So how can we treat this area? My favorite solutions (aside from the freebies which are drinking more water, cutting down on alcohol and really making sure the body flushes away toxins), is CO2 fractional lasers, collagen induction therapies and plasma to stimulate the collagen and elastin and thicken the skin. Or the use of undereye fillers. Fillers need to be used very judiciously in this area and takes a very skilled an artistic hand. Fillers pad out the area just along the orbital bone and hide the dark shadow created by the blood vessels. Some of my patients choose the skin thickening approach and others want the fillers, sometimes they choose both. Our skin renewal treatments have the added benefit of improving the skin so if you have laxity as well as dark circles you get to minimize both. In any case you can throw away the patches!