How The treatment Works
Under‑eye concerns like bags, hollows, dark circles, and crepey skin can make you look older than you are, but every one of these concerns can be corrected, and we have a non‑surgical solution for each one.
All under‑eye treatments at Cosmetic Laser Solutions are performed by Norma Cataldo, Laser Clinical Director with 25+ years of experience in advanced RF and laser rejuvenation.
Norma has performed hundreds of under‑eye procedures annually, and every treatment plan is customized to your anatomy for safe, natural‑looking results.
During your consultation, we review all options, expected costs, and timelines so you know exactly what to expect. No surprises, no pressure, and no one‑size‑fits‑all packages.
Under‑Eye Treatment Overview
We use Agnes RF, Scarlet RF, Morpheus8, Fractional CO₂ Laser, MD‑performed dermal fillers, and exosome serums to treat wrinkles, bags, hollows, dark circles, and crepey texture.
Downtime ranges from none to 7 days, with results appearing from immediately to 3 months and lasting 1–3 years.
Under‑Eye Conditions We Treat
We offer several under‑eye treatment options depending on your specific concerns. Some treatments are stand‑alone, while others are part of our 4‑session under‑eye rejuvenation package.
Under‑Eye Rejuvenation Package — Wrinkles, Dark Circles, Crepey Skin & Mild Hollows
For wrinkles, crepey texture, dark circles, and mild hollowing, we use a 4‑session advanced microneedling protocol that addresses all these concerns:
- Under‑Eye Wrinkles & Crepey Skin
- Dark Circles
- Hollowing / Tear Trough
Session 1 — Activate Repair & Restore Nutrients
Using our no‑drag microneedling system, this treatment stimulates collagen repair and infuses an exosome serum containing exosomes, peptides, and PN to enhance hydration, brightness, and firmness.
These ingredients help restore healthy cellular signaling — the communication network your skin uses to coordinate repair — so the under‑eye area responds better and achieves stronger, more visible results.
Sessions 2 & 3 — Skin Tightening and Smoothing
Strengthen the under‑eye foundation across all layers:
- Epidermis: smoother, brighter, less crepey
- Dermis: more collagen, fewer fine lines
- Structural layer: better firmness and support
These two sessions create most of the visible improvement.
Mild hollowing improves naturally across Sessions 1–3 because collagen, hydration, and structural support increase.
For deeper hollows, we can add a structural under‑eye skin booster after Session 3 and before the Longevity session to provide subtle lift and shadow reduction.
Session 4 — Longevity Infusion
The final session locks in your results by reinforcing deeper collagen and long‑term firmness. Without this session, results still appear — but they fade months sooner because the deeper support layer wasn’t reinforced.
For addressing mature skin and full face rejuvenation: Explore the skin rebuild for full face skin guidance: Solutions by Age
Agnes RF – Under‑Eye Bags (Fat Pads / Puffiness)
Under‑eye bags form when small fat pads push forward, creating puffiness, bulging, or a tired look. Agnes RF is the most precise non‑surgical technology for shrinking these fat pads without incisions or downtime‑heavy surgery.
Agnes RF is typically:
- 1–2 session protocol,
- Spaced 2–3 months apart.
- Downtime is 3–7 days with expected swelling and mild bruising.
- Results appear in 2–4 weeks and continue improving for 90 days.
If you have fluid-filled bags, we have a treatment protocol to help drain fluid.
Botox – Crow’s Feet & Dynamic Movement
Crow’s feet form from two causes:
- Dynamic movement
- Thinning skin that can’t resist the movement anymore
When movement is the primary cause, Botox is used to soften repetitive pull. When thinning skin is the cause, your Skin Rebuild Protocol + under‑eye package strengthens the foundation so lines don’t etch deeper.
Upper Eyelid Lift
Droopy eyelids can now be addressed with a minimally invasive treatment to lift and tighten sagging upper eyelid skin using Agnes RF technology or Fractional CO2.
Fractional CO₂ Laser — Advanced Wrinkles, Crepey Skin & Sun Damage
Fractional CO₂ is a fabulous treatment — it does come with downtime, but the results are unmatched. It’s ideal for patients who want the greatest improvement in under‑eye wrinkles, crepey texture, sun damage, and mild volume loss in the shortest amount of time.
It resurfaces the skin by removing damaged layers and triggering deep collagen remodeling, revealing smoother, tighter, brighter under‑eye skin.
Best For: advanced wrinkles, etched lines, crepey skin, sun damage, mild volume loss.
- Sessions: 1–2
- Downtime: 5–7 days
- Results: visible in 1–2 weeks; continue improving for 3 months
- Enhancement: Exosomes applied post‑treatment to accelerate healing and boost brightness
Concern → Solution Matrix
| Concern | Best Solution | Why It Works |
|---|---|---|
| Under‑Eye Bags / Fat Pads | Agnes RF | Targets fat pads + tightens skin without surgery |
| Crepey Skin / Fine Lines | Scarlet RF or CO₂ Laser | Collagen rebuild + texture improvement |
| Dark Circles / Thin Skin | PDRN / Exosomes | Brightens, thickens, improves hydration |
| Crepey Skin + Dark Circles + Mild Volume Loss | Microneedling Package (Exosomes + PN + Peptides) | Stimulates collagen repair, improves brightness, enhances firmness, restores cellular signaling |
| Severe Hollows / Structural Volume Loss | MD‑Performed Under‑Eye Filler | Provides structural lift, reduces shadowing, and smooths transition |
Treatment Modalities and Downtime Comparison
| Treatment | Best For | Strength | Downtime |
|---|---|---|---|
| Microneedling | Collagen / Smoothing | Medium | 1-2 days |
| AgnesRF Precision RF Microneedling | Tightening, crepiness | Medium | 1–2 days |
| AgnesRF Targeted RF Fat‑Pad Reduction | Under‑eye bags | High | 3–7 days |
| Fractional CO₂ Laser | Wrinkles, crepiness | High | 5–7 days |
- Agnes RF — Best for bags; shrinks fat pads; 3–7 days downtime
- Scarlet RF — Best for crepiness; firms thin skin; minimal downtime
- Morpheus8 — Best for deeper tightening; 2–4 days downtime
- CO₂ Laser — Best for texture + etched lines; advance wrinkles 3–7 days downtime
- Fillers — Best for hollowing; immediate results
- Exosomes — Best for brightness + healing; no downtime
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
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.
Virtual or in‑office consultations are available.
Related Treatments
- Agnes RF for Facial Contouring — best for fat‑pad reduction and under‑eye contouring
- Scarlet RF Microneedling — smooth fine wrinkles, tightens crepey skin.
- CO₂ Laser Resurfacing — brightens pigment and smoothing etched 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 — lifting midface laxity that worsens under‑eye hollowing
Frequently Asked Questions
How do I know which under‑eye treatment I need?
It depends on the cause — bags (fat pads), wrinkles (collagen loss), dark circles (thin skin or pigmentation), or hollowing (volume loss). We evaluate the structure, skin quality, and fat‑pad position to create a precise plan. Learn more: Under‑Eye Concerns We Treat
How long do under‑eye treatments last?
Results vary by treatment: Treatment Comparison
Agnes RF: long‑term fat‑pad reduction
RF microneedling: 1–2 years
CO₂ resurfacing: 1–3 years
Fillers: 9–18 months
Exosomes: ongoing skin improvement Explore options: <a href="http://<h2 id="treatment-comparison" class="wp-block-heading">Treatment Comparison
Is there downtime for under‑eye treatments?
Downtime ranges from none (exosomes, fillers) to 3–7 days (Agnes RF or CO₂). Most patients return to normal activities quickly. See details: Under‑Eye Treatment Downtime
Can under‑eye bags be fixed without surgery?
Yes. Agnes RF shrinks fat pads without incisions, and RF microneedling tightens the skin. Most mild‑to‑moderate bags can be corrected non‑surgically. More info: Agnes RF for Bags
What’s the best treatment for dark circles?
It depends on the cause:
Thin skin → RF microneedling or CO₂
Pigmentation → resurfacing + exosomes
Shadowing → fillers
Mixed causes → combination plan Learn more: <a href="http://<a href="#dark-circles">Dark CirclesDark Circles
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. More: CO₂ Resurfacing
Are fillers safe under the eyes?
Yes when done conservatively and with the correct technique. Fillers restore volume and reduce shadowing, but they must be placed precisely to avoid puffiness. More: Under‑Eye Fillers
Under‑Eye Treatments Near You
Cosmetic Laser Solutions MedSpa provides advanced under‑eye treatments — including Agnes RF, RF microneedling, CO₂ resurfacing, fillers, and exosomes — for patients across the Greater Boston and Southern New Hampshire region.
Serving patients from: Andover, North Andover, Methuen, Lexington, Haverhill, Tewksbury, Wilmington, Reading, North Reading, Stoneham, Woburn, Burlington, Wakefield, Lynnfield, Peabody, Danvers, Middleton, Cambridge, Somerville, Beverly, Boston and surrounding areas.
Phone: 857‑288‑8257 Cosmetic Laser Solutions MedSpa
Book online or Fill out our online form and we will contact you.
Virtual or in-office consultations are available.