Treatment of periorbital hyperpigmentation using light devices

Area of Science:

• Dermatology
• Aesthetic Medicine
• Ophthalmology

Background:

• Dark circles are a common aesthetic concern, often perceived as signs of fatigue, sadness, or aging.
• Periorbital hyperpigmentation is a multifactorial condition requiring diverse treatment approaches.
• This review focuses on evidence for light-based therapies in treating dark circles.

Approach:

• A systematic review of 208 papers was conducted.
• 14 studies were selected for full consideration.
• The review evaluated the efficacy of various light devices for periorbital hyperpigmentation.

Key Points:

• Intense pulsed light (IPL) and ruby lasers, combined with depigmenting agents, show the best results for pigmented dark circles.
• Carbon dioxide (CO2) lasers and Erbium:YAG lasers are effective for treating periocular hyperpigmentation, wrinkles, rhytides, and improving skin density.
• Neodymium-doped YAG (Nd:YAG), alexandrite, and diode lasers demonstrated poorer outcomes for pigmentation treatment.
• Concomitant use of depigmenting treatments can enhance results and reduce post-inflammatory hyperpigmentation.
• Standardization and objective measurement of results are needed for pigmentation changes.

Conclusions:

• Certain light devices, particularly IPL and ruby lasers, are effective for treating pigmented dark circles.
• Different lasers target specific concerns; CO2 and Erbium:YAG lasers address wrinkles and skin quality.
• Further clinical trials with objective measurements and combined light device therapies are essential for comprehensive dark circle treatment.