Treating hollow undereyes

Dark rings under the eyes create a noticeable dividing line between the lower eyelid and the tear trough.
When the dark circles are more marked, tiredness is often thought to be the cause. However, dark circles are not necessarily connected with a lack of sleep, and their origins can vary greatly depending on what they look like.

These are the types of dark circles we usually talk about:

- Blueish circles, which are not necessarily hollow or combined with eye bags. They are often visible in people with pale skin, due to the skin’s “transparency”, which means that the deeper structures show through, hence the blueish colour.

- Brown circles, which sometimes colour the whole outer frame of the eye. These circles are not necessarily hollow or combined with an eye bag either. They are commonly compared to “panda eyes”. The cause of this coloration is usually genetic.

- Dark circles caused by pockets of fat and/or lymphatic fluid above the hollow, in the lower eyelid, with or without discoloration.
- And finally, undereye hollows without eye bags, whatever their colour.

In aesthetic medicine, only dark circles without eye bags can be treated using filler products. We use a hyaluronic acid specially designed for this area because it is only weakly hydrophilic, so it does not lead to the formation of an eye bag over the long term. The effects last, on average, about a year.

If there is a visible eye bag below or above the dark circles (even if they are hollow), hyaluronic acid injections are not recommended, regardless of the technique used, because over the long term it could increase the volume of pre-existing eye bags.

In such cases, we must guide patients towards a surgical treatment such as a blepharoplasty and/or fat injections into the undereye hollows (lipofilling).

Furthermore, no medical or surgical treatments have, to date, proven effective for erasing the colour of undereye circles (brown or blueish).

We can simply note a slight fading of this colour after injections, since the hollowness is reduced, and the same goes for dark shadows.

Finally, when the eye area is marked by these hollows and/or eye bags, a complementary treatment to support this area might be suggested into the cheekbones and, above all, the tear trough.

The fee charged for treating dark circles starts 350 euros.

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FAQ — Your questions about hollow under-eyes

How long do the effects of hollow under-eye treatment last?
The effects of this treatment with a specific hyaluronic acid last on average one to two years, depending on each patient’s metabolism.

Can all types of under-eye circles be treated with injections?
No, only hollow under-eyes without associated bags can benefit from a filler injection. When there is a bag, other solutions such as surgery or lipofilling are preferable.

Does the treatment remove the colour of dark circles?
To date, no medical or surgical treatment removes the brown or blue-purple colour of dark circles. The injection can, however, reduce their intensity by reducing the hollow and the associated shadow.

Does hollow under-eye treatment hurt?
The injection is performed with a product specifically designed for this delicate area; the procedure is generally well tolerated.