Many of my patients complain about undereye darkness and bags. They would have tried every concealer on the market, from cheap brands to expensive French products sold in exclusive department stores. Mary (not her real name…would I ever .. :) … started wearing glasses all the time (though she doesn’t need them) because the frames covered her under-eye shadows. Although she swore she would never get a facelift or other cosmetic procedures, she made an appointment with me at Castleknock Cosmetic Clinic, Dublin.

Mary had little fat or collagen below her eyes, so the purple facial muscle was visible beneath the skin. I said said that genes are not solely responsible: alcohol, smoking, quick weight loss, lack of sleep and dehydration are also factors, we call them environmental factors. But the biggest culprit is aging, leading to thinning and sagging.

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Mary was a perfect candidate for Restylane Sub-Q liquid facelift, also know as Softlift, which for around €1,000, would minimize the circles for as long as a year. With fear and hesitation, Mary assented. The under eye area is ultra-sensitive to pain and Mary reported “Those tiny pricks of the dermal filler did not hurt at all, thanks to numbing and the soft cannula used.” Further, she saw immediate difference after the procedure. Youthful looks restored. She was sent home with ice packs and the soothing cream made with horse chestnut extract.

She phoned me a week later thanking me. She said her husband took a long look at her and said “do you know what you remind me of?…. you, when I met you!”. Glory.

Tear trough and undereye bag treatment planning

The pain threshold for these injections varies greatly from one woman to the next, from an annoying initial pinch to a deeply sensation. But the biggest pain can be poor planning. You see results with most fillers immediately, but muscle relaxers may not take effect for about two weeks. So, if you’re getting undereye treatment for an event, be sure to schedule your injection at least two weeks ahead of time. Further advice is that a “so-called” lunchtime procedure may not be wise. You will be in and out of the clinic in an hour; however, you may depart with red bumps and black and some bruising marks at the injection site, unlikely but certainly possible.

Strong advice

The strongest and most adamant advice is: you must go to a registered doctor. There’s a lot that can go wrong in the hands of an inexperienced injector. If not injected deeply enough in the skin, fillers can cause lumps, which may require enzyme injections to shrink. Likewise, there are important sensitive nerves and vessels in the deep layer.

Brighter and Healthier

Hyaluronic acid fillers like Restylane, Emervel, Teosyal and  Juvéderm are only one way to deal with dark under-eye circles. According to the American Society for Aesthetic Plastic Surgery, there are other treatments that can provide improvement like Dracula therapy, a platelet rich plasma injections called PRP. Fat lipofilling under the eyes is gaining great popularity for people requiring larger amounts and considering long lasting results.

Other Remedies

If the softlift does not completely solve the problem, a chemical peel or Photofacials to the area may help. If you want to address your own under-eye circles, be sure to make sure you book an appointment with me at the clinic and I will assess you physically and with the aid of our skin analysis machine.