The puffiness that you see under your eye and corresponding dark circle is actually a shadow being cast by by a small bulge of fat that has formed over time. The least invasive option to address your concern is non-surgically with fillers like restylane or belotero. The filler would be placed in the shadowed hollow so that it would be at the same level as the fat bulge to camouflage the problem. This would need to be repeated every 9-12 months or so. I would recommend consultation with a facial plastic surgeon or plastic surgeon. I wish you well!
This is best treated with lasers, fillers, skin care, microneedling/PRP. please see an expert. best, Dr. Emer.
I would recommend the injection of a filler like Restylane into the depression under the eye. This will help even out the area and camouflage any fullness that you are perceiving. Good luck
This is a problem with volume loss in the orbital area. Filling the tear trough and mid cheek with Restylane will help this. It actually is not puffy but the surrounding tissues have fallen or receded to make it appear as though the orbital fat is protruding. Filling the areas as described will camouflage the fat well.