Dark circles are typically a result of a combination of factors, aside from bulging fat pads and loose skin. These include:
Hyperpigmentation of the lower eyelid skin
Transparent lower eyelid skin, allowing the underlying blood vessels to be visible, which can appear dark purple.
A bony deficiency called tear trough deformity
All these issues require different approaches, which Dr. Indeyeva will discuss with you after evaluating your skin and facial anatomy.