Excessive pigmentation around the eyes is a common problem affecting people of Middle Eastern origin. Bleaching creams are not very effective because they are poorly tolerated by the thin and sensitive skin of the eyelids .

Lasers provide the best tool for removing "dark circles", by selectively destroying the unwanted pigment. Initially there may be a period of darkening until results are seen after a few weeks.

Sometimes, combining resurfacing lasers and pigmented lasers is indicated to help tighten the skin at the same time or in cases of intense pigmentation. In this case, a period of rest is needed for 4-7 days to allow for optimal healing .