It's true, if you're partying like Charlie Sheen on a bender, you're bound to have puffiness under the eyes and dark circles. However, for the rest of us, undereye bags and dark circles may be hereditary (thanks Mom) and regardless of the amount of rest, these tell-tale signs may be easier to treat than you think.

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- Oxygen Facial
As seen on The Doctors, this specialized facial combines a specialized green tea serum and concentrated bursts of oxygen. According to celebrity esthetician, Mindi Walters, dark circles under the eye are caused by a lack of oxygen. The bursts of oxygen stimulate the green tea serum, developed by Walters, which is packed full of caffeine to rid patients of dark circles under the eyes.
- Injectable or Facial Fillers
In some cases, facial fillers or injectables can be used to even out the puffiness and BOTOX can be used to smooth out lines. This option is good for patients who have early stage puffiness and dark circles. Fillers such as Restylane or Juvederm may offer relief for up to 9 months, after which, results diminish and patients will require another treatment.
- Eyelid lift
In more severe cases of puffiness under the eye, a surgical eyelid lift may be in order. Using a minute electronic probe, fat that is underneath the lower eyelid is melted to decrease the puffiness. In younger patients who may have better skin elasticity, this may be all they need to remove the puffiness. However, for older patients with more lax skin, a small incision may be placed inside or outside the lash line to pull up excess skin. Results may last up to 20 years.
- Laser or IPL Treatments
There are a variety of reasons why people develop dark circles under their eyes, one of which is due to thinning of the delicate skin around the eyes due to aging. As the skin gets thinner, it exposes tiny blood vessels and causes a dark shadow. A common treatment for this is laser skin resurfacing or IPL treatments. Heat vaporizes the blood vessels and refreshes tone and texture of skin, eradicating some of the color one may see.
There is no reason to be glum about puffy under eye bags or dark shadows. With so many options available, relief may just start with talking to a dermatologist and determining what is the right treatment for you.