Skin-lightening cream. To lighten under-eye hyperpigmentation, a dermatologist might prescribe a skin-lightening cream with azelaic acid, kojic acid, glycolic acid, or hydroquinone.
Laser therapy. Laser treatments use heat energy to vaporize damaged cells. The darker pigment under the eyes is targeted.
Chemical peels. A dermatologist might suggest a light chemical peel to lighten dark pigmentation under the eyes. Commonly these will include glycolic acid, retinoic acid, or hydroquinone.
Blepharoplasty. Fat can be surgically removed in a lower lid blepharoplasty by a plastic surgeon, oculoplastic surgeon, or dermatologic surgeon.
Fillers. A hyaluronic acid-based dermal filler such as Restylane or Juvéderm can be injected into the tissue under the eye by an ophthalmologist, dermatologist, plastic surgeon, or specially trained healthcare provider. Fillers help with volume loss under the eye, which can cause dark circles.