One alternative to blepharoplasty is to try a dermal filler. Small injections of products such as Juvederm, Restylane or Sculptra can smooth out the skin around the eyes, brightening your look.   Fillers are also an effective way to treat dark circles under the eyes. Loss of volume and thinning skin expose blood vessels under the skin, giving the area a darker appearance. Injecting a dermal filler provides a cushion that compensates for the thinner skin and loss of fat. Dark circles can also be improved by laser treatment, which works by targeting the blood vessels and pigment that are causing the darker appearance under the eyes. Laser is very effective in treating “crepey” skin under the eyes, as well.
In some cases another type of injectable — neuromodulators, such as Botox or Dysport — can be used to relax muscles that are causing wrinkles and volume displacement near the eyes.