Undereye Circles NYC

Advanced Dermatologic Care for Dark Circles & Tear Troughs

At her Upper East Side practice, 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.

A Brief Overview of Undereye Circles

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.

What Causes Undereye Circles?

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.

Undereye Circle Treatment Options

PRF/PRP for Undereye Rejuvenation

Definition:

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.

What it helps with:

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

Who it’s ideal for:

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

PRF/PRP for Undereye Rejuvenation

Dermal Fillers for Tear Troughs

Definition:

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

What it helps with:

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

Who it’s ideal for:

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

Dermal Fillers for Tear Troughs

Neuromodulators (Botox, Dysport, Jeuveau, Xeomin)

Definition:

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

What it helps with:

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

Who it’s ideal for:

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

Neuromodulators

Morpheus8 RF Microneedling

Definition:

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

What it helps with:

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

Who it’s ideal for:

Patients with skin laxity or thinning contributing to undereye concerns.

Morpheus8 RF Microneedling

Sofwave & Ultherapy Skin Tightening

Definition:

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

What it helps with:

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

Who it’s ideal for:

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

Sofwave & Ultherapy Skin Tightening

Laser & Light-Based Treatments

Definition:

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

What it helps with:

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

Who it’s ideal for:

Patients with pigment-based or vascular undereye discoloration.

Laser & Light-Based Treatments

Chemical Peels for Undereye Brightening

Definition:

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

What it helps with:

  • Improves mild pigmentation
  • Enhances skin brightness
  • Refines texture

Who it’s ideal for:

Patients with superficial pigmentation or dull skin tone.

Chemical Peels

Comprehensive Eye Rejuvenation

Definition:

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

What it helps with:

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

Who it’s ideal for:

Most patients, as undereye concerns are typically multifactorial.

Eye Rejuvenation

What to Expect During Treatment & Recovery

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.

What Is the Best Treatment for Undereye Circles?

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.

Why Choose Marie Hayag, MD for Undereye Treatment?

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, 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.

Expert Undereye Rejuvenation Begins with Accurate Diagnosis

Undereye circles can result from multiple underlying causes, making accurate diagnosis essential for effective treatment. At Marie Hayag MD, 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.

Refined Dermatology, Aesthetic, And Regenerative Care

Excellent rating
Based on 110 reviews
Google star 1Google star 2Google star 3Google star 4Google star 5
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Hayag has been my excellent dermatologist for more than 20 years! I won’t reveal my secrets but I will recommend her highly!
Phyllis Lee profile picture
Phyllis Lee
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had an amazing experience with Dr. Hayag! I went in for a preventative skin check and botox. She is incredibly thorough, knowledgeable, and precise. I can't wait for my next visit!
Rachel Ancel profile picture
Rachel Ancel
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Hayag has been my dermatologist since I was young, and I truly cannot recommend her highly enough. She treated my acne when I was younger, and I have continued to see her over the years for any skin concerns that come up. She is always incredibly thorough, knowledgeable, and caring, and I completely trust her. On top of that, her entire staff is so warm, kind, and lovely, which makes every visit such a positive experience. I’m so grateful to have had her as my dermatologist for so many years.
Katie profile picture
Katie
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Landy Aguiar profile picture
Landy Aguiar
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My entire family has been seeing Dr Hayag for over a decade for general dermatology. She’s extremely knowledgeable and provides the best level of care and advice. She’s been equally good for my kids as teens and young adults, focusing on prevention and healthy skin habits. The entire staff is kind and friendly, keeps appointments on time and has great communication. I’m a patient for life - a wonderful doctor and practice.
Patricia Falconi profile picture
Patricia Falconi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Hayag is an amazing doctor. Very caring and gentle with her patients. I have been with her for years and will continue to be with her. I highly recommend her.
Ann Nellissen profile picture
Ann Nellissen
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Everyone in the office is so kind and sweet to me I appreciate how they take their time to address my concerns
mimi chung profile picture
mimi chung
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My visit to Dr. Hayag’s Office was superb. No waiting, lovely professional help and Dr. Hayag with an easy confident manner, artistic eye and quick hands managed to make my experience the best ever. I’m so grateful to be in her care.
mary Conley profile picture
mary Conley
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
⭐️⭐️⭐️⭐️⭐️ Dr. Hayag is an extraordinary dermatologist whose expertise, compassion, and commitment to excellence are unmatched. I have been under her care for over 15 years, and she remains the only dermatologist I trust implicitly. I travel from out of state, over two hours each way for my appointments, which speaks volumes about the caliber of her care. Dr. Hayag’s mastery of dermatology is second to none. She stays at the forefront of innovation, continually advancing her practice by attending leading dermatology conferences and incorporating the most cutting-edge techniques and treatments. Yet what truly distinguishes her is not just her knowledge, but her humanity. She takes the time to listen, to educate, and to ensure her patients feel understood and empowered in every decision. Her genuine care and personal attention are evident in every interaction. She is meticulous, insightful, and wholly dedicated to achieving the best outcomes for her patients. Her office reflects her professionalism and taste, immaculate, serene, and inviting. Her staff embodies the same warmth and excellence she brings to her work, creating an environment that feels both luxurious and deeply personal. Dr. Hayag represents the gold standard in dermatology: exceptional skill, unwavering integrity, and a sincere devotion to her patients’ well-being. I highly and wholeheartedly recommend her to anyone seeking the very best in dermatologic care.
Mary Ann M profile picture
Mary Ann M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My favorite mult-generational doctor! A long-time patient, I trust her judgment and skills so much that I've sent my daughters to Dr. Hayag too!
Bee-Ann Benson profile picture
Bee-Ann Benson

Your Care Begins With A Conversation

Frequently Asked Questions

What causes undereye circles?-+

Undereye circles can result from pigmentation, thinning skin, visible blood vessels, volume loss, genetics, allergies, or lifestyle factors such as fatigue and stress.

Can dark circles be treated without surgery?-+

Yes. Most undereye concerns can be improved with non-surgical treatments such as PRF/PRP, dermal fillers, laser therapy, and collagen-stimulating procedures.

Are undereye treatments safe for all skin types?-+

Yes. Treatments are carefully selected and customized to ensure safety and effectiveness across all skin tones.

Is filler the best treatment for undereye circles?-+

Not always. Fillers are ideal for volume loss, but many patients require combination therapy depending on the underlying cause.

How long do undereye filler results last?-+

Results typically last 9-18 months, depending on the product used and individual metabolism.

What is PRF or PRP for undereye circles?-+

PRF and PRP are regenerative treatments that use your body’s own growth factors to improve skin thickness, texture, and overall undereye quality.

How long does it take to see results?-+

Some treatments provide immediate improvement, while others, such as PRF/PRP or collagen stimulation, develop gradually over several weeks.

Is there downtime after undereye treatment?-+

Most treatments involve minimal downtime, though mild swelling or bruising may occur temporarily.

Can skincare alone fix dark circles?-+

Skincare may help mild cases, but moderate to severe undereye circles typically require physician-guided treatments.

Why do my undereye circles make me look tired?-+

Shadowing, hollowing, and discoloration can create a fatigued appearance even when you are well-rested.

Expert Undereye Rejuvenation Begins with Precise Dermatologic Evaluation

Undereye circles vary widely in cause and appearance, making accurate diagnosis essential before treatment begins. At Marie Hayag MD, care starts with a comprehensive physician-led evaluation to determine whether pigmentation, volume loss, vascular visibility, or skin quality is contributing to the concern.

Schedule your consultation at Marie Hayag, MD to receive a comprehensive undereye evaluation and a personalized treatment plan designed for safe, natural-looking rejuvenation.

Call 212-722-2055

Give Us A Call

212.722.2055

Request an Appointment

Request an appointment