Explore Skin Concerns
Dark circles, hollowing and puffiness can look similar, but they need different approaches.
Book an under-eye consultationUnderstanding the area
The under-eye area may look tired because of a shadow, pigmentation, a change in skin quality, loose skin or prominent bags. More than one factor may be involved. We assess the area before recommending treatment.
01 / Start with assessment
A dark circle caused by colour is different from a shadow caused by hollowing. The assessment helps us explain what each treatment can address.
We assess the skin, any puffiness, the shape of the under-eye area and the support from the cheeks.
What to expect: No discomfort or recovery from the consultation. We explain suitable options and realistic results.
Explore under-eye consultations ↗02 / Skin quality
Different treatments suit different degrees of skin change. We will discuss the likely benefit and recovery for each.
May be considered for fine lines and thin-looking under-eye skin. They do not fill a deep hollow or remove a bag.
What to expect: Brief injections. Temporary small bumps, swelling or bruising may occur. Usually planned as a course.
Explore polynucleotides ↗Creates tiny controlled channels in selected skin around the eye area. May help soften fine lines and improve texture after assessment.
What to expect: A prickly sensation; numbing may be offered. Temporary redness and sensitivity are possible. Usually planned as a course.
Explore microneedling ↗Non-needle radiofrequency gently warms selected skin around the eyes and may improve the appearance of early fine lines or mild laxity.
What to expect: Warmth during treatment and possible temporary redness, usually with little visible recovery. A course may be advised.
Explore radiofrequency ↗May improve selected areas of crepey under-eye skin and fine lines. We assess exactly where treatment can be performed safely.
What to expect: Numbing cream may be used. Temporary redness, swelling or sensitivity can follow. A course may be recommended.
Explore RF microneedling ↗Secret PRO's fractional CO₂ option may improve crepey texture, fine lines and selected skin laxity around the eyes. It does not remove protruding under-eye fat.
What to expect: Numbing and appropriate eye protection. Redness, swelling and peeling, with more visible recovery than gentler options.
Explore fractional CO₂ laser ↗May be considered for selected fine lines and skin appearance around the eye area. It does not restore volume or remove prominent bags.
What to expect: Warmth or light snapping. Temporary redness is possible; a course may be advised. Eye protection is essential.
Explore ClearLift ↗A suitable routine may help dry or sensitive skin and support other treatments, with sun protection where pigmentation is involved.
What to expect: No procedure or downtime. Skincare cannot correct a structural hollow or prominent bag.
Explore under-eye skincare ↗03 / Shadows and hollowing
We assess the shape of the under-eye area and cheek before discussing whether adding support is appropriate.
A small amount of filler may be discussed when hollowing creates a shadow. Sometimes cheek support is more appropriate than filler directly under the eye.
What to expect: Injection discomfort, possible swelling or bruising. Not suitable for everyone; it may worsen existing puffiness. Specific risks are discussed.
Explore under-eye and cheek filler ↗04 / Puffiness and bags
We assess whether the appearance comes mainly from loose skin, fluid or protruding fat. Fractional CO₂ may improve loose, crepey skin that makes mild puffiness more noticeable. It cannot remove a prominent fat bag.
If protruding fat is the main cause, a specialist surgical opinion may be more appropriate. We will be clear about the limits of non-surgical treatments.
Helpful answers
Injectables involve brief needle or cannula discomfort. Microneedling feels prickly; non-needle radiofrequency feels warm. Numbing is usually discussed for RF microneedling and CO₂ resurfacing.
Injections can cause visible bumps, swelling or bruising. Microneedling and RF microneedling may leave redness; non-needle radiofrequency usually has little visible recovery. CO₂ has more visible recovery with redness and peeling.
Polynucleotides, microneedling, radiofrequency and RF microneedling are often planned as courses. CO₂ sessions and filler suitability depend on assessment.
It may improve loose, crepey skin. It does not remove a prominent bag caused by protruding fat.
No. Careful patient selection is essential because filler can cause persistent swelling or discolouration, and rare complications can be serious.
Start with a conversation
You do not need to choose a treatment before visiting. We will assess the area, explain what is contributing and talk through realistic options.
Book an under-eye consultation ↗