Are PRP Facials More Effective for Eyes Than Fillers?

You have tried expensive creams, cooling masks and even the ol’ cucumber slices, but the fact is, the delicate skin under your eyes is tough to treat.

Whether you are trying to cover dark circles or get rid of a little baggage, it may be time to get serious about under-eye issues.

With its very thin skin and a complex anatomy, the lower eyelid region is an extremely difficult area to treat. Because the under-eye skin is thin and often very translucent, all color irregularities and inflammations are visible.

Causes of Under-eye Issues

The two biggest issues with under-eye appearance are dark circles and bags.

Dark Circles

Dark circles under the eyes can result from blood vessels close to the surface of your skin, but they can also be shadows cast by puffy eyelids, the brow bone or hollows under your eyes that result from a loss of fat volume as we age. Common causes of true under-eye circles include fatigue, heredity, sun exposure, allergies, dermatitis, naturally occurring skin tone variations and aging.

Under-Eye Bags

Under-eye bags are common with aging and are rarely a sign of a medical condition. Bags may be puffy pockets of skin, sagging skin or sunken skin. Over time, the tissues and structures around your eyes weaken. The fat that has supported the eyes migrates into the lower eyelids, causing the lids to appear puffy. The delicate structures under the eyes are also vulnerable to fluid accumulation, which adds to the puffy appearance of the lower lids. Smoking, a salty diet, allergies and fatigue can all exacerbate the appearance of under-eye bags. You can also be genetically predisposed to under-eye bags.


Because the skin under the eye is so delicate, treatment options have been limited. Today there are more options available to suit a variety of issues and skin types, but should you use PRP or filler under eyes?


Platelet-rich plasma (PRP) is a concentration of human platelets contained in a small volume of plasma. PRP contributes to the acceleration of wound healing and rejuvenation of aging skin.

PRP is created from a patient’s own blood. It is used in Twilight facial treatments, which combine PRP therapies and microneedling.

Recent studies have shown that PRP injections in the lower eyelid region are a safe, effective and virtually pain-free treatment option for under-eye issues.

Patients who chose to treat under-eye issues with PRP showed a significantly higher level of skin firmness and elasticity, due to increased collagen and elastin production. Other than some under-eye swelling following the PRP injection, most people who use PRP report no side effects.


Dermal fillers increase volume in the skin. The most popular type of dermal filler is hyaluronic acid or HA. HA is a sugar that is naturally occurring in the body. It holds water and delivers volume to the skin.

Modified HA is the main ingredient in the JUVÉDERM® and Restylane® families of specialized dermal filler products.

The HA in these dermal fillers binds up to 1,000 times its weight in water. When injected, HA holds water at the injection site. This hydrated tissue increases volume, provides support and gives the skin a fuller appearance.

Both JUVÉDERM® and Restylane® have been proven very effective in improving the appearance of under-eye circles and the “sunken” look that can appear as we age.

A small layer of HA-based filler lifts the skin up and away from the under-eye blood vessels, making the vessels less visible and plumping the skin.

Under-eye hollowness creates shadows that are difficult to conceal with make-up. Filler helps smooth out the under eye and builds up volume in the skin where it is concave.

The hyaluronic acid gel should last anywhere between six months to just over a year, depending on how quickly you metabolize it and the type of filler used. The filler dissolves slowly over time.

If you are coping with under-eye issues that are making you look older and more tired, the expert team at Blush Aesthetics can help. Dr. Erin Hennessey is a certified trainer for fillers and travels all over the country educating other providers on how to create natural-looking results for their patients. Dermal fillers are safe and proven while offering fast, long-lasting results.

Call us today to schedule your consultation!