Ask Paul, our Clinical Director, where he would never put filler, and the answer comes quickly: under the eyes, when the problem is bags. It surprises people, because under-eye filler is one of the most talked-about treatments online. In this short video he explains why we take a different approach at our Brentwood clinic.
Paul appears in real video filmed at our clinic; his voice in this video is AI-generated and lip-synced, made with his consent. The treatment footage is real and filmed with consent.
Why filler and under-eye bags don't mix
Bags under the eyes are usually caused by a mix of things: fat that has moved forward with age, fluid that collects overnight, and skin that has become thinner and less supportive. Filler adds volume. When the area is already puffy, extra volume can sit heavy, catch the light and make the puffiness more noticeable, not less.
The skin under the eye is also among the thinnest on the face. Product placed there can show through as a bluish tinge or a soft ridge, and it can be slow to settle. That is why we are cautious, and why we start with what is actually causing the problem.
What we look at first
Every under-eye consultation starts with questions and a close look. Is the skin thin and crepey? Is the area dark and tired-looking? Is there hollowing, or a little laxity, that makes the bag look bigger by contrast? The answers point to very different treatments.
Thin, crepey skin: skin boosters
Skin boosters are a course of small injections designed to improve hydration and the quality of the skin itself. They don't add bulk, so they suit an area where volume is the last thing you want. Over a course of sessions, many people find the skin looks smoother and less crepey.
Dark and tired: PRP
PRP stands for platelet-rich plasma. We take a small blood sample, spin it to concentrate the platelets, and use your own plasma to support the skin. It is often chosen by people who want a fresher, less tired look using something from their own body.
Hollowing and laxity: fine threads
Where a little support has been lost, fine threads can help. They are placed under the skin to encourage collagen and give gentle support, and they gradually dissolve over time. The aim is a refreshed look, not a change in who you are.
Frequently asked questions
Can I just have filler anyway?
Some people with true hollowing, and no puffiness, can be suitable for very careful filler. That is a decision we only make after a consultation. If filler is likely to make your bags worse, we will tell you honestly.
How many sessions will I need?
It depends on the treatment. Skin boosters and PRP are usually a course; threads are often a single session. We will give you a clear plan at your consultation.
Will people be able to tell?
The aim is that friends notice you look well rested, not that you have had something done.
Is there any downtime?
Some redness, swelling or small bruises are possible for a few days. We go through aftercare with you in detail.
Looking after the skin around your eyes
Good habits help any treatment last. Sleep, hydration, daily sun protection and a gentle eye cream all support the delicate skin under the eyes. We are happy to talk through simple routines at your appointment.
If you are fed up with under-eye bags and want an honest view of what will actually help, come and talk to us at 39 Kings Road, Brentwood.
Book a consultation
Results vary. Treatments are for adults aged 18 and over and are subject to a consultation.
Results vary from person to person. Every treatment starts with a consultation with a registered clinician.