What treatments do you recommend for dark circles under the eyes?

Dark circles appear under the eyes for a number of reasons and can be treated in different ways. First, the fat around the eyeball can start to droop and become “baggy”. This condition can be treated with a relatively simple 30-minute surgical procedure to reduce the fat.

Secondly, laser resurfacing can be performed under the eyes to reduce the appearance of lines and sometimes address discoloration of the eyelid skin as well – although the procedure won’t work for people with dark skin.

Finally, the appearance of circles is often magnified by the loss of fat over the cheekbones and creases near the eyes. This condition can be improved through fat transfers or filler injections to smooth out the creasing. When one or all three procedures are performed the appearance of those dark circles is often drastically improved.

Dr. Andrew Miller, Associates in Plastic Surgery, New York & New Jersey