Refresh Tired Eyes

Almost always something structural rather than something you're doing wrong. The under eye area thins and loses support earlier than the rest of the face, so a shadow forms in the hollow and reads as fatigue no matter how rested you are. Pigment, fluid retention, allergies, and skin quality all contribute too, usually in combination.

There's a simple test your provider will do at the consultation, which is to look at the area under direct light from different angles. A true shadow lightens when the light comes from below, while pigment stays put. It matters because they need opposite treatments, and filling a pigment problem or lightening a shadow both waste your money.

Ask how often they treat that specific area rather than how long they have been injecting overall. The under-eye is the most technique sensitive area on the face. The tissue is thin, the anatomy is unforgiving, and product placed badly shows as puffiness or a bluish cast that can persist. In experienced hands it is one of the most rewarding treatments available, and hyaluronic acid can be dissolved if needed.

Sometimes, and it depends what the puffiness actually is. Fluid retention responds to lifestyle changes, allergy management, and certain treatments. Genuine fat pad herniation, the kind that's there every morning and doesn't shift, is a surgical problem and filling around it usually makes it more obvious. You'll get a straight answer on which one you have.

A small amount of muscle relaxer placed to release the muscles that pull the brow down produces a subtle lift, and energy based tightening firms the skin above it. Together they open the eye area noticeably. The effect is measured in millimetres rather than the change surgery produces, but on a face where the brow has only just started to drop it's often enough.

It improves well, since the fine crinkled texture there comes from thinned skin and lost collagen rather than from lost volume. Gentle laser resurfacing designed for the eye area, along with PRF and appropriate skincare, rebuilds skin quality over a series. Filling that texture doesn't work and tends to look worse, which is a common misstep.

It can if the area is treated in isolation, which is why the assessment covers the whole face even when only your eyes are bothering you. Under eye hollowing is often the first visible sign of midface volume loss, and supporting the cheek is sometimes what actually fixes the shadow. Treating only the symptom is how faces end up looking unbalanced.

Under eye filler typically lasts 1 year to restore volume. Dark circles can be treated with PRF 1-2 x’s per year