Q: I have a skin problem of Periorbital melanosis, for the last 15 years. Now it is so increased the darkness forms circles around the eyes. What is its treatment? And can it completely remove the dark circles? No family history and I sleep around 7 hours a day. Please answer this.

A:Perioribital melanosis may be idiopathic or part of acanthosis nigricans. Topical medication like azelaic acid (Aziderm 20%) may be applied twice daily and take orally vitamin C and E. It may take 2 to 3 months to see some change. If this fails, kojic acid, topical retinoids, hydroquinone, steroids, glycolic acid peels etc may be used either alone or in various combinations. Laser gives unpredictable results.