What’s the best solution for my dark under eyes? Can I get PRF or PRP injections if I have low iron? (Photos)

Dark or sunken under eyes can be caused by a combination of genetics, skin thinning, loss of fat volume, and even lifestyle factors like sleep and hydration. Because you’re only 21, it’s great that you’re thinking about gentle, natural approaches first.
PRF (Platelet-Rich Fibrin) and PRP (Platelet-Rich Plasma) injections are commonly used to improve under-eye texture, pigmentation, and subtle volume by stimulating collagen and improving skin quality. However, the effectiveness of PRF/PRP depends on the quality of your platelets. If you have low iron or anemia, it can impact your platelet function, which might make these treatments less effective. That doesn’t always mean you can’t do them, but it’s something a provider would assess with your blood work before proceeding.
If PRF/PRP isn’t ideal for you, there are other options to address volume loss, like Sculptra which supports the mid cheek fat pad and can secondarily have significant positive improvement on the under eyes, but it cannot be directly injected in the eye region. Sculptra gradually stimulates your body’s own collagen and can help fill hollows over time. Many young patients combine skin-quality treatments like PRF with collagen-stimulating fillers like Sculptra for a natural, long-lasting result.
The safest next step is to schedule an in-person consultation with a licensed provider who can evaluate your under-eye area, review your blood work, and develop a treatment plan tailored to you. That way, you can feel confident in the approach and avoid over-treating such a delicate area.
Aesthetic treatments should always be discussed with and performed by a trained, licensed, and medically certified aesthetic provider. The recommendations above are for educational purposes only and do not replace an in-person consultation, examination, or personalized medical advice.