Periorbital hyperpigmentation laser treatment: what to know

Periorbital hyperpigmentation is excess colour around the eyelids, often appearing brown, grey, or mixed with a shadow. It may be influenced by inherited skin characteristics, sun exposure, post-inflammatory change, rubbing, or dermatitis. Dark circles can also include hollowness or visible vessels, which a pigment-targeting laser will not correct.

A clinician checks whether colour is mainly in the surface skin or deeper, looks for active irritation, and records relevant medicines and prior procedures. Active eczema should be addressed before energy treatment because inflammation can make the area more reactive. [Dark Circles](/symptoms/dark-circles/) describes the broader appearance.

Laser choice depends on pigment depth, skin tone, sensitivity, and the surrounding anatomy. A [Picosecond Laser Treatment](/treatments/laser-and-energy/picosecond-laser-treatment/) may be considered for selected pigment patterns. Other plans can involve a carefully prescribed [Hydroquinone Treatment](/treatments/medical-dermatology/topical-hydroquinone-therapy/) or a [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), but products and procedures near the eye require specialist instructions.

Before treatment, disclose recent tanning, cold sores, eye conditions, retinoids, exfoliants, and medicines that affect healing. Follow the clinic's cleansing and sunscreen instructions. Afterward, use only recommended bland care, avoid picking flakes, and protect the area from sunlight. Pigment may take time to settle, and additional sessions may be considered only after the skin has recovered.

Contact the treating clinician promptly for increasing pain, blistering, marked swelling, spreading redness, pus, or a change in vision. Seek urgent eye care for severe eye pain, light sensitivity, or sudden visual disturbance. A new one-sided change or pigment with persistent rash also warrants diagnosis before further cosmetic treatment.

Is the darkness pigment, shadow, or both? Which laser target and settings suit my skin? What eye shields are used? Should I pause any creams or medicines? How will you manage irritation or a darker patch after treatment, and when should I contact you?