Under Eye Rejuvenation

They say that the eyes are the windows to the soul, but for some of us, our eye area just makes us look…old.Under-eye hollows, under-eye bags, puffiness, dark circles, thin skin. All of these issues can make us look tired, old, and sickly.

In this post, we're going to discuss how to treat under-eye bags,under-eye hollows, and how to maintain beautiful, youthful eyes.

Be sure to watch the corresponding YouTube video for more details on Under Eye Rejuvenation and also for a bonus section where I discuss what I’ve done under my eyes!

Under Eye Aging - What Happens As We Age?

The delicate skin under our eyes can be the first to reveal signs of aging, even in our twenties. Why does this area age so quickly? The skin under the eyes is incredibly thin and sensitive. The slightest decrease in collagen, loss of elasticity, or thinning of the skin is quickly noticeable in this region.

It's important to note that under-eye aging can vary greatly from person to person. Anatomical differences, such as the thickness of the skin and the underlying bony structure, play a significant role. To address these changes effectively, it's crucial to tailor treatments to each individual's unique needs.

The Difference Between Under-Eye Bags and Under-Eye Hollows

Before diving into treatment options, let's distinguish between under-eye bags and under-eye hollows. Under-eye bags occur when there's a puffiness or protrusion of the infraorbital fat pad. Over time, these fat pads can thin and separate, leading to the appearance of under-eye bags. 

On the other hand, under-eye hollows are the result of volume loss in the tear trough area, often accompanied by fullness or a fat pad superficially located right on top of the tear trough.

What Causes Under-Eye Bags?

Now, let's delve into the causes ofunder-eye bags. The thinning and separation of the infraorbital fat pads, in combination with thinning of the skin, make under-eye bags more apparent. Think of it like having toys on a mattress: if you have a thin wet sheet, you'll see the toys underneath; a thick down comforter, however, conceals them. Under-eye bags result from a combination of thinning and separating fat pads, as well as thinning skin.

It's important to note that using certain brightening creams or serums can lead to inflammation and redness, possibly resulting in post-inflammatory hyperpigmentation under the eyes. Using these products near the eyes should be approached with caution.

What Causes Under-Eye Hollows?

The thinning and separation of fat pads, alongside skin thinning, contribute to the development of under-eye hollows. These fat pads are compartmentalized and distinct from each other. 

It's important to avoid brightening products that may cause inflammation, leading to post-inflammatory hyperpigmentation under the eyes.

How to Get Rid of Under-Eye Bags

Under-eye bags can be a natural consequence of age or may worsen over time. While surgical correction provides the best results for under-eye bags, non-surgical options are available. 

Some clinicians use fillers to mask under-eye bags, but this approach doesn't correct the problem; it merely camouflages it. For a more effective and long-lasting solution, under-eye surgery, performed by a skilled ocular plastic surgeon, may be recommended.

How to Get Rid of Under-Eye Hollows

For under-eye hollows, fillers sometimes offer an effective solution. A technique known as tear trough filler can provide a smooth transition between the eyelid and cheek junction. Using a cannula is the safest approach, ensuring even distribution of the filler. It's essential to find a provider with substantial experience in tear trough filler procedures to achieve the best results.


How to Get Rid of Darkness Under Eyes

Under-eye darkness may result from melanin or underlying vasculature visible through the thin skin. To address this concern, skin brighteners can be used. However, caution is necessary when applying these products near the eyes. Laser treatments, such as Vbeam, can also help with dark circles by targeting the underlying vasculature. It's crucial to consult a laser expert for this treatment to avoid potential side effects, including hyperpigmentation and scarring.

How to Get Rid of Under-Eye Puffiness

Under-eye puffiness, a natural occurrence due to factors like sleeping position and aging, can be improved without surgery. Botox treatments can help reduce puffiness under the eyes by promoting lymphatic drainage and preventing stagnant fluids. Cold compresses and facial massages can further alleviate puffiness. 

Thermage, which stimulates collagen synthesis, and eye serums are additional non-surgical options for mild to moderate puffiness.

Fillers for Under-Eye Bags

Tear trough filler provides a solution for under-eye bags and hollows. It involves adding filler to the hollow area, creating a smoother transition between the eyelid and cheek. Using a cannula is recommended for safety and even distribution of the filler. The tear trough filler can yield beautiful results when performed by an experienced practitioner on the right candidate.


Thermage for Under Eye Rejuvenation

Thermage is a non-invasive treatment that uses radiofrequency energy to stimulate collagen production, resulting in firmer, smoother skin. When applied to the under-eye area, it can help reduce fine lines and puffiness. It's an effective option for those with mild to moderate under-eye concerns.

Thermafrax to Treat Under-Eye Aging

Thermafrax is a combination treatment that combines Thermage and fractional CO2 laser to address under-eye aging. It offers the benefits of both treatments, tightening the skin and improving texture. For those with more advanced signs of aging, Thermafrax can be a powerful solution.

CO2 Laser for Under Eye Rejuvenation

CO2 laser treatment is used to improve skin texture and tone. It can address fine lines, wrinkles, and discoloration around the eyes. This laser treatment is suitable for individuals with moderate to severe signs of aging. However, it does come with downtime and potential side effects, so consult a dermatologist to determine if it's the right choice for you.

Vbeam for Darkness Under Eyes

The Vbeam laser targets blood vessels and redness. It can be an effective treatment for those experiencing under-eye darkness due to visible vasculature. Consult with a laser expert to determine if Vbeam is a suitable option for your specific concern.

When Is Surgery Necessary?

Surgery becomes necessary when non-surgical treatments can no longer provide the desired results. For individuals with severe under-eye bags, surgical intervention, such as lower blepharoplasty, is often the best option. This procedure removes or repositions excess fat and tightens the skin, producing a more youthful appearance.


Under-Eye Blepharoplasty

Under-eye blepharoplasty is a surgical procedure performed by skilled ocular plastic surgeons. It's the most effective way to address under-eye bags, providing long-lasting results. The procedure involves removing or repositioning excess fat and tightening the skin. Proper consultation with a specialist is essential to determine if you're a suitable candidate for this surgery.

Thanks for reading, and remember to watch my corresponding video on YouTube for more information about Under Eye Rejuvenation! 

Remember, there's no one-size-fits-all solution, so consult with a knowledgeable professional to create a personalized treatment plan tailored to your unique needs. Your under-eye concerns can be effectively addressed with a combination of non-surgical and surgical options, and, as always, prioritize safety and expertise when choosing your provider. 

I hope this guide has been informative, and if you have more questions or want to explore these treatments further, I'm here to assist you on your journey to vibrant and youthful under-eyes!


If you’re looking for an MDAiRE™ product catered to Under Eye Rejuvenation, check out our: Regenerative ECM Eye Complex

In this product you will find:

  • Green Tea Extract: Potent antioxidants and polyphenols to repair and correct damaged DNA.
  • Polypodium Leucotomos: A natural plant based extract derived from fern leafs that protects DNA from the harmful effects of UV light and environmental pollutants.
  • Peptide complex: Helps reduce inflammation, puffiness and dark circles.
  • Niacinamide: Reduces the appearance of fine lines and wrinkles.

Make sure to check out our entire MDAiRE™ product line for cellular health and anti-aging skincare! Our Ultimate Bundle has all your skincare needs covered! 


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