"Dark circles are genetic and typically a combination of hollowing and volume loss from aging or high metabolism," cosmetic dermatologist Jason Emer explained. To treat this, you will need fillers, fat injections, or skin-tightening procedures.
"But darkness on the surface, related to skin color staining (hemosiderin or genetic), will need peels, microneedling with growth factors, or exfoliating skincare products with ingredients like kojic acid, hydroquinone, or glycolic creams," he noted. "While monthly lasers can be helpful to stimulate deep heating of the skin to break apart the deep pigmentation, this is one condition where peels, facials, and sun protection does much more for the skin over time. At-home vitamin C masks and retinol masks once a week, combined with derma-rolling, will really help to combat pigmentation as well as wrinkles and pores."
