Under-Eye Bags and Dark Circles: Causes and Effective Treatments

Under-eye bags and dark circles can have various causes. A common reason is volume loss around the eyes, which can create a tired appearance. In addition, the skin may lose its firmness and elasticity, causing the eye contours to appear saggy. Drooping eye fat, also known as fat pads, can contribute, as can fluid retention, also called puffiness. Furthermore, skin discoloration due to pigmentation or visible blood vessels can add to the appearance of dark circles.

Effective Treatments for Under-Eye Bags and Dark Circles

There are several treatments that help reduce under-eye bags and dark circles. Soluble hyaluronic acid fillers can correct volume loss in the tear trough and around the eyes, reducing shadows and giving a fresher, more awake look. The amount of filler needed depends on the degree of volume loss and the desired outcome.

Other innovative methods include Morpheus8 treatments or Endolifting with radiofrequency (RF) therapy. These procedures heat the deeper layers of the skin and stimulate collagen and elastin production, leading to long-lasting firming. These treatments can be combined with hyaluronic acid fillers or bioactive injections such as PRP (platelet-rich plasma) for optimal skin rejuvenation. Morpheus8 can also be used to remove (old) fillers and/or fat pads.

For loose and wrinkled skin under the eyes, PlexR plasma therapy is an effective solution. Small pulses of heat tighten the skin and stimulate natural collagen and elastin production.

Autologous Stem Cells and Micro/Nano Fat

An advanced treatment for volume loss and under-eye rejuvenation is the use of autologous stem cells combined with micro- and nano fat. Fat tissue is harvested from the patient’s own body, processed into micro- or nano-sized fat cells, and injected together with stem cells into the under-eye area. This restores lost volume, strengthens the skin, and provides a natural, long-lasting rejuvenating effect. This method is ideal for those seeking a soft, natural improvement without synthetic fillers.

Skinboosters and PRP

In addition to stem cells and micro/nano fat, skinboosters and PRP (platelet-rich plasma) can be used to hydrate the skin, improve fluid drainage, and optimize skin structure. This helps reduce fine lines and creates a fresh, healthy appearance.

Can Botox Help with Under-Eye Bags?

Botox is often used to soften a tired look, but it is not the most effective solution for under-eye bags. Dark circles and puffiness are usually better treated by restoring skin quality and addressing volume loss. Botox can, however, reduce wrinkles around the eyes and give a brighter, more open appearance.

Dr. Brandt specializes in the treatment of under-eye bags and dark circles. Curious about your options? Schedule a free consultation and receive personalized treatment advice.

Results

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Before and after regenerative facial treatment using stem cells for natural volume restoration and skin rejuvenation in Amsterdam

How does a filler treatment work?

During an initial consultation, we discuss your desires and treatment options. Based on a few questions about your medical history, we determine if you qualify for a filler treatment.

Through a comprehensive analysis of your skin, we identify areas suitable for filler treatment and recommend products that may be suitable for your skin type.

Our focus at Doctor Brandt is on achieving a natural and subtle result. That’s why we often advise against over-treating in one session. You can always come back later for a touch-up.

During the initial consultation, our goal is to fully inform you about the treatment and the expected results. It’s important that your expectations align with the anticipated outcomes. We will always provide you with honest advice to collaboratively create a well-informed treatment plan.

Schedule an appointment now for a free initial consultation

A filler treatment is simple and typically lasts only 10 to 20 minutes, depending on the number of areas being treated. About half an hour before the treatment, the assistant or the doctor will apply a numbing cream to the areas to be treated. Using a few strategic injections with a very thin needle, the doctor will add extra volume to the chosen areas until the desired effect is achieved. You will see immediate results.

To clearly document the results of the treatment, photos will be taken for your medical record.

After the treatment, you can resume your daily activities immediately. Please be aware that your skin may show slight swelling and redness. This will gradually diminish and should be gone within a few hours. The doctor will provide you with post-treatment tips.

In the days following the treatment, the effect may further enhance due to the filler’s moisture-absorbing nature. This achieves a healthy and voluminous effect that emphasizes certain parts of your face. The longevity of the filler’s filling effect depends on the region treated and the firmness of the gel used. On average, the filling effect of the filler can last 12-18 months.

The hyaluronic acid is naturally broken down by the body into its own substances. After this, you can repeat the treatment without any issues.

Costs of the treatment

It is possible to combine the treatment with the removal of wrinkles in other areas of the face. Check our price list for a complete overview.

1 mL                                                             600

MiniLift 1                                                     950

MiniLift 2                                                   1450

MiniLift 3                                                   1950

MiniLift 4                                                  2500

dissolving fillers                                          100

Face:

Stem cell Face – Classic                              2250

Micro-/nanovet + microneedling

Stem cell Face – Advanced                        3450

Micro-/nanovet + Endolift/Morpheus8/Radiesse + microneedling

Stem cell Face & Neck – Advanced          4250

All-in-one: face + neck 

 

Profhilo 1 zone                                              335

Profhilo 2 zones                                           600

Profhilo Structura                                        475

PhilArt                                                           350

Sunekos                                                        350

Sunekos body – 1 zone                               425

Exosomes                                                     350

1 zone – face                                                 550

2 zones  – face and neck                            850

zone body                                                     850

hair treatment – with exosomes               800

face treatment – with exosomes              800

Endolift & Morpheus8 –                            1550

face

Endolift & Morpheus8 –                            1850

face + neck             

Endolift ‘advanced protocol’                    3150

Micro-/nanovet + Endolift + microneedling

PRP/PRF                                                       350

PRP/PRF classic with microneedling        450

PRP/PRF ‘advanced face protocol’           850

EZGel treatment                                          750

EZGel ‘advanced face protocol’                1250

small zone                                                 300

normal zone                                              500

big zone                                                     850

half face                                                    1550

full face                                                     2200

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Call with dr. Brandt

Doctor Brandt can be reached on weekdays between 09:00 and 18:00. For emergencies, we are available 24 hours a day.

0203690986

Frequently asked questions

A filler is, as the name suggests, a filling substance. It is a collective term widely used for temporary fillers applied to the face or body. The most commonly used fillers are made of Hyaluronic Acid – a naturally occurring building block of the skin. In addition to Hyaluronic Acid, collagen-stimulating fillers such as Radiesse or Sculptra are also used.

The result of a filler treatment depends on the type of filler used and the skin layer in which it is placed. For example, a ‘firm filler’ in a deeper skin layer provides a lifting effect on deeper wrinkles, while a ‘soft filler’ in a superficial skin layer softens shallow wrinkles. For an optimal result, a combination of different types of fillers in various skin layers is often applied.

For a filler treatment, usually only local anesthesia is applied with an injection or a numbing cream. Depending on the type of treatment, the most effective option for a comfortable experience will be suggested. If you find it very nerve-wracking or are afraid of needles, please let us know, and we can work together to make the treatment as pain-free as possible.

Fillers like Hyaluronic Acid and Radiesse are naturally broken down by the body over time. On average, results are visible for about a year, gradually diminishing. If you prefer to monitor the results, you can work with the doctor throughout the year to identify areas where a ‘touch-up’ may be beneficial. In some cases, with more robust fillers, results can last for several years.

The recovery after a filler treatment is generally mild. After the procedure, there might be some local mild swelling, redness, or discomfort – this is quite normal and usually resolves on its own within 24-72 hours. Occasionally, a small bruise may occur during the injection, but it typically fades within a few days. Significant bruising is rare. Generally, it’s barely noticeable immediately after the treatment. Within a few days, the filler settles into the skin and may attract some additional water, enhancing the effect over time. Most people experience the ‘wow-effect’ after 2-4 weeks.

A treatment with fillers has a favorable risk profile compared to surgical procedures. Like any medical procedure, there are risks to consider. The most common problems are not severe and easily correctable. If a filler ends up in the wrong layer of the skin, a small bump or swelling may occur. This is often easily corrected with a solvent, especially with soluble hyaluronic acid fillers. The risk of bumps due to fillers is very small when choosing an experienced cosmetic doctor with the KNMG certification.

In extremely rare cases, there may be an allergic reaction or infection (less than 0.1%). Also, in very exceptional cases, a filler may obstruct blood vessel flow. In such cases, the doctor can usually inject a solvent with targeted ultrasound to restore blood flow. Dr. Brandt has extensive knowledge of treating complications and has contributed as an author to the Dutch field norm for non-body-own degradable fillers. If you have any questions, feel free to ask!