Under Eye Concerns
Treatment options for under eye hollowness, darkness,
and fine lines
Collagen Stimulating
Several options exist with proven benefit in
collagen remodeling
Brightening
Techniques for darkness and shadows, safe and
effective
Minimal Downtime
Correction is soft and natural, with minimal post
procedure swelling
Reducing the Appearance of Under Eye Hollows,
Fine Lines and Darkness
Collagen stimulation is the key to long term improvement in the delicate under eye region.
Let us show you how to rejuvenate this area safely and gradually.
The under eye region can be one of the most challenging to address in aesthetics! Although emphasis tends to get placed on dermal filler,
the so called “tear trough filler” correction, filler does not address the common concern of fine lines in this region. Additionally, the effect
of wrinkle relaxers/”botox” are often not sufficient to get our client’s the level of smoothing they are looking for.
The key to smoothing in this area is to implement procedures which restore lost collagen to the skin, and we have several procedures
which do just that! Where you begin depends on your particular anatomy and wrinkle severity, your budget, your tolerance for downtime,
and your personal preferences.
Restoration of a youthful look to the under eye region typically requires attention to both the tear trough area and the cheeks, as well as
collagen building in the skin itself with modalities such as Ultherapy smoothing or CO2 resurfacing Laser or PDO smoothing eye threads.
4 Main Categories of
treatment
Treatments which restore lost collagen and/or volume to the under eye and
peri-orbital regions
The treatments recommended will depend on your particular concerns
and anatomy. Sometimes it makes sense to do more than one type of
treatment over time, or to “alternate” treatments. Our consultants and
providers can assist you in making the best choice for you!
Dermal Filler
A manual process seeks to remove or disrupt the unwanted fibrous tissue. Examples: Collagen Microneedling, Subscision, Dermabrasion- all of which can be combined with topical such as PRP to enhance the tissue response further
Microinjury Induction
Creating microinjury to stimulate new collagen production is a foundational practice in aesthetics. There are a number of methods to do this. From gentle microneedling to laser skin resurfacing with our SmartSkin CO2 laser, we can gradually resurface even this delicate area safely and effectively over the course of a series of treatments. Ultherapy is another option- using microfocused ultrasound, heat is delivered to the skin layer which contain fibroblasts, stimulating them to produce new collagen.
Smoothing PDO Eye threads
PDO Eye threads are very fine dissolving threads, as thin as a strand of hair, which can be placed under the skin in this delicate target region. They provide support to the skin and will dissolve gradually over the course of about 3 months. However, while there, they are potent collagen stimulators and the collagen they produce can last for years!
Platelet Rich Plasma/Platelet Rich Fibrin Matrix
PDO Eye threads are very fine dissolving threads, as thin as a strand of hair, which can be placed under the skin in this delicate target region. They provide support to the skin and will dissolve gradually over the course of about 3 months. However, while there, they are potent collagen stimulators and the collagen they produce can last for years!
Planning your Periorbital Rejuvenation
This table may assist you in beginning to understand some of the considerations we take
into account when recommending particular interventions for the periorbital region
Scroll down to see videos of some of our periorbital procedures
In general, we will assess the degree of volume loss and loss of support in the under-eye region, the so called “tear trough” area which
includes the support from the upper cheek (mid face volume). Next we look at the color of the skin, it’s thickness, and the degree of
severity of fine lines. Procedures vary in terms of potential “downtime” (swelling, redness, risk of bruising), and some produce “instant
gratification” but most do require a period of time before the final results of that procedure are evident. We do recommend that you
consider a high quality eye cream to use at home to protect and support your collagen and elastin, and we have several to choose from
here at Renew.
Procedure And Pricing
Comments
Improves Darkness?
Improves Fine Lines?
Typical Downtime
Number of sessions
Procedure And Pricing
Dermal filler
$625-$650 per
syringe
Comments
Tear Trough
*May also be needed in the Cheek to restore lost support to the tear trough
Improves Darkness?
Yes, to some degree, if volume loss was contributing to shadowing of light in this region
Improves Fine Lines?
No, not in the under eye region Sometimes we can target crows feet lines with dermal filler
Typical Downtime
Minor swelling /”puffiness” Minor bruise possible
Number of sessions
1 or 2 initially, then approximately once a year
Procedure And Pricing
PDO Eye Threads
$675
Comments
Very fine, dissolving PDO threads can be placed painlessly under the skin
Improves Darkness?
Yes, gradually by restoring lost collagen
Improves Fine Lines?
Yes, gradually by restoring lost collagen
Typical Downtime
Minor bruise is possible Very little swelling
Number of sessions
One every 3 to 4 months until desired look is achieved
Procedure And Pricing
Platelet Rich Plasma
“Limited
Area”-Periorbital
$600
OR
Add On PRP to
another procedure:
$375
Comments
Prepared from a simple blood draw which is processed to yield an injectable dose of your platelets- rich in collagen stimulating growth factors
Improves Darkness?
Yes gradually over time; it may take a few weeks to notice improvement
Improves Fine Lines?
Yes gradually over time; it may take a few weeks to notice improvement
Typical Downtime
Same as above More noticeable puffiness than there is with Eye threads
Number of sessions
One every 3 to 4 months until desired look is achieved
Procedure And Pricing
PDO Eye Threads in
combination with
Platelet Rich Plasma
$975
Comments
This is a popular combination which we call “Captivating Eyes”
Improves Darkness?
Same as above
Improves Fine Lines?
Same as above Because there are TWO stimuli working simultaneously- the PDO threads AND the PRP- more collagen is likely to result from each session
Typical Downtime
Same as above The puffiness can last for a few days
Number of sessions
Same as above
Procedure And Pricing
Ultherapy: Full Upper
Face (includes brow lift,
full periorbital and forehead smoothing)
$1120
Ultherapy: Under
Eye and Crows Feet
(smoothing only)
$300
Comments
Microfocused Ultrasound is used to deliver heat to the dermis, stimulating your fibroblasts to produce collagen
Improves Darkness?
No
Improves Fine Lines?
Yes
Typical Downtime
Minor redness and puffiness resolve very quickly
Number of sessions
Upper Face includes brow lifting- 1 or 2
Smoothing sessions- 3 or 4 may be needed
Procedure And Pricing
Laser Skin Resurfacing- SmartSkin CO2 laser
Full Peri-Orbital $350
Under Eye Only
Comments
Specialized settings allow us to treat even the delicate skin of the eyelid *Added advantage is more skin tightening than can be achieved with other treatment modalities
Improves Darkness?
No
Improves Fine Lines?
Yes
Typical Downtime
3 days puffiness
5 days redness
Number of sessions
3 to 4
Procedure And Pricing
Spectra Laser "Limited Area" treatment
Comments
We will sometimes target under eye darkness with our pigment lightening laser IF the darkness is due in part to actual unwanted pigment in the skin- from sun damage or as seen in some ethnic groups
Improves Darkness?
Yes
Improves Fine Lines?
Minimal
Typical Downtime
Pigment may appear temporarily darker but then lightens within 5 to 7 days as the pigment is shed
Number of sessions
1 or 2 May require maintenance sessions for patients with darker skin types who tend to hyperpigment here
Procedure And Pricing
Botulinum Toxin:
“botox”
Cost varies according to number of units
Comments
Relaxes the muscles around the eye, improving the appearance of “Crow’s feet” lines. Small doses (1 to 3 units) can sometimes help the under eye region appear smoother
Improves Darkness?
Yes
Improves Fine Lines?
Yes, relaxes the muscle action that makes them look deeper. Does not eliminate all lines. Does not improve collagen/skin thickness.
Typical Downtime
Possible small bruise; often no downtime ent may appear temporarily darker but then lightens within 5 to 7 days as the pigment is shed
Number of sessions
Repeat every 3 to 4 months
SmartSkin CO2 Laser Skin Resurfacing of the PeriOrbital Region
Eye Treatments- Skin Care:
Your home care regimen is an important part of maintaining the results you get from your procedures.
We have several options available, Here are some of our most popular products:
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ZO SKIN HEALTH
Eye Brightening Creme
$130
Nourishing formula to help hydrate and brighten the under eye. Great for more sensitive or irritated eyes.
Arnica, Shea butter, and squalene help to nourish and calm. Kojic and caffeine will help to brighten and smooth.
SKINBETTER
EyeMax Alpharet Overnight Cream
$110
A Specialty overnight Retinol treatment to enhance your at home eye care routine. Great to treat all eye area concerns with this powerful yet delicate product.
Antioxidants, Retinol, Alphahydroxy acid and hydrating complex blended together to provide luxurious moisture and under eye smoothing.
Interfuse Eye
$105
A lighter cream formula to help target crow's feet and brighten skin tone. Also has blend of ingredients to treat under eye puffiness.
Peptides to target the crow's feet. Caffeine and yeast blend to diminish under-eye bags.
ALASTIN
Restorative
Eye Treatment
$85
Helps to treat dry and dull under eyes. Also great for fine lines and wrinkles and can help to reduce puffiness.
Niacinamide, Green tea and oak leaf to help brighten the skin and treat puffiness. Tri hex peptide technology to promote production of elastin and collagen.
Questions?
We've Got You Covered!
Call us at 603-894-0070 to set up your free “Limited Consultation”, if you simply want to discuss your under eye concerns, or a full “Head to Toe Consultation” if you have other goals you would like to discuss at the same time.
One of our experiences nurses or medical assistants will review your history and take photographs of your specific areas of concern.
They will review some of the common treatment approaches in more depth, and/or answer questions about specific procedures you feel are most of interest to you, including treatment pricing. They will then present the photos and consult information to Dr. Vuich for her input and recommendations. Within a few days you will receive a return call letting you know Dr. Vuich’s input/recommendations.
We will help you select the best start based on our many years of experience with all of these treatment modalities.
In some instances a combination of treatment types may be suggested. The table provided above gives you some insight into what considerations are taken into account when making recommendations. Some clients have very little tolerance for downtime due to home and work situations, in which case laser skin resurfacing for example would not be a good choice because of the downtime associated with it. PDO eye threads and Ultherapy are treatments with little or no downtime for most clients, making them the more acceptable options in that scenario.
Before & After Photos
Rejuvenate your tired looking eyes!
Volume loss, fine lines and darkness can make us look worn and tired. These facial rejuvenating procedures are safe and effective and
can restore a more youthful appearance to this very important and delicate area. You can look and feel more refreshed, softening the
effects of ageing and sun damage by stimulating your own body’s collagen production with these aesthetic techniques.
Disclaimer: Individual results will vary by person and are based upon patient variables (such as genetics, age and lifestyle), the severity of
the condition before the procedure, the procedure(s) chosen, and compliance with any recommended aftercare program. No one can
guarantee an exact outcome for any aesthetic procedure.
The content of this website is intended to be general information- it should not be used to diagnose or treat a medical condition, and is in
no way meant to be a substitute for seeking appropriate medical care.