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Causes & Treatments for Under Eye Bags, Dark Circles, and Hollows

We all want our eyes to look bright, awake, and youthful. The problem is, with under-eye bags, hollows, dark circles, and fine lines, we can’t seem to get them to reflect that same enthusiasm we truly feel! Luckily for you though there are non-surgical solutions to restore youthful vibrance to your eyes while reducing the need for concealer application.

Continue reading to learn more about our cosmetic dermatology and aesthetic services that offer amazing, beautiful, youthful results for the under eyes, including:

  • Botox
  • laser and light treatments
  • microneedling
  • under eye filler

Medical-grade skincare products also produce amazing results, alone and in combination with in-office treatments, depending on your own needs and goals.

First, Let’s Look at the Causes for Your Under Eye Woes

The skin around your eyes is very thin, delicate, and sensitive, and it can be affected by many factors. Common causes for under-eye imperfections include genetics, aging, health conditions, sun exposure, and even lifestyle.


As we get older, our skin loses suppleness and volume, resulting in sagging, bags, hollows, and fine lines. When we were younger, the body’s cells would replenish the youthful building components rapidly. However, as time passes, the breakdown continues at the same rate while the body takes longer to restore youthful components like collagen, elastin, and hyaluronic acid. Of course, gravity isn’t on your side.


Dark circles, lines, and under-eye bags are all common symptoms of allergies. The eyes are particularly vulnerable to allergy symptoms. The delicate under-eye area is irritated by dryness, itching, and swelling, which many allergy sufferers experience when they rub their eyes.

Sun Damage

Another cause is the sun, which makes under-eye bags and fine lines appear worse. Collagen is broken down by UV radiation, therefore avoiding the sun or using sunscreen as much as possible is beneficial to your under-eye area as well as your whole body. Furthermore, if you don’t use UV-protective sunglasses whenever you’re in the sun, squinting and UV penetration can cause wrinkles and other skin damage.

Sleep Deprivation

Sleep deprivation can cause under-eye bags, creases, and dark circles since it prevents your body from generating enough moisture to soften tissue around the eyes.

How to Get Rid of Under-Eye Bags, Hollows, and Fine Lines

Surgery isn’t for everyone. While some people will have better results with a blepharoplasty (eye lift surgery), many will benefit from less invasive, non-surgical procedures with little-to-no downtime. Procedures like the ones listed above, as well as a skincare regimen that includes medical-grade skincare items, may help you seem younger and more refreshed.

BOTOX for Fine Lines

Another alternative for under-eye rejuvenation is Botox. Botox may be used to temporarily relax the line-producing muscles around the eyes. This reduces the appearance of lines and prevents them from getting worse. Botox is fantastic for eye area wrinkles like crow’s feet, frown lines between the brows, and under-eye lines, helping you look more refreshed and youthful.

Laser and Light Treatments

Treatments that stimulate cellular turnover can help reduce imperfections like lines, wrinkles, darkened skin patches, and laxity. Laser resurfacing is often used to improve wrinkles, acne scars, and sun damage. Laser resurfacing can be done with either an ablative or non-ablative laser. Ablative lasers remove the top layer of skin and are more effective at treating wrinkles and acne scars. Non-ablative lasers don’t remove the top layer of skin, but they can still help improve wrinkles, dark circles, and lines. Light treatments like our BBL (broadband light) address pigmentation, redness, and aging.

Microneedling: Collagen Induction Therapy & Skin Resurfacing

Microneedling is one of our most requested skin rejuvenation procedures, and it’s used to improve the appearance of the skin in a variety of ways. This involves puncturing the skin with tiny needles to promote collagen synthesis. This reduces under-eye bags, dark circles, and fine wrinkles.

Under-Eye Filler

With cosmetic fillers, you can reduce under-eye bags and hollows. We use them to plump up sagging skin and smooth out wrinkles, as well as under-eye bags. Dermal fillers are a long-term but temporary solution that restores broken-down hyaluronic acid and encourages natural moisture to the area by drawing natural moisture from within the body. This repairs any volume loss and softens the region for a more youthful, revitalized appearance.

Which Under Eye Treatments Are Right For You?

What treatments we recommend for you depends on a personalized consultation with our dermatology and aesthetics team. We will examine your eye area, collect your medical history, and discuss options suitable for your needs and goals. Your health and safety are our top concerns. Our team will recommend treatments that are both safe and effective for you to ensure the best outcomes.

Medical-Grade Skin Care Products for Under Eye Care

Whether you want to brighten your eyes or reduce lines and puffiness, there are amazing professional skincare products from trusted brands that can provide you with superior results. Depending on your needs, you can use these products alone or with treatments administered here in our Indianapolis dermatology practice. Our dermatology and aesthetic providers can guide you on the best products and how to use them to achieve results.

Why You Should Choose the Laser and Skin Surgery Center of Indiana

Our team of dermatology and aesthetic providers, led by board-certified dermatologist Dr. C. William Hanke, offers medical and cosmetic dermatology services plus aesthetic skincare treatments, all designed to help you look good and feel great. Additionally, we are a clinical testing site, conducting critical research into new dermatology treatments. Finally, Dr. Hanke is a leader in dermatology, having held multiple leadership roles in elite dermatology associations and boards, including the American Society for Dermatologic Surgery (ASDS) and the American Academy of Dermatology (AAD).

When you come to the LASSI, you’re trusting your care to a team dedicated to raising the bar on dermatology care for everyone.

Schedule a Consultation with our Indianapolis Dermatology Team

Are you ready to address your under eye woes? Schedule a consultation with our Indianapolis dermatology team at the Laser and Skin Surgery Center of Indiana. We can’t wait to meet you and help you love your look.