Eye-Opening Treatments: Best Cosmetic Options for Under Eyes
The Window to Your Soul: Addressing Under-Eye Concerns
Cosmetic under eye treatments have become increasingly popular solutions for those looking to address common concerns like dark circles, puffiness, and fine lines. If you're searching for effective options, here's a quick overview:
Treatment TypeBest ForDuration of ResultsDermal FillersHollows, tear troughs6-12 monthsLaser TreatmentsSkin texture, fine lines1-2 yearsChemical PeelsPigmentation, mild wrinkles3-6 monthsPRP TherapyDark circles, overall rejuvenation6-12 monthsNon-Surgical Eye LiftsMild skin laxity6-18 months
The delicate area beneath the eyes is often the first to reveal signs of aging, stress, and fatigue. This thin skin contains fewer oil glands than other facial areas, making it more prone to dryness, fine lines, and volume loss. Whether you're dealing with stubborn dark circles that make you look perpetually tired or noticing the first signs of hollowing that create shadows, there are numerous treatment options available.
"They say eyes are windows into the soul," and when those windows look tired or aged, it can affect how we feel about ourselves and how others perceive us.
I'm Rachel Stone, a certified medical aesthetician and injector with over a decade of experience specializing in cosmetic under eye treatments that help clients achieve natural-looking rejuvenation without surgery.
Understanding Under-Eye Concerns
Those shadowy circles and puffy bags under your eyes tell a story – one of genetics, lifestyle, and the natural aging process. Before we explore solutions, let's understand why the under-eye area is so quick to reveal our stresses, sleepless nights, and the passing years.
Skin Thinning and Structure
Did you know the skin beneath your eyes is thinner than a credit card? At just 0.5mm thick (compared to the 2mm average elsewhere on your face), this delicate tissue has fewer natural defenses. With minimal oil glands and less collagen and elastin for support, this fragile area simply can't hide what's happening beneath the surface.
"The skin under the eyes is delicate and often the first area to show signs of aging, fatigue, and stress, which can cause dark circles and wrinkles to become more prominent," explains Christina DeMartino, a certified dermatology physician assistant.
Loss of Volume and Fat Pads
Remember those chubby-cheeked baby photos? We're born with plump fat pads that support our under-eye area. As time marches on, these natural cushions gradually shift downward or shrink altogether. This creates those hollow "tear troughs" that cast shadows below your eyes – one of the most common concerns we address at MD Body and Med Spa.
Think of it like a well-stuffed sofa that, over time, loses its plumpness and begins to sag. The result? A tired appearance even when you're feeling perfectly rested.
Genetics and Predisposition
Notice how your under-eye concerns look surprisingly similar to your mother's or father's? That's no coincidence. Your genetic blueprint significantly influences whether you'll develop dark circles, puffiness, or prominent tear troughs.
Some ethnic backgrounds are particularly prone to hyperpigmentation in this area. If your family tree includes Mediterranean, Middle Eastern, or South Asian ancestry, you might notice more pronounced darkness under your eyes – a natural variation in skin pigmentation rather than a sign of fatigue.
Lifestyle Factors
Your daily habits play a starring role in how your under-eye area appears. The delicate skin in this region reacts quickly to:
Sleep patterns (both insufficient rest and oversleeping can cause puffiness), dietary choices (especially salt intake that leads to water retention), allergy seasons (triggering inflammation and "allergic shiners"), alcohol consumption (causing dehydration and blood vessel dilation), sun exposure (breaking down precious collagen), hydration levels (affecting skin plumpness), stress hormones (increasing blood flow and darkening circles), and screen time (contributing to eye strain and squinting).
At MD Body and Med Spa, we don't just treat what we see – we consider the whole picture. By understanding these underlying causes, we create personalized cosmetic under eye treatment plans that address both symptoms and sources, helping your eyes reflect the vitality you feel inside rather than the stresses you've encountered.
Top Cosmetic Under Eye Treatments
Let's face it—those stubborn under-eye concerns can be frustrating. Whether you're seeing shadows that weren't there before or noticing the first signs of crow's feet, you're certainly not alone. At MD Body and Med Spa in Greenwood Village, we've helped countless clients transform their under-eye areas from tired to refreshed with our range of cosmetic under eye treatments.
"Take comfort. You are not the only one with eye bags," as one of our regular patients often reassures newcomers in our waiting room. And she's absolutely right! Under-eye concerns are incredibly common, affecting people of all ages and backgrounds.
The good news? We have more effective solutions than ever before. Our comprehensive approach begins with understanding your specific concerns during a personalized consultation. From there, we can recommend the perfect treatment—or combination of treatments—to address your unique needs.
Our most popular cosmetic under eye treatments include dermal fillers which work wonders for restoring lost volume in hollow tear troughs. The results are immediate and can last 6-12 months, making those shadowy areas disappear almost instantly.
For clients concerned about skin texture and fine lines, our laser treatments stimulate natural collagen production while improving overall skin quality. Many clients are amazed at how these treatments can turn back the clock without surgery.
If pigmentation is your primary concern, chemical peels might be your perfect match. These treatments gently exfoliate the skin to reduce discoloration and improve tone for a brighter, more uniform appearance.
One of our most exciting offerings is PRP/PRF therapy—a truly natural approach that uses your body's own healing factors to refresh the entire under-eye area. It's particularly effective for addressing multiple concerns simultaneously.
For those noticing mild to moderate skin laxity, our non-surgical eye lifts provide impressive tightening results without the downtime of traditional surgery. These treatments use advanced technologies like radiofrequency and ultrasound to stimulate collagen and restore elasticity.
And for more advanced concerns that don't respond to non-invasive options, we can discuss surgical solutions like blepharoplasty to create more dramatic, long-lasting improvements.
What makes our approach at MD Body and Med Spa unique is our commitment to customization. We understand that no two pairs of eyes are exactly alike, which is why we never offer cookie-cutter solutions. Instead, we carefully evaluate your anatomy, lifestyle factors, and aesthetic goals before recommending a treatment plan that will deliver natural-looking, harmonious results.
Ready to say goodbye to those tired eyes? The path to brighter, more youthful-looking eyes begins with a consultation with our experienced team of aesthetic professionals.
Dermal Fillers: Plumping Hollow Under Eyes
When you catch yourself tilting your head at different angles in the mirror trying to minimize those stubborn shadows under your eyes, you're not alone. Hollow under-eyes and tear troughs can make even the most well-rested among us look tired and aged. The good news? Dermal fillers have transformed how we address these concerns, offering quick results that can have you looking refreshed by lunchtime.
How Under-Eye Fillers Work
Think of your under-eye area as a landscape that's gradually lost its fullness over time. Hyaluronic acid fillers—a substance naturally found in your skin—work like nature's scaffolding, rebuilding what time has taken away.
When we carefully inject these fillers into your tear trough area, they do more than just fill space. They create a smoother transition between your lower eyelid and cheek, eliminating those shadowy hollows that make you look tired. Since hyaluronic acid loves water, it actually hydrates your skin from within, giving you that dewy, well-rested look. As a bonus, these fillers stimulate your body's own collagen production, offering benefits that continue long after you leave our office.
"A lack of volume in the tear trough area is often the cause of tired-looking eyes," our lead injector often tells patients. "When we restore that volume with fillers, patients are amazed at how much more rested and youthful they look immediately after treatment."
Popular Filler Options
At MD Body and Med Spa, we're pretty picky about what we put near your precious eyes. We use only FDA-approved fillers with proven safety records:
Restylane® Eyelight™ brings the perfect balance of firmness and stability specifically designed for the tear trough area. JUVÉDERM® VOLBELLA® XC offers a softer touch for those wanting subtle improvement with staying power—results typically last up to a year. For the ultra-delicate under-eye area, Restylane® Silk with its fine particles gives a natural-looking refresh.
Your unique facial structure guides our choice. During your consultation in our Greenwood Village office, we'll assess your skin thickness, how much volume you've lost, and whether you have under-eye bags to determine which product will give you the most natural-looking results.
The Treatment Experience
"I was nervous about needles near my eyes, but honestly, I barely felt a thing," shares one of our regular clients. This sentiment echoes what most patients experience during their 30-45 minute treatment.
Your visit starts with a thorough facial assessment—we'll even hand you a mirror so you can help direct the changes you want to see. After applying a topical numbing cream for your comfort, we'll strategically inject the filler using either a needle or a cannula (we often prefer cannulas for this area as they significantly reduce bruising risk). A gentle massage ensures even distribution, and we'll finish with ice to minimize any swelling.
Most patients experience minimal discomfort thanks to the lidocaine included in the fillers and our gentle techniques. While you'll see immediate improvement, allow 1-3 days for any minor swelling to subside.
"I never worried about dark under-eye circles until my son was born five years ago—when everything changed in a sleep-deprived instant," one patient recently told us. "After trying countless creams and concealers without success, under-eye fillers gave me back my refreshed appearance in just one session."
The beauty of cosmetic under eye treatments like fillers is their ability to deliver dramatic yet natural-looking results with minimal downtime. Most patients return to work or social activities immediately after their appointment, perhaps with just a touch of concealer if there's slight bruising.
For more detailed information about what to expect with under-eye fillers, you can check out this comprehensive guide on under-eye fillers.
Laser Treatments: Revitalizing Under-Eye Skin
Let's face it—the skin around our eyes often betrays our age and how well we slept last night. When creams and concealers just aren't cutting it anymore, laser treatments can work wonders for those fine lines and that crepey texture that seems to appear overnight. At MD Body and Med Spa, we've helped countless patients revitalize their under-eye area with our advanced laser therapies.
How Laser Treatments Work for Under-Eyes
Think of laser treatments as your skin's personal trainer—they challenge your skin to rebuild itself stronger than before. When we direct focused light energy to your under-eye area, it triggers your body's natural healing response in a controlled way.
"Laser resurfacing, when done properly, can provide improvements that last for years, depending on skin type and sun exposure," explains our laser specialist at MD Body and Med Spa.
The magic happens beneath the surface—your skin responds by producing fresh collagen and elastin, those crucial proteins that keep skin firm and youthful. Over the weeks following treatment, you'll notice your under-eye skin becoming smoother, tighter, and more vibrant. Those morning mirror moments become a lot more pleasant when you're not immediately drawn to under-eye concerns!
Types of Laser Treatments We Offer
CO2 Laser Resurfacing
CO2 laser treatments are the heavy hitters in our cosmetic under eye treatments arsenal. This fractional laser creates tiny columns of controlled damage (don't worry—it's the good kind of damage!). Think of it as aerating a lawn—the small treatment zones stimulate a powerful healing response while leaving surrounding tissue intact to speed recovery.
This approach works particularly well for:
Moderate to deep under-eye wrinkles that have settled in
Crepey skin texture that makeup tends to settle into
Overall skin laxity when you want noticeable tightening
"I put off getting laser treatment for years because I was scared," confesses one of our regular patients. "Now I only wish I'd done it sooner. The difference in my under-eye area is dramatic—people keep asking if I've been on vacation!"
Non-Ablative Laser Treatments
Not ready for the big guns? We've got gentler options too. Our non-ablative lasers work beneath the surface without removing layers of skin, making them perfect for those who need more subtle improvements or can't afford much downtime.
Fraxel® treatments create microscopic treatment zones that address fine lines and uneven texture while leaving your schedule relatively intact. Meanwhile, Clear + Brilliant® offers an even gentler approach, perfect for preventative care or maintaining results from more intensive treatments.
The Treatment Experience
Walking into a laser treatment can feel intimidating if you've never had one before, but we promise it's much less dramatic than it sounds. Here's what you can expect when you visit our Greenwood Village location:
First, we'll thoroughly cleanse your skin—no makeup, oils or lotions allowed for this special occasion. Then comes everyone's favorite part: numbing cream! We'll apply this to ensure your comfort and let it work its magic for about 30-45 minutes. (Many patients use this time to catch up on emails or simply relax.)
Once you're properly numbed, we'll place special protective shields over your eyes—safety first! Then the actual laser treatment begins. Depending on which laser we're using, you might feel a warming sensation or tiny "zaps" that most patients describe as tolerable, especially with the numbing cream.
After your treatment, we'll apply soothing, healing products to calm your skin and send you home with specific aftercare instructions.
"I was nervous about pain, but it honestly felt like tiny rubber band snaps—nothing compared to the results I got," shares another MD Body and Med Spa client.
Recovery varies by person and treatment intensity. You'll likely experience some redness and mild swelling for 1-7 days, and possibly some peeling as your skin renews itself. Think of it as your skin's way of saying "thank you" for the rejuvenation boost!
The best part? While fillers might need refreshing every 6-12 months, laser results can last for years with proper sun protection and skincare. Many of our patients find that a single annual treatment keeps their under-eye area looking refreshed and youthful year-round.
Chemical Peels: Reducing Under-Eye Pigmentation
Dark circles and uneven skin tone around the eyes can make us look tired and older than we feel. If you're struggling with these issues, chemical peels might be the solution you've been searching for. Here at MD Body and Med Spa, we offer specialized peels that are gentle enough for the delicate under-eye area but powerful enough to deliver noticeable results.
How Chemical Peels Work for Under-Eyes
Think of chemical peels as a reset button for your skin. They work by applying carefully formulated acids that gently remove the outer layers of damaged skin. This process triggers your body's natural healing response, leading to fresh, new skin cells.
When we apply these peels to your under-eye area, they help fade those stubborn dark patches by breaking down excess melanin (the pigment that gives skin its color). At the same time, they kickstart collagen production, which helps firm the skin and smooth out fine lines.
"Many of my patients are surprised to learn that their 'dark circles' are actually hyperpigmentation that can be treated," shares our lead esthetician. "After a series of gentle peels, they often need less concealer and feel more confident going makeup-free."
Types of Under-Eye Peels We Offer
At our Greenwood Village location, we don't believe in one-size-fits-all treatments. That's why we offer several peel options, each custom to specific skin concerns and sensitivity levels.
Light Peels
For most of our clients, we recommend starting with a light peel. These are perfect if you're new to cosmetic under eye treatments or have sensitive skin.
Our glycolic acid peels, derived from sugarcane, provide gentle exfoliation while brightening the under-eye area. If your skin is particularly sensitive, we might suggest a lactic acid peel instead, which offers hydration along with exfoliation.
Many of our clients with darker skin tones or reactive skin love our mandelic acid peels. The larger molecular structure of mandelic acid means it penetrates more slowly, reducing the risk of irritation while still delivering results.
Medium-Depth Peels
For those stubborn dark circles that don't respond to lighter treatments, we offer carefully diluted TCA peels. These provide more dramatic results but still maintain safety for the eye area.
Another favorite is our Jessner's Solution peel, which combines several acids to address multiple concerns at once – perfect if you're dealing with both pigmentation and fine lines.
"We always use lighter concentrations around the eyes than we would elsewhere on the face," our skincare specialist explains with a smile. "Your eyes are precious, and so is the skin around them!"
The Treatment Experience
Wondering what to expect during your chemical peel appointment? The process is surprisingly quick and comfortable. You'll be in and out of our med spa in about 30-45 minutes.
First, we'll thoroughly cleanse your skin to remove any makeup, oil, or debris. Next, we carefully apply a protective barrier cream around your eyes to shield the most sensitive areas.
When we apply the peel solution, you'll likely feel a mild tingling sensation – many clients describe it as a "warm buzz" that tells them the product is working. We'll time the application precisely, watching your skin's response to ensure optimal results without irritation.
After neutralizing the peel, we'll apply soothing, hydrating products to comfort your skin and support healing. You'll leave with a refreshed feeling and specific aftercare instructions.
"The tingling feeling made me nervous at first," admits one regular client, "but it was actually quite mild, and the results were so worth it. My under-eye area hasn't looked this bright since college!"
Most clients experience only mild redness for a few hours to a day following treatment. You might notice some light flaking as your skin renews itself, typically lasting 2-5 days. During this time, your skin will be more sensitive to sunlight, so we'll remind you to be diligent with sunscreen.
For best results, we typically recommend a series of 3-6 peels spaced about 2-4 weeks apart. Once you've achieved your desired results, maintenance treatments every 2-3 months will help you maintain that brighter, more even-toned appearance.
Cosmetic under eye treatments like chemical peels can be transformative, but they're just one part of a comprehensive approach to eye rejuvenation. During your consultation, we'll discuss whether peels are the right choice for your specific concerns, or if they might work best as part of a combined treatment plan.
Platelet-Rich Plasma (PRP) Therapy: Natural Rejuvenation
If you're someone who prefers the "natural approach" to beauty treatments, you're going to love this next option. Platelet-Rich Plasma (PRP) therapy has become one of our most requested cosmetic under eye treatments at MD Body and Med Spa, and for good reason – it uses your body's own healing superpowers to refresh that tired-looking under-eye area.
How PRP Works for Under-Eye Concerns
Think of PRP as waking up your skin's natural repair system. The process is surprisingly straightforward: we draw a small amount of your blood (about the same as a routine blood test – nothing to worry about!), then place it in a special centrifuge that separates out the platelet-rich plasma. This golden liquid contains concentrated growth factors that, when carefully injected into your under-eye area, work like tiny repair crews.
These growth factors get busy stimulating collagen production, regenerating tissue, improving blood circulation, and enhancing overall skin quality and thickness. It's like giving your under-eye area a natural boost from within.
Christina DeMartino, a certified dermatology physician assistant, explains it perfectly: "PRP works so well for this area because the procedure forces your body to heal this delicate tissue and create collagen and elastin. This process thickens and tightens the skin, which reduces the appearance of dark circles and fine lines, making you look more well rested."
PRP vs. PRF: Advanced Options
At our Greenwood Village location, we're proud to offer both traditional PRP and its more advanced cousin, Platelet-Rich Fibrin (PRF).
Traditional PRP has a faster processing time and creates a high concentration of platelets, with results typically lasting 6-9 months. It's like the reliable friend who always delivers.
PRF, on the other hand, is the overachiever. The slower centrifuge process preserves more growth factors and creates a natural meshwork that helps those growth factors stay in the treatment area longer. We don't use anticoagulants in the processing, which means PRF often provides longer-lasting results – typically 9-12 months. Think of it as PRP's more sophisticated sibling.
The Treatment Experience
When you come in for a PRP/PRF treatment at MD Body and Med Spa, here's what you can expect:
First, we'll draw a small vial of your blood – just enough to get what we need. While your blood spins in our specialized centrifuge (about 10 minutes), you can relax. We'll offer optional topical numbing cream if you're concerned about discomfort.
Once your PRP or PRF is ready, we'll use either a fine needle or microcannula technique for precise injection, followed by a light massage to ensure even distribution. Most of our patients are pleasantly surprised by how comfortable the process is.
One thing that makes PRP/PRF different from other treatments: we don't recommend icing afterward. Cold can actually inhibit those platelets from doing their job, and we want them working at full capacity!
As one of our patients shared: "I experienced zero downtime. After the procedure, there was a barely visible red dot on each cheek at the cannula insertion point and very moderate swelling. Any swelling was gone by the next day."
Unlike fillers that give immediate results, PRP and PRF work more gradually. You'll start noticing improvements over 2-3 weeks as collagen production ramps up, with optimal results becoming visible after 4-6 weeks. For the best outcomes, we typically recommend a series of 2-3 treatments spaced 4-6 weeks apart.
Many of our patients who were initially skeptical about PRP become its biggest advocates after seeing how their under-eye area transforms – not in an obvious "I've had work done" way, but with a natural-looking refreshed appearance that has friends asking if you've changed your skincare routine or finally caught up on sleep!
Non-Surgical Eye Lifts: Tightening the Under-Eye Area
When those under-eye bags start showing up but you're not quite ready for surgery, there's good news! Non-surgical eye lifts offer that perfect middle ground. At MD Body and Med Spa in Greenwood Village, we've seen countless patients transform their under-eye areas without a single incision or lengthy recovery period.
How Non-Surgical Eye Lifts Work
Think of non-surgical eye lifts as a wake-up call for your skin. These treatments use various energy-based technologies that essentially tell your skin, "Hey, it's time to make more collagen!" They also tighten existing collagen fibers, creating a more youthful appearance.
These treatments effectively tackle multiple concerns at once:
Tightening loose, crepey skin that makes you look tired
Reducing those mild under-eye bags that appear after late nights (or, let's be honest, just from normal aging)
Improving overall skin quality and texture
Creating a more alert, refreshed appearance
"I love explaining to patients that results from cosmetic under eye treatments like non-surgical lifts develop gradually over time," shares our aesthetic specialist. "It's like watching a plant grow - you don't notice day by day, but suddenly you look and think, 'Wow, what a difference!' This gradual change means your friends will just think you look well-rested, not 'done.'"
Types of Non-Surgical Eye Lift Treatments
Radiofrequency Treatments
At MD Body and Med Spa, we've invested in top-tier radiofrequency options that deliver controlled heat to deeper skin layers where it matters most:
Secret RF has become a patient favorite. This clever device combines microneedling with radiofrequency energy - essentially creating tiny channels in the skin while simultaneously delivering heat energy below the surface. The combination stimulates intense collagen production that standard treatments can't match.
Thermage takes a different approach, using radiofrequency alone to heat those deep, collagen-rich layers. One of our patients described it as "like having a hot stone massage on your face - a bit intense at moments but oddly satisfying when you know it's working!"
Ultrasound Therapy
Ultherapy uses focused ultrasound energy to target the foundational layers of the skin. It's like sending sonar waves to the exact depths where collagen production begins. What makes ultrasound unique is its precision - we can literally see the layers we're treating on a screen, ensuring energy goes exactly where needed.
Combination Treatments
Sometimes the best approach is a little bit of everything. Think of it like making a perfect recipe - each ingredient brings something special to the table:
Radiofrequency paired with PRP creates a powerful duo. The RF energy stimulates collagen, while your body's own growth factors accelerate healing and improve results. Many patients tell us this combination gave them results they couldn't achieve with either treatment alone.
Microneedling combined with radiofrequency addresses both skin texture and tightening simultaneously. As one patient put it, "It's like getting a two-for-one special on my face!"
For those with multiple concerns, we might recommend light chemical peels alongside non-surgical tightening treatments. The peels address surface issues while the tightening technologies work below.
The Treatment Experience
When you come in for a non-surgical eye lift at our Greenwood Village location, here's what to expect:
First, we'll thoroughly cleanse your skin - no makeup, no skincare residue, just a clean canvas. For most treatments, we'll apply a topical numbing cream to ensure your comfort. While it's working (usually about 20-30 minutes), many patients enjoy catching up on emails or just relaxing with a warm blanket.
Next comes the treatment itself. We'll precisely apply the chosen technology to your under-eye region, taking care to treat every area that needs attention. Throughout the procedure, we'll check in about your comfort level.
After treatment, we'll apply specialized healing products to soothe your skin and maximize results. Many patients are surprised by how quick the whole process is - often less than an hour from start to finish.
Most people describe the sensation during treatment as a warming feeling or brief "zapping" - noticeable but tolerable. Afterward, you might experience:
Mild redness that looks like a slight sunburn for a few hours to a day Some slight swelling that typically resolves within 24-48 hours A gradual improvement that becomes more noticeable over 2-3 months
"I was getting so frustrated with looking tired all the time," shares Jennifer, one of our regular patients. "After three Secret RF treatments, not only did the skin under my eyes tighten up, but my whole face looks more refreshed. My husband even asked if I changed my makeup routine - he had no idea I'd had any treatments done!"
Surgical Options: Blepharoplasty and Beyond
While we pride ourselves on our exceptional non-surgical cosmetic under eye treatments at MD Body and Med Spa, we believe in honest conversations about all available options. For some of our Greenwood Village neighbors, surgical intervention may actually provide the most satisfying long-term solution, especially if you're dealing with significant under-eye bags, noticeable skin laxity, or prominent fat pads that non-surgical treatments simply can't address.
Understanding Blepharoplasty
Blepharoplasty—commonly known as eyelid surgery—removes excess skin and fat through incisions carefully placed in the natural creases of your eyelids. Think of it as the gold standard for addressing structural under-eye concerns.
"A lower eyelid lift typically offers a permanent solution with rare need for future touch-ups," explains our consulting surgeon. "However, it's important to understand that the natural aging process continues, which may affect the appearance of the area over time."
The procedure effectively transforms the under-eye area by:
Removing or repositioning fat that creates those stubborn under-eye bags
Tightening loose, sagging skin that makes you look perpetually tired
Creating a smoother, more youthful eye contour that makeup no longer has to work overtime to conceal
Providing results that typically last for many years, if not permanently
One of our patients, Deborah, told us: "After 15 years of trying every cream and non-invasive treatment on the market, I finally opted for blepharoplasty. My only regret is not doing it sooner—the difference in how I look and feel is remarkable."
Surgical vs. Non-Surgical Approaches
When you're sitting in our consultation room wondering which path to take, it helps to understand the key differences between going under the knife versus opting for our non-surgical treatments:
FactorSurgical (Blepharoplasty)Non-Surgical TreatmentsResultsDramatic, long-lastingSubtle to moderate, temporaryDowntime1-2 weeksMinimal to noneAnesthesiaLocal or generalTopical or noneRisk LevelHigher (though still safe)LowerCost$4,500-$6,000 in our region$500-$2,000 per sessionBest ForSignificant bags, excess skinMild to moderate concerns
Many of our clients initially come in requesting fillers, only to find during consultation that surgery might actually be more cost-effective in the long run. "I was spending $2,000 every year on fillers when I could have had surgery once for $5,000 and been done with it," shared Michael, a client who eventually opted for blepharoplasty after three years of filler treatments.
When Surgery Might Be Recommended
At MD Body and Med Spa, we value integrity over selling you treatments that won't deliver the results you're hoping for. We'll candidly advise if we believe your concerns would be better addressed with surgery. Some indicators that might steer our recommendation toward a surgical consultation include:
Significant fat protrusion that creates pronounced bags even when you're well-rested. These structural fat pads typically don't respond well to non-surgical options.
Excessive skin laxity that resembles crepe paper and doesn't bounce back when gently pulled. This type of skin often doesn't respond adequately to skin-tightening treatments.
Upper eyelid hooding that's beginning to interfere with your peripheral vision. This isn't just a cosmetic issue—it's functional.
Previous unsuccessful non-surgical treatments that left you feeling disappointed despite multiple sessions.
"Patients with very thin skin, deep tear troughs, excess loose skin, or fat bulging under the eyes may not be suitable candidates for under eye fillers," notes our lead aesthetician. "In these cases, we might recommend a surgical consultation rather than taking your money for treatments that won't give you the results you deserve."
For more comprehensive information about permanently addressing eye bags through surgical means, take a look at our detailed article on How to Get Rid of Eye Bags Permanently.
Combining Surgical and Non-Surgical Approaches
Here's a little industry secret: the most natural-looking, comprehensive results often come from thoughtfully combining surgical and non-surgical approaches. It's not an either/or situation for many of our clients.
Many of our post-surgical patients return for complementary treatments that improve and maintain their surgical results. Popular combinations include:
Blepharoplasty followed by laser resurfacing to address the bags structurally first, then refine skin texture and tone for that "filtered in real life" look.
Surgery for structural issues with maintenance fillers for fine lines that develop years after surgery. The surgery corrects the major concerns, while occasional fillers keep you looking fresh.
Post-surgical PRP treatments to improve healing and skin quality, giving your surgical results that extra glow that makes people ask if you've changed your skincare routine.
Lisa, one of our longtime clients, combined lower blepharoplasty with quarterly PRP treatments starting six months after her surgery. "The surgery removed my bags, but the PRP treatments gave my skin a luminosity I never expected. Four years later, people still ask if I've just returned from vacation."
At MD Body and Med Spa, we can work collaboratively with your surgeon to develop a comprehensive treatment plan that addresses all aspects of your under-eye concerns—both the structural issues that require surgery and the skin quality concerns that respond beautifully to our cosmetic under eye treatments.
Frequently Asked Questions about Cosmetic Under Eye Treatments
How effective are cosmetic under eye treatments?
"Will these treatments actually work for me?" This is probably the first question on your mind if you're considering cosmetic under eye treatments. The honest answer? It depends.
At MD Body and Med Spa, we've seen remarkable changes in our patients' under-eye areas, but effectiveness varies based on several factors. Your specific concerns, skin type, age, and even genetics all play important roles in determining your results.
For tear trough hollowing (those annoying deep creases that create shadows), dermal fillers work like magic for most patients. Clinical studies show about 83% of patients report high satisfaction with their results—and we see similar enthusiasm in our Greenwood Village office. One patient recently told me, "I didn't realize how much those hollows were aging me until they were gone!"
When it comes to skin texture and fine lines, our laser treatments typically show 70-80% improvement. The best part? Those results continue to improve over time as your skin produces more collagen.
Dark circles are often the trickiest concern because they can have multiple causes. Some patients need volume replacement, others need pigmentation treatment, and many need both. This is why we often recommend combination approaches for the most stubborn under-eye issues.
"I've been seeing the team at MD Body and Med Spa for the last few months. We did Sculptra, lip filler and Botox; I'm so beyond happy with my results!" shared Jennifer, one of our regular patients.
Most cosmetic under eye treatments require maintenance to sustain results. Think of it like going to the gym—consistent effort yields the best long-term outcome.
How long do cosmetic under eye treatments last?
One of the most common questions we hear at our Greenwood Village clinic is: "How long will I get to enjoy these results?" The answer varies significantly depending on which treatment you choose.
If you opt for dermal fillers like Restylane or JUVÉDERM, you'll typically enjoy your refreshed look for 6-12 months. Some of our patients report even longer-lasting results, especially after multiple sessions. The hyaluronic acid in these fillers gradually breaks down over time, but many patients find they need less product during touch-up appointments.
For those choosing longer-lasting options like Radiesse or Sculptra, results can extend to 1-2 years. These fillers work differently by stimulating your own collagen production, creating more structural improvements.
Laser treatments offer some of the most enduring results, often lasting years rather than months. However, your skin continues to age, and sun exposure can shorten these benefits. This is why we often recommend annual maintenance treatments to preserve your youthful appearance.
Chemical peels provide more temporary benefits, typically lasting 3-6 months. But here's a secret many don't realize: regular maintenance peels (every 2-3 months) create cumulative improvements that can dramatically transform your under-eye area over time.
PRP and PRF therapy results generally last 6-12 months. Most of our patients start with a series of 2-3 treatments spaced a month apart, then maintain with annual touch-ups.
"Results from under-eye treatments typically last from a few months to a year or longer," explains Sarah, our aesthetic nurse. "But honestly, the key to long-lasting results isn't just what we do in the office—it's also about good skincare habits, religious sun protection, and lifestyle factors like getting enough sleep and staying hydrated."
What are the risks and side effects of cosmetic under eye treatments?
Let's have an honest conversation about risks—because yes, even the safest cosmetic under eye treatments come with potential side effects.
The good news? Most side effects are minor and temporary. The most common ones include redness and swelling that typically fade within hours to a few days. You might experience some bruising, especially with injectable treatments (which is why we recommend avoiding blood thinners before your appointment if medically appropriate).
Some patients notice tenderness at the treatment site—a bit like the feeling after a workout, as your tissues respond to the treatment. With peels and laser treatments, temporary dryness or flaking is normal as your skin renews itself.
Less commonly, you might experience prolonged swelling or bruising that takes a bit longer to resolve. Sometimes results can be slightly uneven, requiring a touch-up appointment. And occasionally patients report temporary skin sensitivity—particularly after more intensive treatments.
"The skin under the eyes is incredibly delicate—like tissue paper compared to the rest of your face," explains Christina, our lead aesthetician. "That's why we take extra precautions with all treatments in this area and customize our approach based on your specific skin characteristics."
I should mention the rare complications, though they're extremely uncommon in experienced hands. These include infection at the treatment site, vascular complications with fillers (which is why injector experience is so crucial), and scarring (very rare with proper technique and aftercare).
To minimize your risks, we recommend working only with experienced providers like our team at MD Body and Med Spa. Follow all pre- and post-treatment instructions carefully. Be completely honest about your medical history, including allergies and medications. And perhaps most importantly, maintain realistic expectations about what these treatments can achieve.
Before any treatment at our Greenwood Village location, we conduct thorough consultations to ensure you're a good candidate and understand both the potential benefits and risks. Your safety is always our priority—right alongside your satisfaction with your results.
Conclusion
The journey to brighter, more youthful-looking eyes doesn't have to involve surgery or extensive downtime. As we've explored throughout this guide, there are numerous effective cosmetic under eye treatments available to address concerns like dark circles, hollows, puffiness, and fine lines.
At MD Body and Med Spa in Greenwood Village, CO, we believe in a personalized approach to under-eye rejuvenation. Our experienced team takes the time to understand your specific concerns and goals, then creates a customized treatment plan that may include:
Dermal fillers to restore lost volume and minimize shadows, laser treatments to improve skin texture and boost collagen production, chemical peels to tackle those stubborn pigmentation issues, PRP/PRF therapy for natural rejuvenation using your body's own healing powers, or non-surgical eye lifts to gently tighten mild skin laxity.
"So why wait? Explore under-eye rejuvenation treatments and products to regain your confidence and put your best foot (or face) forward."
The eyes truly are the window to the soul, and when they look refreshed and vibrant, it can transform not only your appearance but also how you feel about yourself. I've seen countless patients walk out of our office standing taller and smiling brighter after their under-eye treatments. Whether you're dealing with genetic dark circles that have bothered you for years or just noticing the first signs of age-related changes, we're here to help you achieve natural-looking results that improve your unique beauty.
Many of our clients tell us they wish they hadn't waited so long to address their under-eye concerns. One patient recently shared, "I spent years trying to hide my dark circles with makeup, but after my treatment at MD Body and Med Spa, I actually leave the house without concealer now!" These kinds of changes aren't just about looking better—they're about feeling better in your own skin.
Ready to find which under-eye treatment options are right for you? Contact MD Body and Med Spa today to schedule your personalized consultation. Our Greenwood Village location offers state-of-the-art technologies and techniques delivered by caring, experienced professionals who understand both the art and science of eye rejuvenation.
For more information about our comprehensive skin rejuvenation services, visit our skin rejuvenation services page.
