What can I do to get rid of these dark circles and spots? (Photo)

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

You will have the best outcome from a combination of treatments. Filler can be used under the eye to improve the hollowness and blend facial contours. For the discoloration you can use IPL, microneedling, or chemical peels for treatment. We also recommend using medical grade skin care products such as Transform MD and wearing sunscreen every day.

Thank you for your question. Looking at the photo that you have provided I would recommend Restylane for the tear trough area. Restylane will help with the sunken in look and help reduce the darkness under the eyes. For the brown spots I recommend IPL lasers to be done. They can help with the reduction of sun damage on the face. I would recommend speaking with a Board Certified Plastic Surgeon to discuss your filler options and spa services. Best of luck to you.