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Under Eye or Tear trough rejuvenation / correction is a popular cosmetic procedure among men and women who want to look more rested, youthful, and refreshed.

The tear trough is the region of hollowing between the lower eyelid and the cheeks. Problems in this area of the face can leave you with dark circles, hollowing, and looking tired. This problems can be accentuated by aging, weight loss, fatigue and occasionally sinus conditions. More commonly a hollow tear trough is due to genetics, or can be due to lack of lower eyelid support and mid cheek volume loss.

At Avissa Skin we offer a range of treatments for the tear trough area.  These treatment options reduce fine lines, soften dark circles, eliminate puffy under eye bags and fill hollows. Dark circles under eye and under eye hollows are best treated with dermal fillers and/or biological stimulants like Platelet Rich Fibrin ( PRF ). Fine lines and wrinkles can be treated with our advanced Resurfacing Lasers, Radiofrequency Microneedling, Microneedling, and Neurotoxins Wrinkle Reducers.

Natural is always our top priority and our export injectors at Avissa Skin will create a individualized treatment plan tailored to your specific under eye goals at your consultation.

PRF Treatment
For Under-Eye

Platelet Rich Fibrin is considered a NATURAL treatment as it uses your own stem cells and growth factors to improve under eye tone & tuxture while providing very subtle subdermal volume.

The cause of dark circles is always multifactorial.


Dark circles tend to be genetic, especially if your bone structure is naturally angular and hollow.

Skin Density

The thinner your skin, the more apparent your dark circles will look.


Some people have a ton of superficial blood vessels under their eyes that can get engorged and leak over time. When blood seeps out of the vessels, it deposits into your skin and creates pigmentation deep into your dermis.


As soon as we hit our mid-20s, our cellular regeneration starts to slow down and decrease, meaning less collagen and elastin gets made.

Under Eye Bags

Eye bags have their own laundry list of potential causes, including allergic reactions, water retention, and lack of sleep.


Anything that causes chronic inflammation under the eyes can cause hyperpigmentation that looks like dark circles.

Lifestyle Factors

Stress, lack of sleep, exhaustion, poor nutrition, dehydration, drinking, and smoking can cause under eye dark circles.

Health Issues

Dark circles can be the side effect of certain health conditions, like hypothyroidism, diabetes, or anemia, and vitamin deficiencies.

Collagen Induction Therapy for Under Eye.

Treatment of the under eye region varies from person to person and often requires an individualized treatment plan. This is determined following a in depth consult and understanding your individual aesthetic concern and following considerations:

Depth of the tear trough

Hollow tear troughs can be treated with dermal filler that has been specifically designed for the under eye area. Moderate to severe tear troughs concern may require a gradual treatment approach 2-4 weeks apart to achieve the desired results.

Mid-face volume deficit

The tear trough area requires support from the cheek area underneath it. Flattened cheeks can cause the appearance of hollow tear trough due to the lack of structural support so correcting mid-face volume deficit can significantly improve the under eye area.

Outer ring of the tear trough

Filling this area can smooth the transition between the tear trough and the cheek and provide support to the tear trough area.

Under eye bags

Under eye bags can become more visible as we age due to loss of surrounding tissue, laxity of skin and collagen. Under eye bags can be treated targeted combination therapies and/or cosmetic surgery.

Under eye dark circles

Dark circles are caused by genetics, underlying sinus issues, hollowing, or pigmentation and are treated by laser resurfacing, dermal fillers and stimulating injections with PRP/PRF.

Tox Treatment
for Under Eye.


Dermal Fillers
Volumizing the cheek will often give significant improvement to the eye area without injecting in the tear trough and are always treated first. If there is still a deficit in the tear trough, conservative volumes of filler can be injected deeply in the tear trough. Under-eye or tear-trough filler is not for everyone! best candidate for tear-trough filler is someone who has shadowing from volume loss, like if you have a concave bone structure.

Platelet Rich Fibrin ( PRF )
PRF is excellent for treating puffiness around the eyes, eliminating dark circles, and improving lymphatic drainage. Platelet Rich Fibrin is the second generation to Platelet Rich Plasma (PRP) and involves the use of your body’s own platelets.We also use PRF around the mouth to restore lost volume in the skin and address fine lines and wrinkles above and below the lips.

The quickest and easiest treatment around the eyes is using neurotoxin. By relaxing the muscle, improvement in wrinkles known as crows feet is achieved. Elevation of the brows is created by relaxing the same muscle closer to the tail of the brow.

Laser Treatments
Laser can lighten dark skin tones as well as induce new collagen formation in the skin, resulting in the reduction of dark circles and lines. Fine lines around the eyes can noticeably fade for those who undergo laser treatments, as well as uneven coloring and brown spots caused by aging and sun exposure.

Chemical Peels
Professional chemical peels can help break down built-up pigments and dead skin cells for brighter, smoother, and slightly tighter under-eyes.

Laser Treatments
for Under Eye.

Do you want to find out if under eye enhancement is the right aesthetic treatment for you? Contact Avissa Skin clinic today for more information on the best Under Eye Enhancing Procedures in Ann Arbor Michigan, for information on other cosmetic procedures, or to schedule a consultation. We look forward to hearing from you!