I was wondering if PRP injections would help minimize the appearance of hollowness under my eyes? (Photos)

Question

I have have been looking for alternatives to under eye fillers. I was wondering if PRP injections would help minimize the appearance of hollowness under my eyes. Along with lasers, microneedling, chemical peels etc would it improve this area? I’m 26 years old

Kian Karimi, MD, FACS · Answer

From what I am able to assess from your photos your undereye hollows do not appear to be extensiv. Because of this I believe you would be a great candidate for ex-PRF Pro injections to the undereyes. PRF to the undereyes is an amazing treatment that is wonderful for those looking to rejuvenate their infraorbital hollows while avoiding using a hyaluronic acid filler. In my experience I’ve seen incredible results with PRF to treat dark circles and hollow undereyes. Even more revolutionary than PRF is ezPRF Pro which changes the structure of PRF from liquid to gel. The gel formed PRF mimics a filler which allows us to fill the hollows providing a more rested appearance while still combating dark circles and providing continued results from the growth factors. Turning the PRF into a filler consistency allows it to last longer than the liquid PRF and I have seen results last an average of 6 months. Going forward, I would recommend you to complete multiple in office consultations with board certified experts to discuss your aesthetic goals. This way, they can work alongside you to determine your best treatment option.

Best of luck,
Kian Karimi MD, FACS

Best of luck, 
Kian Karimi MD, FACS

Nima Shemirani, MD · Answer

Hi @Affectionate515552. Thank you for sharing your photos. PRP stimulates collagen growth and improve skin quality.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

PRP doenst help under eye hollows. fillers do in office. at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin roller with anteage MD ampules) should be started now.

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term.  There are many things you can do to treat under eye hollows and dark circles without surgery.  Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture.  I suggest you get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Atlanta Innovative Medicine · Answer

PRP injections are an excellent option for restoring volume and reducing the appearance of dark circles or hollowness under the eyes. Because PRP contains your body’s own growth factors in high concentrations, it effectively promotes the growth of collagen which creates fullness of the skin.
Hyaluronic acid can be a great addition to PRP, maximizing its healing effects. Like PRP, hyaluronic acid is a natural substance found in the body that, when injected into the skin, jumpstarts the process of repair to further increase volume, while PRP builds collagen. You can visit our website for lots more information on PRP, hyaluronic acid, and other supplemental treatment options:

Mike Shenouda, MBBS · Answer

PRP uses the body’s own growth factors (drawn from your blood and spun through a centrifuge), to help promote healing and rejuvenation. PRP also encourages collagen production, which plumps the skin, which may assist in filling out dark hollows. 
We all suffer from dark circles from time to time, however persistent dark circles can lead to a loss of self-confidence. Whilst genetics and ageing are both implicated poor sleep, dehydration and stress are other lifestyle factors that can worsen dark circles and make you look tired and worn. Sun exposure can make the skin around the eyes particularly susceptible to UV damage.
If lifestyle remedies have failed, PRP may be worth a shot while dermal fillers can also plump up fat pads under the eyes, although a consult is a must to ensure that you are getting the most appropriate treatment for your circumstances. Disclaimer: All results are individual. All procedures have risks. Speak to your doctor about your symptoms.

Anshul Gambhir, MD · Answer

Thank you for your question. If you are not interested in doing under  eye fillers you could try doing PRP for the under eyes. PRP can help stimulate collagen growth to help fill in that area and improve skin quality. CO2 eyes can probably help too but I would start with the PRP! Hope this helps!

Milan Doshi, MS, MCh · Answer

Hello Affectionate515552, Thank you for your question and photographs. For the best-personalized advice photographic evaluation is not enough. An in-person consultation is a must.

According to me the best line of treatment would be an under-eye filler by a board-certified dermatologist or surgeon as that would give you an immediate change and reduce the hollowness and it is very safe if done by a trained doctor, the other alternative would be fat injections.PRP would not be the ideal treatment for such kind of hollowness.

Please consult with your dermatologist or a board-certified dermatologist near you and discuss in detail. Best of luck, Dr Shweta Mumbai, India

Tracy Katz, MD · Answer

I have not seen PRP injections work well and there is almost nothing in the literature to support it does. Whatever improvement is seen after the injections are done is short lived. I usually address this with Restylane injections. Works well, results are instant and lasts up to a year.

Cristyn Watkins, MD · Answer

Hollowness under the eyes is often accompanied by dark circles, which can be caused by pigmentation issues, iron deposits, lack of blood supply, or general skin thinness. Platelet-rich plasma’s healing growth factors can stimulate production of collagen and increase blood flow to the treated area, making translucent skin healthier and thicker, so less can be seen through it, thereby reducing the appearance of sunken eyes.