The under-eye area is one of the first places to show signs of ageing, fatigue, and stress. Whether you’re dealing with dark circles, hollowness, puffiness, or fine lines, Medical Aesthetics offers a variety of treatments to rejuvenate this delicate area. Here’s a breakdown of the most popular under-eye treatments, how they work, and who they’re best suited for.
1. Dermal Fillers for Under-Eye Hollowness
What They Do
Dermal fillers, usually made of hyaluronic acid (such as Restylane or Juvederm), are injected into the tear trough area to restore lost volume, smooth out hollows, and reduce the appearance of dark circles caused by shadows.
Best For:
- Individuals with sunken under-eyes or deep tear troughs
- Those with dark circles caused by volume loss
- People looking for a non-surgical solution with minimal downtime
Procedure & Downtime
The treatment takes about 20-40 minutes and results are immediate. Some swelling or bruising may occur but typically resolves within a few days. Filler in the under-eye area generally lasts around 12-18 months.
2. i-PRF (Injectable Platelet-Rich Fibrin) for Dark Circles & Skin Quality
What It Does
i-PRF is a natural treatment that involves drawing a small amount of your blood, processing it to concentrate the platelet rich fibrin, and injecting the PRF back into the under-eye area. It stimulates collagen production, improves skin texture, and enhances blood circulation, reducing dark circles and fine lines.
Best For:
- Individuals with dark circles due to poor circulation or thinning skin
- Those looking for a natural, regenerative treatment
- People who want to improve under-eye skin quality over time
Procedure & Downtime
PRF takes about 45 minutes to an hour. Mild swelling or bruising may occur, but downtime is minimal. Results improve over several weeks and multiple sessions may be needed.
3. Laser Treatments for Wrinkles & Pigmentation
What They Do
Lasers such as fractional resurfacing lasers target fine lines, pigmentation, and skin laxity. These treatments promote collagen production and skin renewal, improving overall texture and brightness.
Best For:
- Fine lines and crepey skin under the eyes
- Hyperpigmentation or sun damage
- Those wanting long-term skin rejuvenation
Procedure & Downtime
Depending on the type of laser, downtime can range from a few days (for mild treatments) to two weeks (for aggressive resurfacing). Results improve gradually over months.
4. Radiofrequency (RF) for Skin Tightening
What They Do
Radiofrequency treatment combines energy-based skin tightening with collagen stimulation. They help reduce fine lines, improve elasticity, and firm up loose under-eye skin.
Best For:
- Mild to moderate under-eye wrinkles
- Skin laxity in the lower eyelid area
- Those seeking gradual, natural-looking improvement
Procedure & Downtime
Treatments take about 30-60 minutes with mild redness or swelling lasting a few days. Multiple sessions are recommended for optimal results.
5. Chemical Peels for Brightening
What They Do
Mild chemical peels with ingredients like lactic acid, salycyclic acid, or trichloroacetic acid (TCA) help exfoliate the under-eye skin, reducing pigmentation and fine lines.
Best For:
- Mild dark circles caused by pigmentation
- Dull or uneven under-eye skin tone
- People looking for a gentle, gradual improvement
Procedure & Downtime
Peels take about 20-45 minutes with mild redness or peeling for a few days. Multiple sessions may be required.
6. Botox for Fine Lines
What It Does
Botox (or similar neurotoxins like Azzalure or Nuceiva) relax the muscles around the eyes, reducing the appearance of fine lines and crow’s feet.
Best For:
- People with dynamic wrinkles caused by muscle movement
- Those looking for a quick, low-maintenance anti-ageing solution
Procedure & Downtime
A few small injections are placed around the under-eye area, taking just minutes. Results appear within a few days and last 3-4 months. Minimal downtime is required.
7. Exosomes for Regeneration & Rejuvenation
What They Do
Exosomes are tiny extracellular vesicles derived from stem cells that contain growth factors, peptides, and RNA. When applied to the under-eye area—either through microneedling, injection, or topical application after laser treatments—exosomes help stimulate collagen and elastin production, improve hydration, and reduce inflammation.
Best For:
- Thinning, crepey under-eye skin
- Dark circles caused by poor circulation or aging
- Individuals seeking long-term skin regeneration without injectables
Procedure & Downtime
Exosome therapy is typically combined with microneedling for deeper penetration. The procedure takes 30-60 minutes, with minimal downtime (some redness or swelling for a day or two). Results develop over several weeks, and multiple sessions enhance effectiveness.
8. Polynucleotides for Deep Repair & Skin Quality
What They Do
Polynucleotides are bioactive molecules derived from fish DNA that work by stimulating cellular repair, improving hydration, and enhancing collagen synthesis. When injected into the under-eye area, they help restore skin structure, reduce fine lines, and improve elasticity.
Best For:
- Thinning, sagging under-eye skin
- Fine lines and crepey texture
- Individuals looking for long-term skin regeneration and hydration
Procedure & Downtime
Polynucleotide injections are quick (around 30 minutes) with minimal discomfort. Mild swelling or redness may occur for a day or two. Results develop gradually, with optimal effects seen after a series of treatments. The benefits last for months, making it an excellent option for those seeking long-term rejuvenation.
Choosing the Right Treatment
The best treatment for you depends on your specific concerns, skin type, and desired results. Some treatments work well together—for example, combining fillers with Polynucleotides or using Exosome Therapy before Laser treatments for enhanced results. Consulting with a qualified aesthetic practitioner is key to determining the most effective approach.
Would you like to explore treatment options further? Let us know your biggest under-eye concerns, and we can suggest a more personalised approach!
Book a Complimentary Consultation now.
