Why does ageing show early around the eyes?
The skin here is very thin, has little fat and moves constantly, so lines and darkness are noticed earlier.
The look of the eye area is a mix of several factors: thin skin, prominent fat pads, changes in bone structure, blood vessels and pigmentation. Genetics and factors such as sleep, allergy and sun also play a role.
For this reason under-eye problem is not a single diagnosis. Bags, hollows, dark circles and lines are approached with different methods.
What can be done for lines and skin quality?
Skincare, mesotherapy and some devices may be considered for fine lines and dryness. Botulinum toxin may be considered for expression lines such as crow’s feet.
Care made for the eye area, including a moisturiser and a retinoid, together with sun protection, is the basic step. Because this area is sensitive, it matters that products do not cause irritation.
If the physician finds it suitable, mesotherapy or skin boosters can support hydration and botulinum toxin can soften expression lines. The effect varies between people.
What options exist for hollows and bags under the eyes?
Hyaluronic acid filler may be considered for hollows; marked bags or excess skin usually need a surgical assessment.
Filler for the tear trough is a delicate procedure; if done wrongly, swelling, a bluish tint or irregularity may occur. Not every hollow is suitable for filler, and in some anatomies the procedure may not be advised.
With true fat herniation, marked sagging or excess skin, non-surgical methods may fall short. In that case, referral to a specialist in eyelid surgery is appropriate.
What causes dark circles, and do they improve?
Dark circles can come from thin skin and visible vessels, pigmentation, shadowing and heredity. The method depends on the cause.
In some people the darkness comes from shadow, in others from pigment or vessels. The cause must be identified first to choose the right method.
Mesotherapy, some filler applications and skincare may lighten the appearance in some people; the result varies and cannot be stated with certainty in advance.
What should be considered before a procedure here?
An authorised and experienced physician, sterile and approved products and realistic expectations are the three key points.
Vascular complications around the eyes are rare but can be serious. If severe pain, changes in vision or colour change occur after a procedure, seek urgent care immediately.
Pregnancy, breastfeeding, active infection or blood-thinning medicine can change the plan. At the consultation Dr. Berktaş assesses whether you are suitable.
Frequently asked questions
Can under-eye bags go away without surgery?
Mild looks can sometimes be softened; marked bags with fat herniation usually need surgery.
Is under-eye filler safe?
It can be done carefully in the right person by an experienced hand, but swelling, irregularity and rarely serious complications can occur.
Do dark circles improve in everyone?
No. It depends on the cause; some become less visible while others respond only partly.
What is done for crow’s feet?
Botulinum toxin and skincare may be considered; the decision depends on the examination.
When is surgery considered?
Eyelid surgery is assessed when there is marked excess skin or fat herniation.
Sources (5)
- American Society of Plastic Surgeons: Eyelid Surgery
- Trinh LN et al. (Facial Plastic Surgery): Dermal Fillers for Tear Trough Rejuvenation: A Systematic Review (2022)
- Dermatol Surg (Michelle L, et al.): Treatments of Periorbital Hyperpigmentation: A Systematic Review (2021)
- Wang Y et al. (Facial Plast Surg Clin North Am): Complications of Periocular Dermal Fillers (2021)
- U.S. FDA: Restylane Eyelight – P040024/S135 (2023)
This content is for general information and does not replace a personal medical assessment.