When hollowing is the issue, carefully placed treatment can soften the transition between the lower eyelid and cheek.
Refresh the Under-Eye Area
At Gentle Touch MediSpa, we take a personalized approach to under-eye concerns—from hollows and dark circles to puffiness and crepey skin—for a naturally refreshed appearance that still looks like you.
What You May Be Noticing
Common Concerns
- Hollow tear troughs
- Dark circles and shadows
- Puffiness or under-eye bags
- Fine, crepey lines
- Looking tired even when you're rested
Everyday Signs
- Concealer creasing
- Sunken appearance
- Shadowed hollows
- Thin, fragile skin
- Puffy mornings
- "You look tired"
What’s Happening Beneath The Surface
The under-eye area is complex, and what looks like one concern can have several different causes. As facial volume changes, a hollow can develop where the lower eyelid meets the cheek, creating shadows that look like dark circles. Thin skin can make underlying vessels more visible, while pigment, genetics, allergies and fluid retention can contribute to discoloration or puffiness.
Understanding what’s causing what you see matters—because hollows, dark circles and under-eye bags don’t all respond to the same treatment.
Under-Eye Treatment Options
Regenerative and skin-quality treatments can help improve thin, crepey skin without simply adding volume.all.
A shadow caused by hollowing is different from pigmentation or visible vessels—and treating the wrong cause won’t deliver the right result.
True under-eye bags, fluid retention or certain anatomy may make filler the wrong choice. Sometimes another treatment—or a surgical consultation—is more appropriate.
When more than one factor is contributing, a combination approach can address both the underlying structure and the quality of the skin.
Radiate Beautiful, Confident Possibility
Our treatment planning tool lets you tell us more about your specific concerns, so our experts can craft your personalized care plan.
Your Treatment Journey
Personalized Consultation
We look at your tear trough, skin thickness, and whether your concern comes from volume loss, pigment, puffiness, or a mix, since each one calls for a different treatment.
Customized Plan
Your provider explains what will help and what won’t. Some clients are ideal candidates for under-eye filler, and others see better results from PRF, skin treatments, or a staged combination.
Treatment Session
Treatment usually takes under 30 minutes. We numb the area for comfort, and most clients head right back into their day with mild swelling that settles quickly.
Aftercare Guidance
You’ll know exactly what to expect from swelling and bruising, and we’ll see you in 2 weeks to assess your results and refine if the area needs it.
Frequently Asked Questions
Usually several things at once. Volume loss creates a hollow that casts a shadow, thin skin lets blood vessels show through as a bluish tone, and pigmentation can darken the area on its own. Allergies and fluid retention can also add puffiness that emphasizes the hollow. Figuring out which factors are at play is the most important part of your consultation, because filler helps with some of these and does nothing for others.
In trained hands, yes. The tear trough is an advanced treatment area that takes real anatomical knowledge, and our injectors treat it with that respect. We use hyaluronic acid fillers selected carefully for the area and place conservative amounts with close attention to your anatomy.
Most clients see results that last 9 to 12 months, sometimes longer, since this area moves less than your lips or cheeks. Your metabolism, the product we choose, and how much we place all affect the timeline. We’ll talk through maintenance that fits your results.
Some swelling is normal for the first few days, and bruising is possible because the tissue here is thin and vascular. Most clients can cover bruising easily with makeup, and it typically clears within a week. Skipping blood thinners, alcohol, and hard workouts around your appointment lowers the odds.
Sometimes, but not always. If you have true fat pad protrusion or fluid retention, adding filler can make the area look heavier instead of smoother. We’ll tell you if that’s the case and talk through other options, including whether a surgical consultation makes more sense for your goals.
Filler adds volume immediately and physically lifts a hollow. PRF uses growth factors from your own blood to improve skin thickness, texture, and tone gradually over a few sessions. Filler is the better choice for structural hollowing, while PRF suits thin, crepey, or discolored skin. Plenty of clients benefit from both.
Yes, we can dissolve hyaluronic acid fillers with an enzyme called hyaluronidase if you’re unhappy with your result or if the product migrates over time. That reversibility is a real safety advantage and one reason we prefer these products here.
Skip alcohol for a day or two beforehand, and avoid fish oil, vitamin E, and anti-inflammatory medications for about a week unless your physician prescribed them. These things can all thin the blood and raise your chance of bruising. Come with clean skin and no eye makeup if you can. If you have an event coming up, book at least 2 weeks ahead so everything has fully settled by the day of.
It can, just through a different route. Filler smooths the hollow itself, while treatments like PRF and Skinvive improve the quality of the skin covering it. If a thin, papery texture bothers you most, you’ll usually see more improvement when we treat skin quality alongside structure, rather than relying on filler alone.
Neither, really. We treat clients in their late twenties who inherited hollows from their parents, and clients in their sixties whose skin has thinned over time. What matters is what’s causing the shadow under your eye, not your age.
More Ways to Express Your Beauty
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Whether you’re exploring care options or you’re ready to book, our team is here to help you take the next step with confidence.
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