What causes under-eye circles and hollows?
The skin under the eyes is the thinnest on the face, so changes show here first. Most dark circles come from one of three things, often together: hollowing that casts a shadow, thin skin that lets blood vessels show through, or pigment in the skin itself.
Each needs a different approach, which is why we assess the cause carefully before recommending anything.
Shadow from hollowing
A groove between the lower lid and cheek. Often responds to PRF EZ Gel or carefully placed filler.
Thin skin or pigment
A purple or brown tone. Usually improved with PRF, SkinPen and skincare rather than volume.
Types of under-eye concerns we treat
Tear trough hollows
A visible groove under the eye
PRF EZ Gel, under-eye filler
Thin, purple-toned skin
Vessels visible through delicate skin
PRF injections
Brown pigment
Darker skin tone under the eyes
Skincare, VI Peel
Crepey texture
Fine crinkled lines
SkinPen with PRF, skincare
Crow's feet
Lines at the outer corners
Botox
Puffiness
Fluid or fat pads below the eye
Assessed at consultation
Under-eye treatment options compared
| Treatment | Best for | Results | Price at KORA |
|---|---|---|---|
| PRF injections | Thin skin and dark tone | Gradual, over a series of sessions | $450 |
| PRF EZ Gel | Soft hollows, natural volume | Soft support from your own blood | $750 |
| Under-eye filler | Deeper tear trough hollows | Immediate | Starting at $750+ |
| SkinPen with PRF | Crepey texture and fine lines | Gradual, over a series | $450 |
| Medical-grade skincare | Pigment and maintenance | Gradual, over 8 to 12 weeks | Chosen at your consultation |
Recommended treatments for under-eye circles
PRF Injections
Platelet-rich fibrin from your own blood for under-eyes and thinning hair.Learn more
PRF EZ Gel
A natural volumizer made from your own blood for hollows and soft support.Learn more
Dermal Fillers
Restores structure and balance with hyaluronic acid filler, planned around your anatomy.Learn moreHow much does under-eye treatment cost in Scottsdale?
| Treatment | Price at KORA |
|---|---|
| PRF injections, single area | $450 |
| PRF injections, series of 3 | $1199 |
| PRF EZ Gel, single area | $750 |
| Under-eye filler | Starting at $750+ |
| SkinPen with PRF | $450 |
What to expect
- Consultation
Finding the cause
We look at the under-eye in different light to see whether shadow, thin skin or pigment is the main cause.
- Same visit
Treatment
PRF is prepared from a small blood draw; treatment usually takes under an hour.
- Weeks 4 to 6
Next session
PRF is typically repeated as a series spaced several weeks apart.
- Over months
Gradual change
Skin quality and tone improve steadily across the series.
Caring for the under-eye area
- Mineral SPF and sunglasses protect the thinnest skin on your face.
- A gentle eye cream from your medical-grade regimen supports texture between treatments.
- Sleep, hydration and allergy care can all reduce puffiness and shadowing.
Who treats you
Every treatment at KORA Aesthetics is performed by one of our board-certified nurse practitioners. Our founder, Katie Manhardt, MSN, FNP-C, is a national clinical trainer for Galderma and Prollenium, and every plan begins with a complimentary consultation.
Under-eye FAQs
What is the best treatment for dark circles under the eyes?
It depends on the cause. Thin skin usually responds best to PRF, hollows to PRF EZ Gel or filler, and pigment to skincare. Your provider identifies the cause at your consultation.
How many PRF sessions will I need for under-eyes?
Most patients benefit from a series of three sessions spaced several weeks apart, which is why we offer a three-session package.
Is under-eye filler safe?
The under-eye is a delicate area that calls for careful technique and product choice. It is performed only by our nurse practitioners, and only when your anatomy suits it.
How much does PRF for under-eyes cost?
PRF is $450 for a single area, or $1,199 for a series of three.
Is there downtime?
Mild swelling or bruising can last a few days. Most patients go back to their routine the same day.