The darkness is also related to the veins just under the skin, adds Susan Massick, MD, a dermatologist at The Ohio State University Wexner Medical Center in Columbus. “That’s because there’s a natural restructuring of the bones of the cheek, and some skin laxity in the eyelids, which leads to a hollow appearance, and a shadow from above.” “Very commonly, dark circles worsen with age,” says Dr. But even if it doesn’t run in your family, they can show up as a result of fatigue, stress, allergies, dehydration, sun damage, and even a bit of a visual trick thanks to changing cheekbones and eyelids. Known as periorbital hyperpigmentation, under-eye circles have a strong genetic component, says Laura McGevna, MD, a dermatologist in Burlington, Vermont. Why You Might Be Seeing Dark Under-Eye Areas
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