Concerning procedures for dark circles under the eyes, in my experience several treatments can provide improvement. First, lower eyelid surgery (blepharoplasty) can correct this problem if the darkened appearance is due to eyelid “bags” that cause shadowing, or due to fine wrinkling and bunching of the skin in the area directly below the lower eyelids, called the “tear trough.” If surgery does not completely solve the problem, a chemical peel to the area may help.

Eyelid Surgery