Dark under eye circles and sunken hollows

WHAT IS Dark under eye circles and sunken hollows TREATMENT

The cause of the dark circle can be hereditary, stress, weight loss related or age related and tends to occur where loss of volume in the eye area, and in the cheek area leads to a sunken hollow eye socket and a deep indent where the lower eyelid meets the cheeks. This is called a ‘tear trough’. Dermal fillers specifically made for the under eye area lift and soften the appearance of tear troughs creating a brighter, fresher wide awake look.


Tear trough treatment involves placement of dermal filler under the eye. The dermal fillers we use are made of naturally occurring hyaluronic acid which is non animal based in origin. When placed in the under eye area they lift a sunken tear trough and brighten dark circles.

Where there is loss of volume in the tissues below the tear trough, in the cheeks or midface, replacement of this lost volume can also improve the appearance of the tear troughs and this is called an indirect tear trough method and maybe indicated as a first line measure in correct management of the tear troughs to give you a better, safer, longer lasting treatment result.  An assessment is always carried out to ascertain your requirements, and decide on the best approach to suit you.


We use cannulas which are blunt ended tiny tubes instead of needles to reduce any trauma to the area, meaning the procedure is comfortable, quick, and almost never causes any bruising. The benefit of this is that there is no downtime associated with the procedure, meaning you can go straight back to work and no one will know you had anything done!


This is a very safe procedure when performed in expert hands. As we avoid the use of needles, there is rarely any bruising or downtime and 9 out of 10 people leave with no sign of having anything done. In the event that bruising does occur, it usually fades in a week or so and can be covered with make up the following day.


Treatment Time

5 minutes per undereye

Results Duration

Approx 12-18 months


None to minimal discomfort


Immediate and improves over 4 weeks. Lifts sunken hollows and brightens dark circles under the eyes.


What is the best age to start Botox?

The best time to consider having Botox® is when you begin to notice that dynamic lines and wrinkles – these are the wrinkles that only appear in movement (such as smiling or frowning). This usually happens in your mid 30’s though it varies from person to person dependant on genetic and lifestyle factors such as sun exposure, stress and smoking. Botox® works best at this stage, rather than waiting and trying to treat deep lines where the collagen in the skin is already damaged and the wrinkle appears even when your muscles and face is not moving!
The longer you wait, the more invasive the treatments for wrinkles become – for example dermal fillers are used when Botox® will not suffice.

What areas can you treat with Botox?

Areas that Botox can treat include:

Frown lines – the lines that appear between the eyebrows
Crow’s feet – wrinkles around the eyes
Forehead lines- Those lines that appear when raising your eyebrows
Bunny lines – on the side of the nose when smiling
Necklines – horizontal ‘necklace lines’ and vertical ‘platysmal bands’ (Nefertiti Neck Lift)
Marionette lines- to lift upturned corners
Enlarged jaw muscle – due to excessive grinding
Hyperhydrosis- excessive sweating

How can Botox treat migraines?
Botox can stop migraines before they even start, with treatments recommended every twelve weeks for maximum effect. This works by blocking the release of the neurotransmitters that cause pain, and stopping the muscles from contracting thus preventing tension build up which reduces or prevents migraine.
How can Botox treat excessive sweating?
Botox can help with excessive sweating by blocking the signals that the body sends to stimulate sweat glands. It is injected into the skin, and the effects typically last 6 months.
What is the Nefertiti Neck Lift?
Botox can treat horizontal neck lines and vertical ‘platysmal bands’ in the neck with a treatment known as the Nefertiti Neck Lift, restoring a tighter, lifted and youthful appearance of the neck.
How can Botox treat a gummy smile?
Correctly injected, Botox can relax the muscles that pull up the upper lip, thus reducing the gums on show in a high lip line and even creates a slightly fuller looking lip.
What are the do’s and don’ts after having Botox?

DO use the muscles we have injected in the hour after treatment eg if you have had your crows feet treated, plently of smiling is recommended as research has shown this encourages a quicker uptake of the product.

– lie down for 4 hours
– do ecessive exercise for 24 hours
– rub your face for 24 hours
– don’t have excessive alcohol on the day of the treatment.