Which type of treatment can help reduce dark eye circles? (photos)

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.

Erbium Fraxel® is my go to laser treatment when it comes to tightening, the fine lines and wrinkles around the eyes. Please consult a board certified aesthetic dermatologist for a consultation.  

What  you call a dark circle is actually a shadow that is being cast by your own eye over the area in the lower eyelid which is very hollow. I generally do not recommend filling in the hollow area that you have in the lower eyelid with fillers. My recommendation to my patience has been using autologous fat which provides a more natural and longer lasting result.  After having been using Restylane and Juvederm for more than 23 years it is my opinion that they can create an even worse appearance in the lower eyelid area. Good luck from New York City

Thank you for your photos. For under eye circles you can use definitely use Juvederm as well Restylane and Belotero. For more information, I recommend getting a in person consultation from a board-certified dermatologist. 

Hi mirebelle and thank you for your question! It is always best to sit down with a professional to have them evaluate you in person so that you can receive a more formal evaluation of your concerns. Based on the pictures shown, you may benefit from tear trough filler. We usually recommend Restylane under the eyes to help improve the volume loss. Hope this information is helpful and you are able to get your concerns addressed soon.
Nikki Stoker, PA-C
Aesthetic Medicine Board-Certified Physician Assistant
Skin Appeal
Tucson, AZ