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The eyes are usually the first part of the face to show the signs of againg. I am often asked about treatments for dark circles and hollowness under the eyes. Every patient is different and so are the causes for dark circles and puffiness. Some patients have a genetic predisposition that manifests dark circles under their eyes. This is seen more often in patients with a darker skin complexion. Eczema and chronic rubbing of the eyes can also contribute to the problem. Yet for others, the cause is prominent blood vessels in the deeper planes of the orbital complex. Skin laxity and wrinkles cause the eyes to appear sunken and aged. For any of these instances, you have several treatment options...