Would I benefit from Morpheus under eyes or blepharoplasty? (photo)

Question

Hi! I feel like I don't have a lot of fat under my eyes but they're so dark and have veins. I would like more fullness without fillers. Have already done PRF. I saw a Botox person today who had AMAZING fullness and smoothness under her eyes and she said she did Morpheus there. But couldn't that melt what fat I have left there? What would you recommend? Thank you!

Jeffrey H. Spiegel, MD · Answer

For some reason Morpheus is getting a bad rap for melting fat and I'm not sure why. We've not seen it in the 6 years we've been performing Morpheus in the office, unless it's intentionally set high as we do in the submental area to melt undesirable under chin fat. Otherwise, Morpheus, when done correctly, by trained practitioners, should only strengthen the skin by physically stimulating collagen and elastin production. Morpheus should also not be confused with Facetite or Bodytite, part of the InMode collection, which are used in combination with Liposuction to remove fat and tighten the skin. Again, done in the right areas, with proper training, the results are remarkable.

Anil R. Shah, MD · Answer

Hello, my name is Ranen and I am an anesthetic nurse at Aesthetic Skin in Chicago. Hi! It sounds like you're dealing with a common concern where you want to enhance the under-eye area without resorting to fillers, and you're interested in improving both darkness and fullness while avoiding further depletion of fat under the eyes. I totally get why you'd be cautious, especially after seeing someone who has achieved such great results with Morpheus8, but I understand your concerns about whether that might affect any remaining fat.  Now, let's talk about Morpheus8, which is a combination of microneedling + radiofrequency (RF). When used under the eyes, it can be beneficial for:
Stimulating collagen production: RF energy targets deeper layers of the skin to tighten and smooth, which can help with texture and skin laxity around the eyes. This can make the area appear firmer and reduce the visibility of veins. Skin thickening: Over time, the treatment helps improve the thickness of the skin, which can reduce the transparency that makes veins more noticeable. It might also help with some of the dark pigmentation under the eyes, especially if it’s due to thinning skin. Tightening skin: If you’re noticing sagging or skin laxity (which is more common as we age), Morpheus8 can help tighten and smooth out fine lines and wrinkles in the under-eye area.

Paul Flashner, MD · Answer

Hi, Looking at your photos it seems from your photos that you have more of a hooded eye situation than anything. I would not recommend a blepharoplasty but Morpheus8 could be a great option for tightening around they eye area. This uses collagen induction therapy as well as heat using radiofrequency to help tighten and contour the eye area. Please feel free to make a complimentary consultation at any of my 10 locations in MA. Our Boston office number is 617-923-0396. Thank you and I hope this helps to answer your question/ concern.

Danielle Shanley, MD · Answer

For under-eye concerns like dark circles, veins, and skin texture, treatments like Morpheus, Neogen, or CO2 are excellent options for thickening and tightening the skin. These modalities help improve smoothness and discoloration by stimulating collagen production, but they do not restore or add volume. If you’re looking for fullness, fillers might be a more appropriate choice. However, these energy-based treatments can significantly enhance skin quality and smoothness in the area.

David Hansen, MD · Answer

Morpheus under local anesthesia is painless and really improves the skin around the eyes. It won't get rid of fat if your doc uses the 1 and 2 mm settings.

Camille Cash, MD · Answer

Morpheus8 combines RF technology with microneedling to improve overall skin tone and texture of the skin.  You still may benefit from fillers to add the volume you are wanting.  Visit with an expert provider to learn more about the treatment.

Laura A. Katz, MD · Answer

You would definitely benefit from morpheus 8 actually up under your eye brows, at the crows feet bilat horizontally and under the eyes.  Morpheus is awesome for this and all of those areas should be covered as a single treatment cost

Leonard Grossman, MD · Answer

You absolutely should NOT have Morpheus treatment applied to your under eye area or for that matter anywhere else. All of the Morpheus procedures burn the fat layer immediately under the skin which at first looks nice, because everything appears to be tighter but months down the road, everything becomes severely deflated, making a person look a lot older. My advice to you is to have fat grafting performed, and you will look more youthful as well as more proportionate. In the right hands, fat grafting should produce natural and permanent results. I hope this helps and good luck from Leonard Grossman, M. D. organic Plastic Surgery.