Dark circles, known as periorbital hypermelanosis, affect all ages and genders, causing aesthetic concerns linked to stress, illness, or age. Their treatment is challenging due to varied factors. Common in people of color, causes include genetics, low hemoglobin, inadequate sleep, inflammatory hyperpigmentation from skin irritation, periorbital edema, subcutaneous vascularity, skin laxity-induced shadowing, and age-related tear troughs. A comprehensive approach considering these factors is crucial for effective treatment.