“…Periorbital hyperpigmentation manifests with one or more of the following features: widespread and concentrated melanin deposits (hyperpigmentation), excessive or superficial subcutaneous vasculature, and shadows resulting from pseudoherniated orbital fat 2 . Additional risk factors include racial, familial, and genetic predispositions to hyperpigmentation, allergic shiners in atopic patients, thin and semi‐transparent skin on the lower eyelids that accentuates the vascular plexus, post‐inflammatory hyperpigmentation following contact dermatitis, sleep disorders, excessive sun exposure, weight loss, addiction, smoking, and certain medications or disorders that mimic the presentations of oculodermal melanocyte or ashy dermatosis 3,4 . Idiopathic periorbital hyperpigmentation has been documented in numerous cases involving diverse skin issues 5 .…”