Hydration status significantly affects periorbital appearance with dehydration exaggerating dark circles through increased blood viscosity pooling more visibly, skin dullness from reduced cellular hydration making circles more prominent, and impaired lymphatic function allowing fluid retention despite overall dehydration
doi: 10.1016/S0261-5614(17)30566-6 41
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J.Domnguez-AndrsJ.CurtisN.van CrevelR.van de VeerdonkF
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