Under-Eye Rejuvenation Treatment
Reverse Eye Ageing Through Non-Surgical Means
The eye area is often one of the first parts of the face to show signs of tiredness and ageing.
Fine lines, crepey skin, eye bags, dark circles, hollowness and loose eyelid skin may appear similar, but they do not necessarily have the same cause. For this reason, there is no single under-eye treatment that is suitable for everyone.
At Radium Medical Aesthetics, our doctors begin by assessing the upper and lower eye area, skin quality, facial volume and underlying anatomy. A personalised treatment plan may include XERF Eye, radiofrequency microneedling, laser treatment, polynucleotides, skin boosters, fillers, botulinum toxin or a combination of approaches.
What Causes an Aged or Tired-Looking Eye Area?
The skin around the eyes is thinner than the skin on many other parts of the face. It also contains less supporting tissue and is affected by repeated facial expressions, sun exposure and natural collagen loss.
Common changes around the eyes include:
- Fine lines and wrinkles
- Crepey or thinning skin
- Mild upper-eyelid laxity
- Loose under-eye skin
- Crow’s feet
- Under-eye hollowness
- Tear-trough shadows
- Eye bags
- Dark circles
- Puffiness
- Reduced firmness around the brow
Several concerns may occur at the same time. For example, a patient may have both under-eye hollowness and loose skin, or prominent eye bags together with pigmentation.
The most suitable treatment depends on identifying which factors are contributing most to the concern.
Common Under-Eye Concerns
FINE LINES AND CREPEY SKIN Fine lines may develop as collagen and elastin gradually decline.
The under-eye area can also appear crepey when the skin becomes thinner, drier or less elastic.
Possible treatments may include:
- XERF Eye
- Radiofrequency microneedling
- Fractional laser treatment
- Polynucleotide injections
- Skin boosters
- Carefully selected resurfacing procedures
DARK EYE CIRCLES Dark circles may be caused by several different factors, including:
- Pigmentation
- Visible blood vessels
- Thin skin
- Under-eye hollowness
- Tear-trough shadowing
- Facial anatomy
- Lack of sleep
- Allergies
- Fluid retention
Because dark circles have different causes, a treatment that works for pigmentation may not correct hollowness or visible blood vessels.
A consultation is important before choosing laser, injectable or energy-based treatment.
UNDER-EYE HOLLOWNESS Loss of volume beneath the eyes can create a sunken appearance or a shadow between the lower eyelid and cheek.
Depending on the patient’s anatomy, treatment options may include:
- Hyaluronic acid dermal fillers
- Polynucleotide treatments
- Skin boosters
- Collagen-stimulating treatments
Under-eye fillers are not suitable for everyone. Patients with prominent eye bags, fluid retention or certain facial structures may require a different approach.
EYE BAGS Eye bags may be caused by:
- Protruding fat
- Loose skin
- Fluid retention
- Weakening of supporting tissue
- Under-eye hollowness
- A combination of several factors
Mild skin laxity may respond to tightening treatments such as XERF Eye or radiofrequency procedures.
More prominent fat-based eye bags may require treatment directed at the fat compartment, such as selected radiofrequency procedures, or surgical assessment.
UPPER-EYELID LAXITY As the skin loses elasticity, the upper eyelids may appear heavier or more hooded.
Possible non-surgical treatments may include:
- XERF Eye
- Radiofrequency skin tightening
- Laser-based eye rejuvenation
- Ultrasound treatment around the brow
- Botulinum toxin for selected brow-position concerns
Non-surgical treatments cannot remove a significant amount of excess eyelid skin or reproduce the results of blepharoplasty.
XERF Eye Treatment
XERF is a non-invasive monopolar radiofrequency treatment that combines 6.78 MHz and 2 MHz frequencies.
The treatment delivers controlled radiofrequency energy into selected tissue layers, creating heat that may support collagen contraction and gradual collagen remodelling.
When used around the eyes, the treatment settings and coverage are adapted for the thinner and more delicate skin in this area.
XERF eye treatment may be considered for concerns such as:
- Mild upper-eyelid laxity
- Crepey under-eye skin
- Fine lines around the eyes
- Early crow’s feet
- Reduced firmness around the eye contour
- Mild brow heaviness
XERF does not add volume, remove significant excess skin or directly correct every type of eye bag or dark circle.
How Does XERF Eye Work?
During treatment, a handpiece is placed against the skin and controlled radiofrequency pulses are delivered to the selected area.
The thermal effect may help:
- Contract existing collagen fibres
- Stimulate gradual collagen remodelling
- Improve skin firmness
- Soften the appearance of fine lines
- Improve mild skin laxity
- Support the contour around the eyes
Because the skin around the eyes is thin and close to the orbital structures, treatment must be performed conservatively and according to the patient’s anatomy.
The doctor may adjust:
- Energy level
- Treatment depth
- Number of pulses
- Number of passes
- Areas treated
- Distance from sensitive structures
Who May Be Suitable for XERF Eye?
XERF Eye may be suitable for patients who:
- Have mild or early skin laxity
- Notice crepey skin around the eyes
- Have fine lines around the upper or lower eye area
- Prefer a non-invasive procedure
- Want minimal visible downtime
- Understand that results are gradual
- Do not require surgical correction
Patients with prominent eye bags, severe hooding, significant excess skin or substantial under-eye volume loss may require another treatment.
Is There Downtime After XERF Eye?
XERF Eye generally involves minimal visible downtime.
Temporary effects may include:
- Mild redness
- Warmth
- Slight swelling
- Tenderness
- Temporary sensitivity
Most patients can return to normal activities shortly after treatment.
Patients who naturally retain fluid around the eyes may experience more noticeable temporary swelling.
RF Microneedling for the Under-Eye Area
Radiofrequency microneedling uses fine needles to deliver controlled radiofrequency energy directly into the skin.
Unlike XERF, which is non-invasive, RF microneedling creates tiny controlled punctures in the skin.
The treatment may be considered for:
- Fine lines
- Crepey under-eye skin
- Reduced elasticity
- Mild textural irregularities
- Selected cases of lower-eyelid laxity
The treatment depth and energy should be selected carefully because the skin around the eyes is thin.
RF Microneedling Downtime
Patients may experience:
- Redness
- Swelling
- Tenderness
- Small needle marks
- Temporary bruising
- Mild crusting
Visible swelling and redness may last several days.
Patients should avoid rubbing the treated area and should follow the aftercare instructions provided by the clinic.
Polynucleotide Eye Treatment
Polynucleotide treatments are injectable procedures designed to support skin quality and repair.
They may be considered for:
- Thin under-eye skin
- Fine lines
- Reduced elasticity
- Dehydrated-looking skin
- Crepey texture
Polynucleotides do not provide the same volume replacement as traditional fillers.
They are generally selected when improving skin quality is the main objective.
Under-Eye Fillers
Hyaluronic acid fillers may be used to improve selected cases of tear-trough hollowness.
By restoring volume, fillers may reduce the shadow between the lower eyelid and the upper cheek.
Under-eye filler is not suitable for everyone.
It may be unsuitable for patients with:
- Prominent eye bags
- Significant fluid retention
- Very thin skin
- Certain facial structures
- Previous filler complications
A conservative approach is important because the under-eye area is delicate and prone to swelling.
Laser Treatments for the Eye Area
Laser treatments may be considered for concerns involving:
- Fine lines
- Uneven skin texture
- Pigmentation
- Sun damage
- Crepey skin
- Reduced collagen
Different lasers target different concerns.
Pigmentation-focused lasers are not the same as resurfacing lasers, and neither may be suitable for prominent eye bags or hollowness.
The selected laser and settings should be based on the patient’s skin type, concern and tolerance for downtime.
Can Different Eye Treatments Be Combined?
Combination treatment may be considered when more than one factor contributes to the aged or tired appearance.
For example:
- XERF Eye may be combined with polynucleotides for laxity and skin quality.
- Botulinum toxin may be added when crow’s feet are caused by muscle movement.
- Filler may be considered when hollowness is a major concern.
- Laser treatment may be used when pigmentation or texture is contributing.
- RF microneedling may be selected for more targeted dermal remodelling.
The sequence and interval between procedures should be planned by the doctor.
Performing more treatments does not necessarily produce better results. Each procedure should address a specific concern.
Frequently Asked Questions
CAN XERF REMOVE EYE BAGS? XERF may improve mild skin laxity around the lower eyelids, but it does not directly remove prominent protruding fat.
Eye bags caused mainly by fat may require another radiofrequency procedure or surgical assessment.
CAN XERF IMPROVE DARK EYE CIRCLES? XERF may improve the overall appearance of the eye area when crepey skin or laxity contributes to a tired appearance.
It does not directly remove pigmentation, visible vessels or significant hollowness.
CAN XERF BE USED ON THE UPPER EYELIDS? Selected parts of the upper eyelid may be treated when appropriate.
Treatment must be planned carefully because the skin is thin and close to the eyes.
CAN XERF BE USED DIRECTLY UNDER THE EYES? XERF may be used on selected parts of the lower eye area using an appropriate protocol.
Suitability depends on skin thickness, eye bags, hollowness and facial anatomy.
IS XERF EYE TREATMENT PAINFUL? Most patients experience warmth during treatment.
Certain areas may feel hotter because the tissue is thin, but the settings can be adjusted according to comfort and anatomy.
HOW MANY XERF EYE SESSIONS ARE NEEDED? Some patients may undergo one initial session followed by review.
Others may benefit from additional sessions or periodic maintenance, depending on skin laxity and response.
IS RF MICRONEEDLING BETTER THAN XERF EYE TREATMENT? Neither treatment is universally better.
XERF is non-invasive and involves less downtime, while RF microneedling delivers energy directly into the skin and may be selected for more targeted remodelling.
CAN UNDER-EYE TREATMENT REMOVE ALL DARK CIRCLES? No single treatment can correct every type of dark circle.
The cause must first be identified, as pigmentation, vessels, hollowness and thin skin require different approaches.
IS UNDER-EYE FILLER SAFE? Under-eye filler can be suitable for carefully selected patients, but the area carries specific risks.
It should be performed conservatively by an appropriately trained medical professional after assessment.
HOW MUCH DOES UNDER-EYE TREATMENT COST IN SINGAPORE? The price depends on the treatment selected, number of sessions, treatment area and whether combination treatment is recommended.
The final price will be advised after consultation.
Benefits
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Improve fine lines under and around the eyes -
Reduce the appearance of dark eye circles
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Tighten sagging skin around the eyes
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Regain a pair of youthful, taut and bright eyes
