What are my options to improve my under eye area? (Photo)

Hi, to improve your under eye area, fillers would be best option. For darkness and wrinkless tear trough filler would be corrected.

From your photo it appears you would have nice results with filler. The volume would disguise contour irregularities. The results can be enhanced with other treatments such as chemical peels, lasers, and microneedling which can improve tone and texture. We recommend using medical grade skin care products and wearing sunscreen every day.

surgery will be your best option but fillers, lasers, plasma pen and skincare will help.

at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin 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, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora 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. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.