Priorities

Under-eye hollows

Under-eye hollows, shadows, and dark circles that concealer no longer covers.

Under-eye hollows can make the face look tired even after a full night’s sleep. As the skin thins and a groove forms beneath the eye, concealer tends to settle into the crease and can make the shadow more noticeable.

“Dark circles” can mean three different concerns: a hollow, pigment, or puffiness. Before treating the area, we’ll identify which one you have.

We'd start with

PRF or PRP under the eyes

From $550

If you need a little more

Microneedling with PRP

From $499

What we'd want you to know

Pigment, hollows, and puffiness are three different concerns

If your skin is crepey and thin and the shadow is mostly a shallow groove, we’d suggest starting with PRP or PRF injections under the eyes. You’ll have three sessions, four to six weeks apart, injected by our nurse practitioner. It’s made from your own blood, and the change is gradual.

If the darkness is more about texture and dullness than a hollow, microneedling with PRP over the whole under-eye and cheek area can do more for the skin surface. It’s also the safer choice for darker skin, since there’s no heat involved.

How we decide

We’ll look at the area in natural light, then do three quick checks. We’ll press lightly on your cheek to see whether the shadow lifts (a hollow). We’ll stretch the skin sideways to see whether the color stays (pigment). And we’ll ask you to look up while we check the lower lid (a fat bag).

For a hollow with thin, crepey skin, we’ll usually suggest PRF or PRP under the eyes. A 2025 systematic review of 14 studies found PRF improved texture, wrinkles and crepiness while PRP had stronger evidence for pigment, and that PRF gains “often diminished by 6 months,” per the Journal of Cosmetic Dermatology. That’s why we plan it as a series, followed by maintenance. Individual results vary.

For pigment on skin that’s in reasonable shape, we’ll look at microneedling with PRP, along with a sunscreen plan, because needling plus PRP reaches brown color without the heat that can make it worse.

A deep hollow with good skin may be better suited to filler. Only a few products are approved for that area, and it’s the one place on the face where we’re most cautious about injecting. A bag is fat, and fat under the eye is treated surgically.

Your questions, answered

Does PRF get rid of bags under the eyes?

No, it doesn’t. It improves crepey, thin under-eye skin and mild hollowing. A true bag is orbital fat, and a systematic review of under-eye treatments concluded surgery is best when laxity or fat is the cause. If you have a bag, we’ll tell you at your consult and recommend a surgical opinion.

How long is the bruising after under-eye PRP?

Plan on a week. Expect puffiness the first day, and bruising on days one to three that fades to yellow by day seven. We’d suggest not booking it the week before an event or photos.

PRP or PRF, which do you use?

Our booking menu lists this as PRP under eyes. PRF is PRP spun slower without an anticoagulant, so it sets into a gel and releases more slowly. You can ask about PRF at your consult, and Charles will recommend the better option for your skin.

From the clinic

Treatment guides · 6 min read

PRF under the eyes: how long it lasts, and what the first month looks like

Results from PRF under the eyes typically last about six months. That's shorter than many sources suggest, but it's what the research supports: in the largest…

Compare and decide · 6 min read

PRP vs PRF for hair: does the upgrade matter?

PRF is PRP spun slower, with no anticoagulant, so it sets into a soft gel that releases growth factors more slowly. For hair, we use PRP…