Why it happens?
The under-eye has the thinnest skin on the face, so volume loss, pigmentation and underlying blood vessels show easily as hollows and dark circles. Fatigue, genetics, sun exposure and collagen loss all contribute — and because the cause differs from person to person, the right treatment depends on whether your concern is hollowing, pigment, thin skin or a mix.
The under-eye shows concerns easily because its skin is the thinnest on the face. Loss of volume creates hollows and shadows; thin skin reveals underlying blood vessels as a bluish or dark tint; pigmentation can darken the area, especially with sun exposure or genetics; and fatigue and fluid can cause puffiness. Because these causes look similar but need different treatment, identifying the real driver is the first step.
The SŌMA Approach
The under-eye is the most delicate area of the face, so at SŌMA it is only ever treated by our doctors, who first identify the true cause — hollowing, pigment, thin skin or a mix — before recommending anything. We favour natural, gradual approaches and are cautious about over-treating this sensitive area. Your doctor tailors the plan to the specific cause of your concern.
How We Choose for You
As general guidance, structural hollows are often addressed by restoring volume, while thin, crepey skin and dark circles from skin quality tend to suit natural, regenerative approaches that build collagen gradually. Pigment-driven circles are managed differently again. Your doctor assesses what's driving your under-eye concern before advising.
Treatments for the Under-Eye Area
Gentle, natural options ideal for the delicate eye area.
How the treatments compare
Treatment | Best For | Downtime | Full results take up to | Longevity of results |
|---|---|---|---|---|
PRF & PRF Bio-Filler | Natural volume & skin quality (thin skin) | 1-3 days | 2-6 weeks / course | 6-12 months |
Dermal Fillers | Structural hollows & tear troughs | Minimal (1-3 days) | Immediate | 9-18 months |
Skin Boosters | Hydrating delicate under-eye skin | Minimal | 1-2 weeks | 4-6 months |
Profhilo | Firmness around the eyes | Minimal | 2-4 weeks | 6-12 months |
Why Choose SŌMA
Doctor-Only Treatment
The under-eye is the most delicate area of the face, so it's only ever treated by our doctors — never delegated. Under the direction of Dr. Shirley Yuliana Kwee, our team has treated thousands of patients and assesses the true cause before recommending anything.
Accredited & Licensed
As the only fully licensed specialist longevity clinic on the Bukit Peninsula, SŌMA holds the highest level of specialist clinic license in Indonesia and is the only clinic in Bali following Singapore standards of care, under the medical direction of Dr. Shirley Yuliana Kwee.
Personalised Care
Every treatment begins with a one-to-one doctor consultation to assess your concern and design a personalised plan — never a one-size-fits-all approach.
Results and expectations
Under-eye results build gradually with natural approaches, and how much improvement is realistic depends on the cause — hollowing and thin skin respond well, while genetic or pigment-driven circles may improve rather than disappear. Individual response varies, and your doctor will be honest about what to expect.
Frequently Asked Questions
What causes dark circles and under-eye hollows?
+
The under-eye has the thinnest skin on the face, so volume loss, pigmentation and underlying blood vessels show easily as hollows and dark circles. Fatigue, genetics, sun exposure and collagen loss all contribute. Because the cause differs from person to person — hollowing, pigment, thin skin or a mix — the right treatment depends on which is driving your concern, which we assess at consultation.
What's better for under-eyes — filler or PRF?
+
It depends on the cause. Fillers give immediate volume and are best for clear structural hollows and tear troughs. PRF and PRF bio-filler, made from your own blood, improve skin quality, thickness and dark circles gradually and are especially suited to thin, crepey under-eye skin, with no risk of the bluish 'Tyndall' effect fillers can cause. Many people get the best result from a combination, which we'll tailor to you.
Is under-eye filler safe?
+
In experienced medical hands, yes — but the under-eye is one of the most delicate and technically demanding areas, so it should only be done by a qualified doctor. Poorly placed filler can look puffy or bluish or migrate. At SŌMA all under-eye treatments are doctor-performed with careful assessment, and for those who prefer to avoid synthetic filler, natural PRF bio-filler is an excellent alternative.
How long do under-eye treatments last?
+
It varies: PRF results build over weeks and typically last 6-12 months; under-eye filler can last 9-18 months; skin boosters and Profhilo are usually maintained every 6-12 months. Because the area is delicate, we favour gradual, natural approaches and a sensible maintenance schedule rather than overcorrecting.
Will treatment get rid of my dark circles completely?
+
It depends on the cause. Dark circles from hollowing and thin skin respond well to volume and regenerative treatments. Circles from pigmentation or genetics may improve but not vanish entirely, and are best managed with a combined approach plus sun protection. We'll be honest at consultation about how much improvement is realistic for your specific under-eyes.
How many PRF sessions do I need for under-eyes?
+
Most people see the best results from a course of 2-3 PRF sessions spaced about 4 weeks apart, as it works by gradually building collagen and improving skin quality. Some improvement is often visible after the first session. Maintenance every 6-12 months keeps the area looking refreshed. Your doctor will confirm your plan at consultation.