Solution for Permanent (Congenital) Dark Circles? (photo)

The dark circles under your eyes are due in some degree to the shadowing there from some hollowness.  The simplest option for treatment would be to use a filler, like Restylane, to fill in the hollow area and improve the darkness.  Although this would be a fairly easy treatment, the result would not be permanent.  The other option would be to have surgery to deal with some of the fat above the hollow area, which would give a longer lasting result.  

Photograph demonstrates a fairly classic tear trough abnormality. For patients undergoing blepharoplasty this can be corrected permanently by redistribution of periorbital fat. In this case small amount of filler use periodically is the best solution.

For your age and issue, Restylane treatment in the tear trough is very powerful and likely to last up to two years.  Trying to fill this with fat is likely to cause irregularities and scaring.  Please don't do this to yourself.  If you have a problem with fat, you will need surgery to fix the issue.  With filler, if there is ever an issue, an enzyme injection can take care of the problem without surgery.

This looks like it is mostly due to shadowing related to a visible tear trough. Your options would then be an injectable filler or direct placement of a thin sheet of fat as a graft to fill the trough. The first option would require repeat injections the second should not.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

You may be a candidate for the use of a soft tissue filler.  This will help to blend the junction between the lower eyelid skin and the upper cheek.  You may also want to try a product like SkinMedica dermal repair of eyes that has Boron in it to reflect the light to help prevent shadowing.