The professional name for dark circles is periorbital hyperpigmentation, which can be eliminated by medication, surgery, and physical methods. 1. Drugs: Hydroquinone ointment can be used, which can inhibit melanin production by melanocytes. Retinoic acid preparations are also available, which can block tyrosinase transcription and reduce periorbital hyperpigmentation by significantly thickening the granular layer and thus the epidermal layer. 2. Surgery: For periorbital hyperpigmentation due to pseudo-herniation of septal fat, transconjunctival blepharoplasty can be used to remove the herniated septal fat. For vascularized periorbital hyperpigmentation, small incision surgery is used to remove dilated veins around the eye. 3. Physical: Peeling laser, which can directly micro-exfoliate the skin, remove pigmentation, tighten the skin, and stimulate the new generation of collagen, which is effective in pigmentation and skin laxity leading to periorbital hyperpigmentation. Intense pulsed light, which not only removes melanin, but also eliminates the proliferated capillary network and tightens the skin under the eyelids, is effective for all types of periorbital pigmentation. In addition, it is recommended that patients with periorbital hyperpigmentation go to a regular medical institution and follow the doctor’s instructions for standardized treatment to avoid delaying their condition.