Best Procedure to Remove Dark Circles and Under Eye Hollows?

Thank you for your question. There are a variety of options for removing dark circles and refreshing the area under the eyes. The quickest is injectable filler in the tear troughs. This treatment places small amounts of filler into the area under the eyes to add subtle volume and diminish the dark circles. We use a blunt-tipped micro-cannula to treat this area rather than a needle, to create a smoother result and minimize post-treatment bruising. If the skin is crepey, laser resurfacing can be used here to stimulate collagen production and rejuvenate the skin. If the problem is severe, lower blepharoplasty (eyelid surgery) can be used to remove excess skin and create a smoother contour under the eye. I encourage you to schedule a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and create a customized treatment plan to meet your needs and goals best.

There are many treatment options for under eye dark circles, depending on the exact cause of the dark circles (hollowness vs pigmentation) and patient's preference and anatomy. Options include filler injection, fat injection, lower blepharoplasty with fat repositioning, soof lift, and implant, each with pros and cons. 

To answer this requires an evaluation.  Dark circles are caused by many things.  Shadowing, eye bags above, and the dark color of the muscle and its blood vessels below (under the skin). Usually fillers, lasers or other energy based devices can help.