There are only a handful of effective, non-surgical cosmetic treatments for under eye rejuvenation, and here they are…

The area under the eyes might be a square inch of skin that’s tiny in size, but it packs a punch when it comes to how we look. That’s why so many people wonder what’s the best way to treat it, whether it’s bags, saggy skin, puffiness, dark circles, wrinkles, or a hollow appearance that comes with age that they prefer not to see when they look in the mirror.

Due to the delicate nature of the skin under the eyes, which is thinner and more sensitive compared to many other areas of the body, it can show our age faster than those other areas. As a result, it requires special care and a unique approach compared to other areas of the face. And though topical solutions can make a difference to a degree, they’re no match for in-office treatments provided by experts.

What causes under eye cosmetic issues?

Depending on the issue, genetics, sun damage, and the natural aging process can have an impact on under eye concerns. Under eye bags are commonly cause by genetics, for example, though the aging process can also affect and change the under eye area.

Wrinkles are most commonly caused by our body’s natural aging process. They can also result from environmental factors and sun exposure. Fine lines and wrinkles often form on top of eye bags, which can lead to one looking older than they feel.

Treatments for under eye rejuvenation

So, what are your options? Read on for some treatments and combinations for under eye rejuvenation, as provided by the experts.

Dermal fillers and Juvederm Volbella

Dermal fillers are used to treat a variety of areas of the face and body. Juvederm Volbella, from the popular Juvederm hyaluronic acid (HA) family of fillers, is the first dermal filler that’s FDA-approved to treat the area under the eyes. Dermal fillers are ideal for those whose primary concern is dark circles under the eyes due to a hollow-like appearance. Juvederm Volbella can help restore volume loss to reduce the appearance of dark circles and hollowness.

Due to the sensitivity of the area under the eyes, including the tear trough area, it’s essential to work with a professional injector that has experience in administering under eye injectables for optimal results and to reduce unwanted side effects. Volbella results can be seen immediately and take up to two weeks to settle for the final result. Results can last up to 12 months after injection, at which time additional injections are required to maintain results.

Ultherapy collagen production

Ultherapy uses ultrasound therapy to stimulate collagen production to lift and tighten the skin. It’s one of the few FDA-approved treatments for the sensitive area around the eyes. Ultherapy can help tighten skin to reduce the appearance of sagging eyelids and eliminate under eye bags. Results can be seen within two to three months following treatment and continue to improve up to six months after your initial treatment.

Radiofrequency microneedling

Radiofrequency microneedling works well for an array of skin types, including darker skin that might not be suitable for laser treatments. It helps to reduce the appearance of fine lines, wrinkles, and under eye bags as energy stimulates collagen and elastin production. As a result of this stimulation, skin quality in the under eye area improves. Results can generally be seen within a few days following treatment and continue to progress over time. A series of treatments is often recommended to fully achieve desired results.


Botox is frequently used in combination with other treatments for the area around and under the eyes. It’s FDA-approved to treat crow’s feet on the outside corners of the eyes. Botox Cosmetic is also commonly used as an off-label treatment to soften fine lines and wrinkles resulting from the exaggerated muscle response of the eye area. Results take 5 to 12 days to take full effect and last for two to three months around the eye area.

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Laser Treatments

Laser treatments, like the Halo, BBL, SkinTyte, Moxi, ProFractional, CoolPeel, and other laser types use light therapy to stimulate collagen and elastin production. They work well to treat age spots and fine lines and wrinkles. For the eye area, laser treatments can help to tighten the skin and reduce the appearance of age spots, under eye bags, and fine lines. However, the use of lasers under the eyes is limited to avoid thinning of the delicate skin. Microneedling and Ultherapy are often the go-to choices at MedSpas, in conjunction with dermal filler and Botox, to treat under eye concerns.

Topical Eye Treatments

Though topical treatments are generally no match for in-office treatments, they are still recommended to maintain in-office treatment results and to protect the eye area. Medical grade skincare can typically only be purchased from a Dermatologist or MedSpa with a board-certified doctor on board and often offer the best results compared to what you can purchase at most specialty and department stores. SkinMedica is one medical-grade option with several eye care options to treat and protect the delicate area around the eyes.

Look for topical eye treatments with ceramides, retinol, hyaluronic acid (HA), and flower extracts that serve as powerful antioxidants.

Surgical Alternative

The majority of this post is dedicated to non-surgical, yet powerful treatment options for the under eye area. However, for some, or at a certain point in time, a surgical alternative might be the best option. As a last resort, some professional might recommend a lower eyelid blepharoplasty that’s performed by a board-certified surgeon. The procedure is intended to eliminate excess skin, tighten the muscle, and reposition fat. Some surgeons choose to perform the surgery under general anesthesia, though other choose oral or IV anesthesia sedation.

If you’re curious as to the best options for under eye rejuvenation for your specific concerns, it’s best to speak with a skin care professional at your local dermatological clinic or MedSpa, such as a Dermatologist, Licensed Aesthetician or Professional Nurse Injector.

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DermaTouch RN offers minimally invasive and non-invasive treatments for men and women in Houston, San Antonio, Spring and Cypress, as well as the surrounding areas of Texas. We are the largest aesthetic practice in the Houston area, and all of our medical spa treatments are performed by a team of nurse practitioners, registered nurses, and aestheticians who receive continuing education to remain abreast of emerging treatments that benefit our patients. We invite you to learn more about our office before your consultation.