Undereye Circles NYC

At her Upper East Side practice in New York City, board-certified dermatologist Dr. Marie V. Hayag provides comprehensive evaluation and treatment for undereye circles, hollowness, and discoloration. Causes such as pigmentation, vascular visibility, volume loss, and skin thinning are carefully assessed to develop a personalized treatment plan.

Using a combination of injectables, laser therapies, and collagen-stimulating treatments, care is designed to restore a brighter, refreshed appearance while maintaining natural facial balance.

Undereye circles are common cosmetic concerns caused by multiple factors, including pigmentation, vascular visibility, volume loss, and thinning skin. They may appear brown, blue, purple, or gray depending on the underlying cause. Accurate diagnosis is essential for safe and effective, multi-modality treatment.

Undereye circles are often multifactorial, meaning they result from a combination of structural, vascular, pigmentary, and skin-quality changes rather than a single cause.

Common contributing factors include:

• Hyperpigmentation: Excess melanin causing brown discoloration
• Vascular visibility: Thin skin revealing blue, purple, or red tones from underlying blood vessels
• Volume loss: Tear trough hollowing that creates shadowing beneath the eyes
• Skin thinning: Age-related collagen loss making the area more translucent
• Genetics: Inherited facial structure or pigment patterns
• Allergies and chronic rubbing: Can worsen inflammation and discoloration
• Lifestyle factors: Fatigue, stress, and dehydration can make undereye circles more noticeable

Because each cause requires a different treatment approach, accurate diagnosis by a board-certified dermatologist is essential for safe, effective correction.

Platelet-Rich Plasma (PRP) and Platelet-Rich Fibrin (PRF) are regenerative treatments derived from your own blood that use growth factors to improve skin quality and stimulate collagen production.

• Improves skin thickness and elasticity
• Reduces dark circles caused by thinning skin
• Enhances overall undereye texture and tone

Patients with skin thinning, mild discoloration, or early undereye aging.

Hyaluronic acid-based dermal fillers are used to restore volume in the tear trough area and reduce hollowing beneath the eyes.

• Reduces undereye hollowness
• Softens shadowing that creates dark circles
• Improves smoothness between the lower eyelid and cheek

Patients with volume loss or structural hollowing contributing to undereye circles.

Neuromodulators are injectable treatments that relax targeted muscles to reduce dynamic wrinkles and soften tension around the eyes.

• Softens crow’s feet
• Reduces muscle-related shadowing
• Improves overall eye-area appearance

Patients with dynamic wrinkles or muscle-related contributions to undereye aging.

A radiofrequency microneedling treatment that delivers controlled heat into deeper layers of the skin to stimulate collagen remodeling.

• Improves skin thickness and firmness
• Reduces crepey texture
• Enhances overall skin quality

Patients with skin laxity or thinning contributing to undereye concerns.

Ultrasound-based technologies that stimulate collagen production in deeper layers of the skin.

• Tightens and lifts delicate skin around the eyes
• Improves structural support
• Enhances long-term skin firmness

Patients with mild to moderate skin laxity seeking non-invasive tightening.

Laser and light-based treatments use targeted energy to improve pigmentation, vascular discoloration, and overall skin quality in the undereye area.

Technologies may include:

• Clear + Brilliant
• BBL HERO IPL
• Vbeam
• Aerolase Neo Elite

• Improves pigmentation and discoloration
• Reduces vascular redness
• Enhances skin tone and clarity

Patients with pigment-based or vascular undereye discoloration.

Gentle, physician-directed chemical peels designed for delicate skin.

• Improves mild pigmentation
• Enhances skin brightness
• Refines texture

Patients with superficial pigmentation or dull skin tone.

A customized combination of treatments targeting multiple causes of undereye concerns.

• Addresses pigmentation, volume, and skin quality together
• Provides balanced, natural-looking results

Most patients, as undereye concerns are typically multifactorial.

Undereye treatments are typically performed in-office and are tailored to the selected modality.

• Injectables (fillers, PRF/PRP): Mild swelling or bruising may occur and typically resolves within several days
• Laser and light treatments: Temporary redness or sensitivity may occur for a few days
• Collagen-stimulating treatments: Gradual improvement develops over several weeks as new collagen forms

Most patients require a series of treatments or combination therapy for optimal results. Because the undereye area is delicate, conservative techniques and precise placement are essential to achieving smooth, natural-looking outcomes.

The best treatment for undereye circles depends on the underlying cause. Volume loss is typically treated with dermal fillers, while pigmentation and vascular discoloration may respond better to laser or light-based therapies. Many patients benefit from a combination approach that addresses multiple contributing factors for optimal results.

The undereye area is one of the most delicate and technically challenging areas to treat. At Marie Hayag MD, treatment is guided by advanced dermatologic expertise and a detailed understanding of facial anatomy.

At Marie Hayag, MD in New York City, patients benefit from:

• Care from board-certified dermatologist Dr. Marie V. Hayag
• Precise diagnosis of pigmentation, volume loss, and vascular causes
• Advanced injectable, laser, and regenerative treatment options
• Conservative techniques for natural-looking results
• Personalized treatment plans tailored to individual anatomy

This physician-led approach ensures safe, subtle, and effective undereye rejuvenation.

Undereye circles can result from multiple underlying causes, making accurate diagnosis essential for effective treatment. At Marie Hayag MD in New York City, every patient receives a comprehensive evaluation to determine whether pigmentation, volume loss, vascular visibility, or skin thinning is contributing to their concerns.

Schedule your consultation today to receive a personalized treatment plan designed to brighten and refresh the undereye area.