The majority of patients seeking tear trough filler have the same complaint: they feel as if they always look tired because of indented shadows under the eyes – no matter how much sleep they get, water they drink or how many expensive eye serums they use.
Common causes of dark circles include:
Allergies and continuous rubbing of the eyes
Genetics – if your parents have hyperpigmentation then you probably will too
Ageing – reduction of collagen and elasticity
Lifestyle – too much alcohol and salt
Deep-set tear troughs
Lack of sleep
Cheekbone erosion
Sun damage