Under-eye bags can make you look tired even when you feel rested. In many cases, the concern is not caused by one single factor. Volume loss, thin skin, fine lines, shadowing, and changes in the tissue beneath the eyes can all affect how the area looks.
At Aion Aesthetics, Dr. Akis, FNP, DNP, offers under-eye rejuvenation options including PDGF-BB, platelet-rich plasma (PRP), and platelet-rich fibrin (PRF), with treatment recommendations tailored to each patient’s concerns. These under-eye bag treatments in New York City focus on concerns that can contribute to a tired-looking under-eye area, including skin quality, fine lines, crepey texture, and mild hollowing. True under-eye bags caused by prominent fat pads or significant tissue laxity may require a different treatment approach.
Table of Contents
- Why the Under-Eye Area Changes
- Our Under-Eye Rejuvenation Options
- How Dr. Akis Chooses Between PDGF-BB, PRP, and PRF
- What to Expect From Treatment and Recovery
- Frequently Asked Questions
Why the Under-Eye Area Changes
The skin beneath your eyes is naturally thin and delicate. As collagen production declines over time, the skin can become thinner, less firm, and more crepey. Changes in the surrounding facial structure can also deepen the tear trough, creating shadows that make the area look more hollow or tired.
Genetics, pigmentation, visible blood vessels, and fluid retention can also influence the appearance of dark circles and puffiness. Because several factors may contribute, identifying the source of the concern is an important part of choosing the right treatment.
Under-eye changes require a careful, individualized assessment. When Dr. Akis evaluates the under-eye area, he looks at all of these contributing factors together to determine which under-eye bags treatment in New York City is the most appropriate. Finding an effective treatment can meaningfully improve skin quality, texture, or mild volume changes.
Our Under-Eye Rejuvenation Options
At Aion Aesthetics, Dr. Akis offers PDGF-BB, PRP, and PRF treatments as part of an individualized approach to under-eye rejuvenation. Each option has different characteristics, potential benefits, and limitations.
In the under-eye area, this means encouraging healthier skin quality, improved collagen support, and better overall tissue function so the area can gradually become more refreshed.
Because each method works through a different biological pathway, the results produced can vary. The goal is to improve the appearance of the under-eye area through treatments selected according to each patient’s anatomy, concerns, and individual needs.
How PDGF-BB Works
PDGF-BB stands for “platelet-derived growth factor BB.” It is a signaling protein that helps support the body’s natural repair process, including cell renewal, collagen production, and the formation of small blood vessels.
At Aion Aesthetics, Dr. Akis uses Ariessence Pure PDGF for under-eye rejuvenation. It delivers a consistent, lab-made form of PDGF-BB and does not require a blood draw.
Dr. Akis typically uses PDGF-BB for:
- Crepey texture
- Fine lines
- Mild hollowing
- Darkness and shadowing
- Tissue quality
For patients considering getting an under-eye bags treatment in New York City, PDGF-BB is one of the options Dr. Akis considers when addressing concerns related to under-eye skin quality and appearance.
How PRP Works
PRP, or platelet-rich plasma, is prepared from a patient’s own blood and contains a concentrated level of platelets that release growth factors. Dr. Akis collects the PRP through a simple blood draw, then processes it to concentrate the platelets within the plasma. With a series of injections, he strategically places the PRP into targeted areas beneath the eyes.
When Dr. Akis uses PRP beneath the eyes, it can support collagen production and improve the quality of skin that looks thin, dull, or crepey.
Because PRP comes from the patient’s own blood, its preparation is individualized. Dr. Akis carefully manages collection, processing, and placement for the delicate under-eye region.
How PRF Works
At Aion Aesthetics, we also offer PRF, or platelet-rich fibrin. Like PRP, it starts with Dr. Akis drawing your blood and spinning it in a centrifuge. The processing method creates a platelet-rich solution within a unique fibrin matrix.
That fibrin network is the key distinction between PRF and PRP. The fibrin matrix acts as a scaffold that holds platelets and allows growth factors to release more slowly over time when compared to PRP.
Dr. Akis typically recommends PRF for concerns such as fine lines, crepey texture, mild hollowness, dark circles related to tissue quality, and declining collagen.
Those looking for an under-eye bags treatment in New York City may value PRF because it uses their own blood components, making it a natural regenerative treatment.
How Dr. Akis Chooses Between PDGF-BB, PRP, and PRF
When you choose Aion Aesthetics for your under-eye treatment, you receive a personalized experience. Dr. Akis selects the best regenerative option based on your concerns and goals, making the entire process tailored to you.
When necessary, Dr. Akis uses Clarius ultrasound guidance to further explore skin quality by looking at fat, muscle, blood vessels, and each layer of the skin. This helps inform his treatment selection and, when injections are appropriate, guides treatment planning and placement.
Dr. Akis also considers skin thickness, texture, tear trough depth, facial support, previous treatments, medical history, and patient preferences. This individualized approach gives our patients seeking under-eye bags treatment in New York City a plan based on their anatomy and any localized concerns.
What to Expect From Treatment and Recovery
Dr. Akis recommends a personalized treatment schedule based on the option selected, the condition of the under-eye area, and the patient’s individual goals. Each appointment takes around 60 minutes, although Dr. Akis adjusts the treatment plan based on the regenerative option he selects, the condition of the under-eye area, and how your tissues respond between sessions.
During Your Treatment
Your appointment will vary depending on the treatment selected. PRP and PRF are prepared from a sample of your own blood, while PDGF-BB is a laboratory-produced growth factor that does not require blood collection. Each treatment has its own preparation and administration considerations.
Before treatment, Dr. Akis evaluates and maps the under-eye area based on your anatomy and the concerns identified during your assessment. The application or administration method depends on the treatment selected.
After Your Treatment
Because the under-eye area is delicate, mild swelling or bruising can occur after treatment. Dr. Akis recommends planning for approximately 2 to 5 days of possible swelling or bruising, although recovery varies from patient to patient.
If you have professional photos, travel, a wedding, or another important event coming up, allow enough time for the area to settle rather than scheduling treatment immediately beforehand.
When Results Develop
Unlike dermal fillers, which provide immediate volume, these under-eye treatments are intended to address skin quality and appearance over time. Individual responses vary, and visible improvement is not guaranteed.
When planning your under-eye bags treatment in New York City, Dr. Akis explains the full timeline in advance so you know what to expect during treatment, through recovery, and as your results develop.
Frequently Asked Questions
Under-eye rejuvenation treatments differ in how they are prepared, administered, and used to address individual concerns. Dr. Akis places them in the tissue. Keep reading to get answers about our regenerative treatments to explore which one fits your needs.
Is there downtime after under-eye rejuvenation treatments?
After receiving under-eye bags treatment in New York City, patients should expect some temporary swelling or bruising. These effects typically last for 2 to 5 days. While you may feel comfortable returning to normal activities sooner than that timeframe, you should plan carefully around photographs, travel, weddings, or other important events.
Do you use PDGF-BB, PRP, and PRF for other treatments?
PRP, PRF, and PDGF-BB are also used in different approaches to facial and scalp rejuvenation, depending on the treatment and intended application. At Aion Aesthetics, Dr. Akis can use PRP and PRF for broader facial rejuvenation, including fine lines, declining skin quality, and certain scars.
They can also complement microneedling when the goal is more widespread skin renewal. PDGF-BB can be used for hair restoration and scalp health to support thinning hair and scalp health as well.
Do I need a consultation before under-eye treatment?
A separate consultation appointment is not required, as Dr. Akis evaluates your under-eye anatomy, medical history, and treatment goals before proceeding with any treatment. The under-eye area can look tired for many reasons, so evaluating skin thickness, hollowing, texture, and surrounding facial support helps him determine next steps.
Plan Your Under-Eye Rejuvenation at Aion Aesthetics
PDGF-BB, PRP, and PRF offer different approaches to under-eye rejuvenation, allowing Dr. Akis to personalize treatment recommendations based on each patient’s anatomy and goals.
If you are searching for an under-eye bags treatment in New York City, schedule an appointment with Dr. Akis. He can evaluate your under-eye anatomy, explain how our regenerative options differ, and recommend a plan based on your skin, priorities, and goals.
