Treatments will depend on the cause of dark circles. If it is genetic (Asian or darker skin types, treatment can be difficult, but improvement can be seen.)
Dark circles due to skin laxity can be treated with fillers, or with multiple sessions of Q-Switch lasers. CO2 and Erbium Fractional lasers can also tighten skin.
Dark circles of the eye, in my opinion is one of the hardest things I’m faced with as success rates are extremely variable (10-70% improvement). At home use of eye creams combined with gentle laser treatments to tighten loose skin, plus a tiny volume of filler provides the best outcomes, however results are variable! Budget at for at least $1900 worth of treatments (multiple laser sessions, creams, and filler)
If you are ethnic skin type and have dark circles under your eyes, the only laser procedure we perform is Q-Switch laser. You will require 8 sessions spaced 2 weeks apart. Results can be seen in most patients, but again not guaranteed.