Severe dark circles can be treated by medication (such as hydroquinone), surgery and physical therapy. 1. Medication: Pigmented dark circles can be treated with hydroquinone, retinoic acid and other medications to promote the absorption and metabolism of local pigment. 2. Surgery: Structural dark circles such as tear trough deformity and orbital fat pseudo-hernia can be treated by loosening tear trough ligament and conjunctival blepharoplasty; vascular dark circles can be treated by surgically removing dilated veins around the eyes to alleviate the symptoms of dark circles. 3. Physical therapy: Melanin and vascular dark circles can be relieved by targeting; pigmentation can also be removed by peeling laser to tighten the skin; and dark circles can be relieved by eliminating diseased capillaries through intense pulsed light. Severe dark circles can go to a regular hospital, under the guidance of a specialist physician to carry out the relevant treatment, and strictly comply with the doctor’s instructions for medication.