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Periorbital hyperpigmentation can be caused by shallow vascularization or thin skin in the infraorbital region, hyperpigmentation due to atopic or contact dermatitis, familial predisposition, symptomatic tear troughs, localized shadowing from skin laxity, excessive sun exposure, smoking, sleep deprivation, and fatigue (Citation2,Citation8)

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doi: 10.1007/s11032-013-9893-1