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5 Best Ways to Treat Your Under-Eye Aging

5 Best Ways to Treat Your Under-Eye Aging


  • Characteristics of youthful lower eyelid: Short eyelid-cheek junction, fuller and lower eyelid, healthy and voluminous eyes contribute to a youthful appearance.
  • Factors contributing to under-eye aging: Loss of lower eyelid fat and puffiness contribute to under-eye aging, resulting in hollowing and dark circles.
  • Treatment options for under-eye aging: Fillers, fat transfer, transcutaneous lower eyelid blepharoplasty, skin pinch, botox injections, and PlasmoDerm are effective treatments for addressing under-eye aging concerns.
  • Fillers and fat transfer: These treatments replace lost volume in the under-eye area, improving appearance and reducing the appearance of hollowing and dark circles.
  • Consultation at CNF in Bengaluru: CNF offers advanced treatments for under-eye aging, providing personalized consultations to determine the most suitable treatment for individual needs.

under eye ageing treatmentA glowing and youthful face always makes you look the best. As you grow older , you can see multiple aging effects on your skin, prominently in the eyelid portion. Since this region shows aging signs because of growing older or genes, you start looking tired. 

Fatigue or aging gets visible the most at the lower eyelid level. The aging related suborbicularis oculi fat pad (SOOF) loss can make the under-eye area look unattractive. However, the best facial rejuvenation treatments help in managing the lower eyelid portion and making you look and feel younger than your age. This post outlines the best under-eye aging treatments. 

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Screenshot 2024 04 10 130920Screenshot 2024 04 10 130939But before that, let’s discuss the expectations of a youthful lower lid, how aging looks, when genes play a role in lower lid, various elements included in aging, why this portion causes darkness and available tools to treat under-eye aging. Keep reading. 

What a Perfectly Youthful Lower Eyelid Looks Like?

Screenshot 2024 04 10 131019The perfectly youthful lower eyelid looks attractive and bright. The “eyelid cheek junction”, i.e., the distance between eyelids and cheeks visible on the frontal and profile views. This distance is short and the eyes start appearing hollower as the distance increases. 

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Here are the key characteristics of an ideal youthful lower eyelid: 


    • A short eyelid cheek junction. 

    • A fuller and lower eyelid. 

    • Healthy, fresh-looking and voluminous eyes.

    • The correct quantity of skin which can enhance your appearance with an open mouth and stretch your dermis. 

You will always look tired, dull and aesthetically unpleasing if your under-eye skin is puffy. A young person usually has a mostly smooth lower eyelid area. The major portion of the convex flat lower eyelid that passes to your cheek has no visible depressions. You can get puffy contour asymmetries with the hanging extra skin.  

How the Lower Eyelid Portion Ages? 

The lower eyelid area ages with two simultaneously occurring factors below:


  1. Lower Eyelid Fat Loss

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One factor is loss in the lower eyelid fat that develops a fat pad sitting under your bone, which moves into your cheeks , known as the soup. The sun orbicularis oculi fat pad is positioned under the orbicularis oculi muscle. Then, the fat pad diminishes from the bony eyelid down to your cheek in aged eyes. The eyes start looking hollow and hollowing stretches from the corner of eyes, the medial canthal portion to the eyes’ outer area, the lateral cancer portion.The full orbital rim and crescent shaped bone outline gets visible. With aging, soft tissues get added in the form of extra skin (dermatochalasis) in the lower eyelid portion.



  1. Puffy Eyes

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Loss of excess fat occurs in the orbital rim to the eyelashes. The eyelid cheek junction has no relation with the eyelids. So, the lower eyelid cheek junction loses fat. Sometimes, this region also gets eyes puffy. Aging is the combination of excess soft tissues and deficient fat because of which your lower eyelid looks darker than before. When you are young, your eyes tend to look much more attractive and brighter than as an adult. Your youth is the short lid cheek junction, while aging is a long lid cheek junction. Once these two things happen simultaneously, the eyelid cheek junction distance increases. 

The Tools in the Toolbox 

Below are the various kinds of tools which can treat your under-eye aging:

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  1. Tools that replace volume 

When it comes to replacing excess skin in your under-eye area, fillers can do wonders by eliminating the excess skin and fat. The doctor examines the lower eyelid portion and perfectly restores the lower eyelid portion, which makes you look fresh and younger than your age. The fillers don’t change your looks but enhance the shape of your eyes. The volume fillers contain hyaluronic acid, when injected in under eyes, add volume to that area. Such fillers are available in many brands, like Juvederm. 

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The broad HA fillers contain hyaluronic acid, the naturally forming body part. The natural form of hyaluronic acid breaks in almost a day if you had to inject it inside your body. The manufacturers cross link such elements during the cross-linking process which creates a situation that makes it tougher for your body to break down. When excess hyaluronic acid is injected into your skin, it soaks up water. Once hyaluronic acid is injected into a thin lower eyelid portion, it gets boggy, puffy and bluish. This is a phenomenon, known as the tinyl effect. Plus, the fillers don’t subside in the under eye area the way fillers diminish in other body parts. 

You may always see some traces of the hyaluronic fillers under the eye area. If you inject excess fillers in the under-eye region, it would look quite weird for 2 to 10 years. The under-eye area gets discolored and looks a little puffy. 

HA fillers treatment can always work as a treatment to reduce extra volume under your eyes. A quarter to 1/3th of a filler syringe is required at each side if your teardrop has noticeably the least volume loss. You aren’t going to experience any complications after getting HA filler injections when you take this quantity once a year. Fillers can be the right treatment for people who are in their 30s and early 40s if the volume in their under-eye area decreases slowly with aging. 

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  1. Tools that Transfer Fat

Fat transfer helps in treating the under-eye region after approximately 1 syringe is injected  in that area.  The result may not be aesthetically pleasing as the hyaluronic acid injected into that region causes swelling and puffiness. The outcome gets worse when you inject hyaluronic acid twice or thrice as you tend to fill that area to the fullest when the volume loss is a lot. 

The area under eyelids require a little bit of underfill because of the natural hollowness. You don’t require to fill the entire under-eye area when you feel it should look a little bit more enhanced now. The same thing works for fat transfer like augmentor replacement as it naturally comes from your body. An inflammatory process can’t break it down and accept it. When fat gets transferred from thighs, stomach and any other body part using two injectors, it turns out to be a permanent segment of that area. 

How Dark Circles Make You Look Older? 

Dark circles can be a big aesthetic concern as they make you look tired and much older than your age. The dark patches of skin surrounding your eyes can be purple, brown, black and other colors depending on your complexion. With aging, the lower eyelid lengthens and the tear trough gets more visible. Plus, the area surrounding your eyes lose collagen and fat because of which the skin droops and get thinner that makes you look older. 

The fat surrounding the eye socket gets forward and visible in your lower eyelids with the weakening of connective tissues, which is known as “fat prolapse”. The extra fatty tissues may cause dark circles under eyes among people of all genders, ages and ethnicities. Dark circles beneath your eyes are more visible in dark skin toned people, elderly people and those who have a family history of having them. 

Different Types of Under-Eye Aging Treatment

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Under-eye aging can’t be stopped but treated with these types of treatments below: 


  1. Transcutaneous Lower Eyelid Blepharoplasty 

The pseudo bags forward because of aging or hereditary reasons. You can do various surgeries to fix under the lower eyelid umbrella. Conjunctival lower eyelid blepharoplasty is one of the most effective treatments. The surgeon pulls down the eyelid and gets to the fat pad from the eyelid interior. They only take out a small amount of the puffy fat pad because of which it doesn’t put pressure on the septum. It usually disappears the eye bags. 

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The reason to go from the eyelid interior is because the lower eyelid anatomy comprises muscles, septum, and fat. When getting from its inside, the muscles in the lower eyelid region stays untouched, which retains the strength and solidarity of the eyelid. Thus, the eyelid is less likely to pull down. So, the surgeon takes out fat from the inside of the eyes when performing this lower eyelid treatment. 

Transcutaneous is a treatment that involves doing an incision immediately under your  eyelashes going through the outer area and passing down to the muscles. Then, the surgeon removes the fat pad causing eye bags , which increases the chance of eyelids pulling down. Thus, many surgeons will take and tie up the eyelid, known as canthopexy, to add support to the lower eyelid. This type of procedure isn’t recommended as it changes the  lower eyelid shape. 

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Transconjunctival lower eyelid blepharoplasty is an effective treatment to remove the fat pad under your eyes. Skin pinch is the tool to remove extra and puffy skin beneath the eyes. The trifecta of lower eyelid technique combines all the various parts when all of them are involved together. Sometimes, only the loss of volume, fat and extra skin occur. Deeper surfacing doesn’t work for lower eyelids as the skin is thin in that area. So, excess skin thinning may occur in that region. The extra skin removal during the transcutaneous blepharoplasty may decrease skin and weaken lower eyelid due to stronger and more unified separation of tissue layers. 

The orbicularis oculi muscle works like a hammock and is joint to your bone via a structure, called “lateral canthal tendon”, located immediately beneath your under-eye area. These supportive frameworks get weaker when the external incision can access fat pockets. This treatment may cause side-effects such as lower eyelid retraction, rounding and ectropion due to lower eyelid retraction, rounding and ectropion because of the deficient skin after the removal. Transconjunctival blepharoplasty sculpts the fat causing under eye bags from eyelid interior eradicating the requirement for an external incision. It is a specialized and more complicated treatment that helps in preserving the anatomic structures supporting the lower eyelid. 


  1. Skin Pinch

Skin pinch is a procedure that removes the extra skin in the under-eye area and puffy eyes. This technique involves pinching the extra skin in the under-eye area and trimming the unnecessary amount of skin. Removing the right amount of skin is important, otherwise your eyelid may pull down. Once the perfect amount of extra skin is taken out from that area, the sloppy  type of loose skin in that portion disappears. It’s an easy process that makes you look better than before. 

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Lower eyelid skin pinch and blepharoplasty with no fat transfer isn’t recommended as it isn’t possible to have an excess skin under eyes and get that aged hollowed appearance without volume loss. Without replacing the volume, you will look tired as your eyes will look sunken and hollow. Since you may have less skin, you should avoid doing skin pinch with no volume augmentation. Many doctors did that on patients without fat transfer. While, several doctors refuse doing a lower eyelid surgery without a fat transfer. 

The sudden increase in fat pads and puffiness beneath the eyes, which is orbital fat lining the eyeball in your eye socket. It protects the eyes from bouncing nearby against the orbital socket’s Bony walls. Some people have a weak septum, which distinguishes the eyelid and orbital portion. It functions like a wall constituting tissue fabric called the septum. As the orbital fat pad applies pressure on the septum, it starts building forward and forms pseudo bags. They aren’t real bags and the pressure on the septum occurs as some people have hereditary fragile orbital septum. 


  1. Fat Transfer

Fat transfer is a  graph when it’s taken from one body part to another. If the fat is transferred correctly, your body absorbs them, which becomes permanent. Fat transfer is a permanent solution to replace the lost volume in the under-eye area. When a skilled injector does it perfectly, you will look much better than before. The effects are subtle but not exaggerated. The fat transfer process is quite a complicated process that has been in the scene for four to five decades, and thus a few surgeons are good at it. 

The facial rejuvenation, mainly in the eyelid region, doesn’t form bumps and lumps. Overfilling the under eye area has a highly smooth course and always works as an aesthetic treatment. When it comes to replacing the lost volume in the under-eye area with the fat transfer process, you should ensure the surgeon performs it effectively.

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4. Under-Eye Fillers

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With fillers, botox and plasmoderm, you can stop under-eye aging and make your eyes look bright and young always. Under-eye fillers add volume to the required areas by injecting hyaluronic acid under the skin that fix concerns such as eye bags, fine lines and dark circles. The injection under the skin fills the hollow parts and expands the skin that makes you look youthful. 

The added volume reduces the appearance of sunken eyes, and dark circles. Your body absorbs the hyaluronic acid in the fillers, the results of which stay for 6 to 18 months. Fillers can smoothen your skin and lighten dark circles, under-eye bags and wrinkles, which prevent under-eye aging and make you look youthful. 

5. Botox

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Botox injection is getting popular as a treatment for dark circles and under-eye bags. This injection under and surrounding the eyes can reduce the appearance of wrinkles and fine lines. It makes your lower eyelid look plumper and fuller that treat wrinkles and baggy eyes. Approximately 8 units of botox injections in the lower eyelid may deliver the most desirable results. 

6. PlasmoDerm


Plasmoderm is another effective treatment to stop under-eye aging and make you look younger than your age.  This injection firms up the loose and thin under-eye skin. It improves the tone and texture of the under-eye skin. PlasmoDerm can increase the cell production which makes your under-eye skin smoother and thicker. You require atleast 2 sessions in a  few weeks apart to see the best results a few months post the treatment. 

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Sign Up for a Free Consultation

We all want to look and feel young forever! However, we can’t prevent the aging effects on our skin as we grow older. Your under-eye area starts appearing hollower and puffier because of which you may look older than your age. At CNF in Bengaluru, you can treat your  under-eye aging concern with our advanced treatments. Sign up for a free consultation at our clinic. The doctor will check the condition of your under-eye aging and then suggest the right treatment to deliver the desired results. 

Talk To Our Facial Aesthetic Expert Today!

No Obligations! Just jump on a quick call with our Facial Aesthetic expert and know what kind of treatment will suit you the best.

Either way you will get some actionable tips to reach your skin goals faster.

Dr. Praharsh Devraj

Dr. Praharsh Devraj

Dr. Praharsh Devraj is an Indian cosmetic doctor with decades of experience in Skincare, Injectables, and Hair Loss Treatments. He is India's best injector who has trained more than 1k+ injectors and has transformed over 10k+ faces pan India. He is first India's pioneer in Organic Lift and Plasmoderm for Facial aesthetics and Anti-Aging. He is also the founder of Clinic Next Face, India's 1st Smart Ageing Clinic. Praharsh Devraj is also a member of the London School of Facial Orthotropics.

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