- 180 East 79th Street, 1C, New York, NY 10075
- 180 East 79th Street, 1C, New York, NY 10075
We all know the saying: “The eyes are the windows to the soul”. So true! But what if under eye issues are detracting from the natural beauty of your eyes?
We have solutions! Today, we’re taking a look at the top nonsurgical treatments to reduce Under Eye Hollows, including Dermal Fillers, Platelet Rich Plasma (PRP) / Platelet Rich Fibrin (PRF) and Ultherapy.
So which treatment’s right for you? Here’s all you need to know about Under Eye Hollow Treatment, including causes of hollows, treatments, results and benefits, courtesy of the best medspa in NYC:
Before we get to under eye treatments, let’s talk about what causes sunken eyes in the first place. Specifically, the area under the eyes is thin and sensitive. If you add genetics, sun damage and the natural course of aging to the mix, you have a recipe for under eye hollows.
Let’s drill down on the perfect storm of processes in the body that happen as we age:
Sadly, these once robust mechanisms that worked together to hold the skin in place begin to weaken. We experience volume loss. The skin sags and loosens. It starts to slide south and no longer hangs smoothly on the face.
Specifically, for under eyes, volume loss can give the appearance that our eyes are hollowed out or sunken into the skin.
Thankfully, we have top nonsurgical treatments that work wonders for the under eye area — and the words “minimally invasive” and “noninvasive” are particularly important for delicate under eye skin. In fact, did you know that the under eye skin is the thinnest on the body, at 0.5mm thickness?
Translation? Handle the under eye area with care! Read on to see how we do it with the best under eye treatments at Smooth Synergy® Medical Spa NYC.
Dermal Fillers are a top choice for Under Eyes. Here’s all you need to know:
A Dermal Filler is the treatment of choice to restore sunken eyes. In general, Cosmetic Fillers are universally renowned for their ability to restore lost volume on many areas on the face. What’s more, they have particular versatility for getting rid of under eye hollows.
Specifically, Dermal Fillers vary by thickness, flexibility and durability. Therefore, your injector can choose a softer, more flexible filler that’s most suitable for the under eye area. Here’s why that’s important when restoring volume under the eyes:
Not only do fillers vary by viscosity, but they vary by active ingredient. We recommend a cross-linked tear trough hyaluronic acid (HA) filler for the under eye area, because its active ingredient is particularly soft and pliable.
Once a filler is injected under the skin, it works immediately to replenish the depleted Hyaluronic Acid. As a result, it can restore volume and, even, make the skin appear to regain fat loss.
You’ve likely heard of the different brands of HA Fillers, including Restylane, Juvederm and Belotero. Each brand offers a family of facial fillers formulated for particular skincare concerns, including:
While we would always recommend a softer HA filler formulation for under eyes, including, Restylane Silk, Juvederm Volbella or Belotero Balance for their softer profile, which one your injector chooses for your under eye concern also depends on the extent of aging on your face, as well as your treatment goals. In a nutshell, it’s best to speak with our physician and master injector about which specific filler within the brand is right for your under eye concern. has a softer profile making it well-suited for delicate areas like the tear trough.
We have many clients with a general fear of needles. Additionally, injections near the eye can make some people squeamish. So, if you’re looking to fix under eye hollows without filler or injections, there are options that range from minimally invasive to noninvasive.
The first is Platelet Rich Plasma (PRP) or Platelet Rich Fibrin (PRP), which can be microneedled under the eyes at superficial depths.
The second is Ultherapy, which works without needles, abrasives or harsh chemicals. Specifically, Ultherapy uses safe-time tested ultrasound waves to spark a strong process of skin repair under the skin.
Both of these treatments also offer an additional advantage. Instead of adding product under the eye, they rejuvenate collagen from the inside eye. In this way, they work like a natural eye filler and restorer, in order to smooth and brighten the eyes — all without the anxiety, pain or risk of injection near the eyes.
Let’s drill down further on both PRP and Ultherapy. (note: it’s also possible to have PRP injected under the eye. See below.)
While PRF or PRP require needles, they are at a shallower depth when we use microneedling vs injections.
Yes, there are a few under eye hollow treatments without fillers. Platelet Rich Fibrin (PRF) or Platelet Rich Plasma (PRP) for under eyes starts with healing growth factors found in your own blood.
Specifically, PRF / PRP treatment includes a blood draw from you. Then, the blood is spun in a centrifuge to extract the richest healing factors. Also known as “liquid gold”, the extracted PRP / PRF is then injected and/or microneedled under the skin below the eyes.
These PRF / PRP injections and/or microneedles are a natural solution to generate skin renewal from the inside out. Specifically, PRF rejuvenates the eye area to restore volume and improve skin texture and thickness gradually and naturally by:
While both Microneedling with PRP / PRF and Injections with PRP / PRF encourage gradual and natural skin rejuvenation, how they do so differs.
Specifically, during Microneedling under eye treatment, a dermapen that holds tiny needles creates “micro-injury” at adjustable depths and spacing across the epidermis. On the other hand, PRP injections under eye make use of a fine needle to deliver healing factors to the deeper layers of the skin.
In a nutshell, Microneedling delivers PRP / PRF to a larger surface area at a shallower depth. On the other hand PRP injections are both more targeted and deeper.
It’s also important to note that Microneedling under eye treatment can be done alone or with other serums, including Microneedling with Hyaluronic Acid or Microneedling with Antioxidant Meso Vitamins.
Ultherapy is truly a nonsurgical way to treat eye hollows without the risk, recovery and downtime of going under the knife.
Ultherapy (aka Ulthera) makes use of Ultrasound waves to bypass the surface of the skin, in order to gently heat the deeper layers of the skin. Following treatment, this process sparks collagen and elastin to gradually replenish.
As a result, Ultherpy will restore volume, in order to smooth, tighten, and firm the under eye area.
Ultherapy is another treatment that’s an excellent option for the thin and delicate skin under the eyes. Specifically, the practitioner has great flexibility to target Ultrasound energy where it’s needed the most under the eyes.
First, she can use the hand-held device to determine the appropriate spacing of treatment.
Next, she can deliver ultrasound waves to three depths, including the SMAS (where plastic surgeons cut), the dermis and the epidermis.
Finally, she can take advantage of Ulthera’s proprietary DeepSee technology, giving her the ability to visualize treatment on a monitor in real time.
As she moves the Ultherapy handheld wand under the eyes, she can make adjustments based on:
| Treatment | How It Works | Best For | Needles Involved? | Downtime |
|---|---|---|---|---|
| Dermal Filler (HA) | Restores volume with hyaluronic acid | Immediate volume correction | Yes (Injection) | Minimal |
| PRF / PRP | Uses your blood’s growth factors for collagen and healing | Natural renewal, dark circles, texture | Yes (Injection or Microneedling) | Minimal to moderate |
| Ultherapy | Ultrasound waves stimulate collagen deep within skin | Skin tightening & firming | No | None to minimal |
In today’s post, we spoke specifically about how to reduce under eye hollows. However, it’s absolutely worth noting that the same treatments that reverse volume loss to restore under eye hollows (Dermal Fillers, PRF / PRP and Ultherapy) can also work on other skin issues under the eyes, including:
Volume loss can cause the under eyes to bulge or appear puffy. That’s because the fat pads under the skin protrude in relation to the areas that have sunken in. Volume-restoring treatments will plump the skin to smooth out the area.
Restoring volume can help smooth and tighten the under eye area, thus, diminish wrinkling and fine lines under the eyes, as well as Crow’s Feet at the corners of the eyes.
Discoloration can be caused by volume loss. Basically, any hollowing under the eye can cast a shadow. As a result, the eye area can appear dark and heavy.
By restoring volume, these three treatments will minimize the shadow and brighten the entire eye area.
However, if hyperpigmentation is caused by something other than volume loss, some of these treatments are no longer appropriate.
For example, if hyperpigmentation is caused by sun damage, the best treatment option would be a PRP / PRF under eyes, as this treatment is a treatment of choice for removing melanin from the skin.
Another excellent option for hyperpigmentation is a Chemical Peel for under eyes.
Finding the best Botox doctor near you can ensure you receive the right amount of Botox in the right areas. As a result, you’ll get the Filler and PRP / PRP results you’re looking for. Specifically, it’s important to make sure your provider has a proven track record of injecting Botox on many patients.
Our expert injector, Dr. George Liakeas, uses a refined injection technique to achieve natural-looking results with minimal discomfort and downtime. He knows exactly where to inject, as well as how to minimize the risks and side effects, such as asymmetry or unintended muscle weakness.
With so many nonsurgical options for facial rejuvenation available, it’s important to see an experienced doctor, who:
Our Medical Director and Master Injector, George Liakeas, MD ticks all these boxes. He’s been using Cosmetic Injectables for 20 plus years.
Our Medical Director, Dr. George Liakeas, is a certified PRP treatment provider, who received training from the creator of the Vampire treatments, Dr. Charles Runels. Additionally, he is one of a select few, who trains other providers to perform the Vampire treatments.
Put simply, choose the doctor who trains the doctors how to use PRP and PRF across the entire face and body!
Additionally, he has more than 20 years experience injecting Dermal Fillers and PRP. He’s not only a trusted medical physician, but has a keen eye for aesthetics. He has a knack for understanding the face and knowing where to inject to make you look your best.
Smooth Synergy® Medical Spa & Laser Center New York City is conveniently located in Manhattan with a comprehensive menu of the top nonsurgical skin treatments to restore volume to the eyes and face, including Microneedling, PRP / PRF, Ultherapy and Dermal Fillers like Juvederm, Restylane and Belotero. Opening in 2002, we have both the skill and experience to assure the best PRF results in New York.
f you’re searching “Ultherapy near me” or wondering how to get rid of under eye bags, Smooth Synergy® offers customized solutions tailored to your skin’s unique condition and your aesthetic goals. Clients from the Upper East Side, Midtown East, Gramercy, and throughout NYC trust us for natural-looking, long-lasting results.
Why Choose Our Upper East Side Medical Spa?
Smooth Synergy® is a top-rated provider of nonsurgical treatments in NYC.
Since 2002, we’ve been at the forefront of anti-aging innovations, offering cutting-edge regenerative therapies such as Chemical Peels, PRP and Ultherapy.
Our Medical Director and Master Injector, Dr. George Liakeas, personally supervises a highly experienced team of licensed skincare professionals.
We’ve earned over 200 glowing reviews on Yelp and Google.
We prioritize personalized care and excellent service in every treatment.
Our Medical Estheticians know how to deliver results with unparalleled level of safety, in order to provide superior results for your skin. Take advantage of their skill, education and expertise by scheduling a consultation with one of our Experts in Beauty. She will explain our comprehensive and help you decide which treatment is right for you.
To experience our expertise and determine the best treatment for your goals, call us at 212-397-0111.
What is the best treatment for under eye hollows?
Dermal Fillers, PRF/PRP, and Ultherapy are all effective nonsurgical treatments. The best option depends on your individual goals, comfort level with needles, and how much volume restoration or collagen stimulation you need.
Can I treat under eye hollows without filler?
Yes. PRF/PRP and Ultherapy are excellent non-filler options. They work by stimulating your body’s own healing and collagen production to improve the under-eye area.
Is PRF better than PRP for under eyes?
PRF releases growth factors more slowly than PRP, offering a gentler, longer-lasting rejuvenation. Your provider will help you decide based on your skin and goals.
Does Ultherapy work for under eye hollows?
Ultherapy tightens and firms skin using ultrasound energy. It doesn’t directly fill volume, but it stimulates collagen for a gradual lifting and tightening effect.
How long does under eye filler last?
Hyaluronic acid fillers typically last 6–12 months under the eyes, depending on the formulation and individual metabolism.
Will these treatments help with dark circles and under eye bags?
Yes, if the darkness or puffiness is caused by volume loss. Restoring volume can reduce shadows and puffiness. For pigment-based dark circles, PRF or a chemical peel may be more appropriate.
Where to get under eye hollow treatment near me?
If you’re in NYC, visit Smooth Synergy® Medical Spa on the Upper East Side. With over 20 years of experience and a medical team led by Dr. George Liakeas, we offer advanced PRF/PRP, Ultherapy, and filler treatments customized for your needs.
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