration and brightening the under-eye area. Choose a concealer that is one or two shades lighter than your skin tone and blend well.
10. When should I see a doctor about dark circles? See a doctor if you experience unusual symptoms, a sudden onset of dark circles, dark circles affecting only one eye, or concerns about underlying medical conditions.

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