Tired Eyes / Eye
“Under-eye bags,” dark circles and a heavy upper lid can make you look tired even when you feel fine. My approach is layer-specific and conservative—treat the right cause (skin, volume, muscle, or support) to restore a calm, rested look.
What you may want to improve
- Puffiness / eye bags that persist in photos or mornings
- Hollow tear trough and mid-cheek shadow
- Crepey under-eye skin and fine lines
- Heaviness of the upper eyelid or makeup imprinting
- Crow’s feet that pull the eye downward
- Brown/blue dark circles (pigment vs translucency)
Non-surgical refresh (minimal downtime)
- Anti-Wrinkle (Botox) — softens crow’s feet and micro-lifts the tail of the brow while keeping expression
- Dermal Fillers (tear trough & mid-face support) — conservative HA to reduce hollow/shadow, often via cannula and lateral cheek support first to avoid puffiness. Vascular-safety protocol; hyaluronidase on hand.
- Skin Boosters — non-volumising HA to enhance hydration and light bounce (not for deep bags; complementary).
- Chemical Peels (light/medium, selected) — brighten pigment and refine texture; depth tailored to downtime tolerance and Fitzpatrick type.
- Mesobotox — intradermal micro-dosing for shine/pore look in the crow’s-feet region (carefully mapped; not to weaken eyelid closure).
- Polynucleotides — biostimulatory gels to improve elasticity and fine lines, ideal for thin under-eye skin.
If a true fat herniation is the driver, injections may camouflage only partially; see surgical options below.
Surgical options (when anatomy truly requires it)
- Upper Blepharoplasty — removes excess skin and restores lid crease definition with a fine, hidden incision.
- Lower Blepharoplasty
- Transconjunctival (no external scar) to remove or reposition fat when skin quality is good.
- Skin-pinch (tiny sub-ciliary excision) for crepey skin when needed.
- Canthopexy/canthoplasty in selected cases to support lid shape.
- Adjuncts — micro/nano-fat for texture in carefully selected cases; mid-face support (filler or structural) to smooth the lid–cheek junction.
Experience includes tailored approaches for diverse eyelid anatomies, while preserving your natural identity.
Smart sequencing
- Identify the driver (fat vs hollow vs skin vs muscle)
- Start reversible: Anti-Wrinkle + PN/Boosters ± light peel
- Correct shadow: structural cheek support → selective tear-trough filler
- If persistent bags/skin excess: lower or upper blepharoplasty for durable clarity
Typical timelines (indicative)
Anti-Wrinkle / Mesobotox:
back to routine same day;
peak 7–14 days
Fillers / Boosters / PN:
mild marks 24–48 h;
blending 2–4 weeks
Peels:
glow-only to 3–7 days flaking (depth-dependent)
Upper/Lower Blepharoplasty:
sutures ~5–7 days (if external);
most swelling 10–14 days;
refinement 4–12 weeks
FAQs
Filler or surgery for eye bags?
If fat herniation is the main issue, blepharoplasty is the honest fix. Filler helps hollows/shadows or fine-tunes after surgery.
Will tear-trough filler cause puffiness?
Not with the right indication, plane and dose. We prioritise cheek support first, use low-swelling HA, and stage treatments.
Can we treat dark circles?
We separate pigment (peels/skin care) from shadow (support/filler) and translucency (PN/Boosters). Often a combination works best.
Will I look “operated”?
No. The goal is calm and rested. Surgical plans preserve eyelid shape and canthal support; injections are conservative and reversible.
