How The treatment Works
Brighten, tighten, and refresh the delicate under‑eye area with customized, non‑surgical treatments designed to smooth wrinkles, reduce puffiness, and improve dark circles.
Why Under-Eye Concerns Happen
The under‑eye area has the thinnest skin on the face, which makes it more vulnerable to early aging.
As collagen and elastin decline, the skin becomes thinner and less supported. Fat pads may shift forward, creating puffiness, while hollowing and shadowing become more noticeable.
Reduced circulation, genetics, and lifestyle factors can also contribute to dark circles and texture changes.
You may notice under‑eye concerns such as:
- Under‑eye wrinkles or fine lines
- Crepey skin that looks thin or lax
- Under‑eye bags caused by fat pads
- Dark circles from thinning skin or shadowing
- Hollowing that makes the eyes look tired
- Texture issues like roughness or small lines
- Mild to moderate laxity under the eyes
What it treats: wrinkles, crepey skin, under‑eye bags, dark circles, hollowing, texture issues, mild–moderate laxity
Best technologies: Agnes RF fat‑pad reduction, Scarlet RF microneedling, fractional CO₂ resurfacing, collagen‑stimulating RF, brightening serums
Why it works: multi‑modality approach treats fat pads, skin laxity, texture, and shadowing
Downtime: minimal (RF/microneedling) to 5–7 days (CO₂)
Results: visible in 2–4 weeks; collagen remodeling continues for 90 days
Ideal for: 25–75+ seeking natural, refreshed, non‑surgical rejuvenation
Under‑Eye Treatment Highlights
- Concerns we treat: under‑eye wrinkles, crepey skin, bags, dark circles, hollowing, and mild to moderate laxity.
- Key technologies: precision RF microneedling, targeted RF fat‑pad reduction, fractional CO₂ resurfacing, collagen‑stimulating RF, and brightening serums.
- Best for: patients who want non‑surgical improvement in smoothness, tightness, brightness, and overall under‑eye refresh.
- Downtime range: from minimal (microneedling, RF tightening) to about a week (fractional CO₂ or fat‑pad reduction).
- Result timeline: visible improvement in 2–4 weeks, with collagen remodeling and tightening continuing for up to 90 days.
- Age‑based approach: prevention in your 20s–30s, collagen rebuild and correction in your 30s–50s, structural lift and tightening in your 50s+.
We tailor each plan using precision RF microneedling, targeted RF fat‑pad reduction, fractional CO₂ resurfacing, and advanced collagen‑stimulating RF to create a smooth, refreshed, naturally lifted look
Under‑Eye Concerns & Best Treatment Options
Under‑Eye Bags (Fat Pads / Puffiness)
Under‑eye bags form when small fat pads push forward, creating puffiness or a tired appearance.
Agnes RF is a non‑surgical radiofrequency device that precisely targets these fat pads without incisions or sutures
Best treatment option:
- Targeted RF fat‑pad reduction
- Shrinks or dissolves fat pads
- No incisions or surgery
- 1–2 sessions spaced 2–3 months apart
- Visible improvement in 2–4 weeks
- AgnesRF is suitable for all skin types
Numbing cream and local anesthetic ensure comfort. An insulated probe gently liquefies the fat, which your body naturally processes over several weeks.
This is one of the most effective non‑invasive solutions for reducing under‑eye bags and restoring a smoother, more refreshed appearance
Under‑Eye Wrinkles & Fine Lines
Although Botox is excellent for crow’s feet, under‑eye wrinkles often require treatments that strengthen and thicken the skin itself.
Best treatment options:
- Advanced collagen‑stimulating RF
- Precision RF microneedling
- Fractional CO₂ resurfacing
These technologies work together to restore firmness, smoothness, and youthful elasticity. Agnes RF and ScarletRF can tighten the under‑eye area with minimal downtime, while fractional CO₂ resurfacing refines crepey texture.
For patients in their 30s, one to two sessions may be enough. For patients in their 40s and beyond, a series of three sessions spaced one month apart delivers optimal results.
Crepey Under‑Eye Skin & Crows Feet Tightening
If you see fine lines even when your face is at rest, we can tighten the crow’s feet and under‑eye area using AgnesRF for smoother, firmer skin.
If your wrinkles deepen when you smile, Botox can soften the crow’s feet area by relaxing the underlying muscle.
Best treatments options:
- Collagen‑stimulating RF
- Volume restoration with a filler (when appropriate)
- CO₂ resurfacing for texture refinement
Dark (Under Eye) Circles
Dark circles may be caused by thinning skin, shadowing, pigmentation, or genetics. The right treatment depends on the underlying cause.
One of our favorite options is microneedling with an advanced brightening serum, which helps reduce brown discoloration and tighten the under‑eye area.
Best treatment options:
We determine whether your dark circles are caused by pigment, shadowing, or thinning skin and match the treatment accordingly. Ask us about our Dark Circle Under‑Eye & Wrinkle Rejuvenation Package.
Hollowing / Tear Trough Shadowing
Hollowing and tear trough shadowing often require a combination of collagen‑stimulating RF and strategic volume restoration to brighten and smooth the area.
Upper Eyelid Lift
Droopy eyelids can now be easily addressed with a minimally invasive treatment to lift and tighten sagging upper eyelid skin.
Using AGNES RF technology, a micro-needle releases radiofrequency waves to tighten and stimulate collagen production.
Over the next few months, the loose skin around the eyes will tighten.
Best treatments:
- Fractional CO₂ resurfacing for texture
- Precision RF microneedling for tightening
- Advanced collagen‑stimulating RF for deeper support
Best treatments option:
- Microneedling with brightening serums
- Fractional CO₂ resurfacing
- Light chemical peels
- Collagen‑stimulating RF
- Volume correction when appropriate
We determine whether your dark circles are caused by pigment, shadowing, or thinning skin and match the treatment accordingly.
Ask us about our Dark Circle Under‑Eye & Wrinkle Rejuvenation Package.
Hollowing and tear trough shadowing often require a combination of collagen‑stimulating RF and strategic volume restoration to brighten and smooth the area.
Brow Lift, Forehead Lift and Glabella Tightening
Oftentimes, loose forehead skin can contribute to a low brow appearance, which in turn can make your eyes look “heavy”. The Agnes RF procedure is able to non-surgically give them a lift by tightening the skin above and below the brow.
We recommend combining a forehead skin tightening lift at the same time as a brow lift for optimal results that last longer.
The glabella area (11’s) in between your eyebrows can also be treated at the same time.
Maximum Results: Multi‑Modality Treatment Plans
For the most noticeable and longest‑lasting improvement, we often combine technologies that work beautifully together.
We begin by reducing puffiness with targeted RF fat‑pad reduction, then tighten the skin with precision RF microneedling, refine crepey texture with fractional CO₂ resurfacing, and brighten dark circles with advanced serums.
This layered approach treats every part of the under‑eye area — the skin, texture, fat pads, and shadows — making it the 2026 gold standard for under‑eye rejuvenation.
Treatment Comparison
| Treatment | Best For | Strength | Downtime |
|---|---|---|---|
| Microneedling | Texture, glow | Light | Minimal |
| Precision RF Microneedling | Tightening, crepiness | Medium | 1–2 days |
| Targeted RF Fat‑Pad Reduction | Under‑eye bags | High | 3–7 days |
| Fractional CO₂ Laser | Wrinkles, crepiness | High | 5–7 days |
Age‑Based Treatment Recommendations
Every age group experiences different changes in the under‑eye area. Using our 3‑tier CLS model, we tailor treatments to match the biology of each stage — ensuring results that look natural, elegant, and age‑appropriate.
25–35: Prevention & Skin Foundation Early fine lines and mild crepiness appear as collagen declines. Treatments focus on strengthening the skin’s foundation with microneedling or RF tightening.
35–50: Collagen Rebuild & Correction This is when most people notice deeper wrinkles, early puffiness, and texture changes. A combination of RF fat‑pad reduction, RF microneedling, and fractional CO₂ resurfacing rebuilds collagen and restores a refreshed look.
50+: Lift, Restore & Strengthen More pronounced bags, laxity, and crepiness benefit from structural tightening, fat‑pad reduction, and deeper resurfacing. A staged, multi‑session plan delivers the most natural and long‑lasting rejuvenation.
Explore full age‑specific guidance here: Solutions by Age
Are you ready to learn more?
You have multiple non‑surgical options to treat wrinkles, puffiness, crepiness, and dark circles around the eyes. The most effective results often come from a multi‑modality approach tailored to your anatomy and goals.
AgnesRF remains one of our favorite technologies for under‑eye rejuvenation because it delivers immediate improvement with continued collagen remodeling for up to 90 days.
Book Your Personalized Under‑Eye Consultation
Your eyes deserve to look as bright and refreshed as you feel. During your consultation, we’ll evaluate your under‑eye anatomy and design a treatment plan that enhances your natural beauty with subtle, refined precision.
Whether you prefer an in‑office visit or a virtual appointment, our team ensures a comfortable, personalized experience from start to finish.
Related Treatments
- Agnes RF for Facial Contouring — best for fat‑pad reduction and under‑eye contouring
- Scarlet RF Microneedling — tightens crepey skin and improves wrinkles
- CO₂ Laser Resurfacing — brightens pigment and smooths texture
- Face Treatments — explore all facial rejuvenation options
- Solutions by Age — find treatments tailored to your age group
- Exosome Microneedling Facial — boosts collagen and enhances under‑eye results
- Non‑Surgical Facelift — for patients with midface laxity contributing to under‑eye hollowing
Book your consultation:
Book online or Fill out our online form and we will contact you.
Virtual or in-office consultations are available.
Frequently Asked Questions
What causes under‑eye bags, wrinkles, and crepey skin?
Under‑eye concerns usually come from a mix of aging, thinning skin, collagen loss, shifting fat pads, genetics, and fluid retention. As collagen weakens, the skin becomes looser, creating puffiness, wrinkles, and a tired look.
How do you decide which under‑eye treatment I need?
We evaluate four things: skin thickness, fat pad position, collagen quality, and hollowing.
Based on this, we create a custom plan using Agnes RF, RF microneedling, CO₂ resurfacing, regenerative serums, or a combination for the best result.
How does Agnes RF help with under‑eye bags or crepey skin?
Agnes RF uses a precision insulated micro‑needle to either shrink small fat pads or tighten crepey skin. It’s ideal for puffiness, small bags, and loose texture.
What does RF microneedling do for the under‑eye area?
RF microneedling boosts collagen and elastin to firm thin skin, smooth wrinkles, and improve crepey texture. It’s best for skin tightening and long‑term collagen rebuilding.
Can regenerative serums like PN/PDRN or Redensity help dark circles?
Yes. These serums improve skin quality, hydration, and thickness, which reduces shadowing and brightens the under‑eye area. They are ideal when dark circles come from thin or dull skin.
What if I have hollows or a sunken look under my eyes?
Hollows come from volume loss. We use collagen‑stimulating serums, RF microneedling, Filler or a multi‑modality plan to rebuild support and soften the shadow.
Does fractional CO₂ help crepey under‑eye skin?
Absolutely. Fractional CO₂ resurfacing refines texture, smooths crepiness, and brightens the under‑eye area by stimulating new collagen.
Reviews|Testimonials
“I recently had Agnes RF for under eye bags and was so nervous to have this done because I don’t like needles. This procedure was painless. Norma was amazing. She was so patient with me and explained everything step by step. She made me feel so comfortable and relaxed. If you are thinking about having Agnes RF for under eye bags done and are nervous, don’t be. I have only had 1 treatment but so far but see great improvement. I am pleased with the results.” – by H.T