Under eye circles or peri-orbital hyperpigmentation is a commonly encountered problem. Under eye circles may occur because of many reasons, but most commonly they are because of the genetic makeup. They are formed because of less circulation in the peri-orbital area leading to bluish discoloration. Contributory factors are: Stress, improper diet, lack of sleep and medical illness. Depending upon the cause, treatment can be initiated. Treatment options include chemical peels, PRP, Scarlite laser, dermaroller and fillers. Blepharoplasty may also be needed. At Satya, these treatments are explained and then the treatment protocol is chosen.