Condition
Dark Circles & Eye Bags
Refresh and rejuvenate the under-eye area with surgical and non-surgical options
Overview
Refresh and rejuvenate the under-eye area with surgical and non-surgical options
Dark circles, eye bags and hollowing beneath the lower eyelids are among the most common reasons patients seek a consultation at our clinic. The under-eye area is particularly vulnerable to the effects of ageing: the skin is thin, the supporting fat can shift or herniate forwards, and the tear trough hollow deepens as the mid-face loses volume. The result is a persistently tired, older-looking appearance that concealer rarely fully hides.
The cause varies from person to person. For some it is primarily genetics and anatomy. For others the main driver is volume loss, creating a shadow and hollow rather than a true puffiness. Pigmentation, thin skin and lifestyle factors all contribute to the dark colouration. Understanding the cause is essential before choosing a treatment approach, which is why a careful consultation always comes first.
At Maison Restorative we offer non-surgical and surgical routes. A soft dermal filler placed into the tear trough can restore volume and smooth the transition between the lower eyelid and the cheek. Polynucleotides improve the quality and thickness of the under-eye skin over a course of treatments. Where there is true excess skin and fat causing persistent puffiness, surgical blepharoplasty offers a more definitive, long-lasting result.
Available Treatments
How we treat dark circles & eye bags
Non-Surgical Options
Tear Trough Treatment
Restore volume and reduce hollowness beneath the eyes for a rested, refreshed look
Polynucleotides
Injectable biostimulators that rebuild collagen, restore elasticity and deeply hydrate
Surgical Options
Symptoms
What it looks and feels like
- Persistent dark or shadowed colouration beneath the eyes
- Puffy or swollen appearance beneath the lower eyelids
- A hollow groove or shadow under the eyes (tear trough)
- Loose or crepey skin in the lower eyelid area
- A persistently tired or older-looking appearance around the eyes
Causes
Why it happens
- Herniation of orbital fat pads creating visible puffiness
- Volume loss in the mid-face causing the tear trough to deepen
- Thinning of the delicate lower eyelid skin with age, revealing underlying blood vessels
- Genetics, individual anatomy and pigmentation predisposing to early changes
- Sun exposure, sleep disruption and lifestyle factors accelerating the appearance
When to seek advice
Dark circles, eye bags and hollowing beneath the eyes are cosmetic concerns rather than medical ones, and there is no need to see your GP before booking a consultation. If you are considering surgical blepharoplasty, a full assessment with our specialist team will establish whether you are a suitable candidate and what the realistic outcome looks like for your anatomy.
FAQs
Frequently asked questions
What is the difference between tear trough filler and blepharoplasty?
Tear trough filler is a non-surgical treatment that adds volume to the hollow beneath the eye, smoothing the shadow and improving the transition to the cheek. Blepharoplasty is a surgical procedure that removes or repositions excess skin and fat. The right option depends on the cause of your concern; a consultation will guide you to the most appropriate approach.
How do polynucleotides help?
Polynucleotides are biologically active molecules injected into the skin around the eye to improve hydration, elasticity and overall skin quality. A short course produces a noticeable improvement in the appearance of the dark and crepey areas, often used alongside or in place of filler.
How long does tear trough filler last?
Results vary depending on the product used and your individual metabolism, but most patients enjoy the results for between nine and eighteen months. A top-up appointment maintains the effect.
How long is recovery from blepharoplasty?
Most swelling subsides within the first 48 to 72 hours, and bruising typically settles over two to three weeks. The procedure is usually performed under local anaesthetic as a day case, so no overnight stay is required.
Can these treatments be combined?
Yes — many patients benefit from a tailored combination, for example tear trough filler to address hollowing and polynucleotides to improve the surrounding skin quality. Your practitioner will recommend the right combination at consultation.
How do I get rid of bags under my eyes?
It depends on the cause. Where the concern is a hollow or shadow, a soft tear trough filler restores volume and smooths the area. Where the skin quality is the issue, polynucleotides improve the under-eye skin over a short course. Where there is true excess skin and fat, surgical blepharoplasty gives a lasting result. A consultation establishes which applies to you.
How much does treatment for eye bags and dark circles cost?
Pricing depends on the treatment or combination agreed for you and is confirmed in writing at your consultation, with no obligation to proceed.
Concerned about dark circles & eye bags?
Book a consultation with our specialist team. We will assess the cause and recommend the right combination of treatments for you.
Book a consultation