ProMD Health - Frequently Asked Questions(FAQ)

16.12.2025

Say Goodbye to Dark Circles: The Magic of PRP for Under Eyes

Prp under eyes before and after 2025: Magic!

Why Under-Eye Rejuvenation Matters for Your Confidence

PRP under eyes before and after results typically show a 30-50% reduction in dark circle appearance, improved skin texture, and diminished fine lines within 1-2 months of treatment. Most patients achieve optimal results after 3 sessions spaced 4 weeks apart, with effects lasting 12-18 months.

Quick Overview of PRP Under-Eye Results:

  • Dark Circles: Lighten by approximately 50% as skin thickens
  • Fine Lines: Smooth significantly, especially malar lines
  • Skin Texture: Becomes firmer and more elastic
  • Timeline: Initial improvement in 2-4 weeks, full results in 3-6 months
  • Duration: Results last 6-12 months (up to 2 years with a full treatment series)
  • Sessions Needed: 3-4 treatments for optimal outcome

If you’ve struggled with persistent dark circles since childhood—the kind that no amount of concealer can truly hide—you’re not alone. Many people wake up looking tired even after a full night’s sleep, thanks to genetics, thin under-eye skin, or visible blood vessels beneath the surface. The delicate skin under your eyes lacks the fatty layer that supports other facial areas, making it particularly vulnerable to aging, stress, and fatigue.

PRP (Platelet-Rich Plasma) therapy offers a science-backed approach to under-eye rejuvenation. Unlike temporary fixes or invasive surgery, PRP harnesses your body’s natural healing mechanisms. A small sample of your blood is processed to concentrate platelets rich in growth factors, then carefully injected beneath your eyes to stimulate collagen production, thicken skin, and improve overall texture.

I’m Scott Melamed, President and CEO of ProMD Health, where we’ve helped thousands of patients achieve natural-looking results with advanced regenerative treatments including PRP under eyes before and after changes. My background in biotechnology from Johns Hopkins University and years of clinical research give me deep insight into how these cutting-edge therapies work at the cellular level.

Infographic showing the PRP under-eye treatment process: Step 1 - Blood Draw from patient's arm, Step 2 - Centrifugation to separate and concentrate platelets and growth factors, Step 3 - Precise injection of golden PRP beneath the eyes using a microcannula for natural rejuvenation - prp under eyes before and after infographic

What is PRP and How Does It Refresh the Under-Eye Area?

Platelet-Rich Plasma therapy—often called PRP—is a regenerative treatment that works with your body’s natural healing abilities rather than against them. Think of it as giving your skin’s repair system a significant boost, using resources your body already produces.

The process starts simply enough with a small blood draw from your arm, just like when you get routine lab work done. Nothing scary or complicated. That blood sample then goes into a specialized machine called a centrifuge, which spins it at incredibly high speeds to separate the different components. What emerges from this process is a concentrated golden solution packed with platelets—far more concentrated than what normally circulates in your bloodstream.

These aren’t just any platelets. They’re loaded with growth factors that naturally trigger your body’s healing and regeneration processes. When we carefully inject this concentrated plasma into the delicate under-eye area, these growth factors get to work stimulating collagen and elastin production. Collagen provides the structural support that keeps your skin firm and smooth, while elastin gives it that bounce-back quality.

The skin under your eyes is particularly thin—it lacks the fatty layer that cushions other parts of your face. This makes it especially responsive to PRP treatment. As new collagen forms and skin thickens, you start seeing real improvements in texture, tone, and overall appearance. You can learn more about what a PRP shot is and how a PRP shot works on our website.

The Science Behind the “Liquid Gold”

Here’s where it gets fascinating. When we process your blood, we’re concentrating the platelet count to about 5-10 times higher than normal levels. These platelets become biological messengers, releasing a cascade of healing proteins called cytokines and growth factors when activated.

The key players include Platelet-Derived Growth Factor (which jumpstarts cell growth and new blood vessel formation), Changing Growth Factor-Beta (a collagen production powerhouse), Vascular Endothelial Growth Factor (which improves blood supply to treated areas), and Epidermal Growth Factor (supporting healthy skin cell growth). Growth factors have been shown to significantly improve skin health when properly applied.

This isn’t just surface-level improvement. The growth factors trigger a genuine healing response that increases skin thickness, improves blood flow, and even helps reduce pigmentation issues. Your body essentially treats the under-eye area as tissue that needs rejuvenation—and then gets busy making it happen.

The results from PRP under eyes before and after treatment show this regenerative process at work, with patients experiencing gradual but meaningful improvements as their skin naturally rebuilds itself from within.

Why It’s Effective for Dark Circles and Fine Lines

Dark circles and fine lines aren’t just cosmetic annoyances—they’re signs that the delicate under-eye skin has thinned, lost elasticity, or developed pigmentation issues. PRP addresses these concerns at their source rather than just masking symptoms.

For dark circles, PRP works in two important ways. First, it thickens the skin itself, making the bluish blood vessels underneath less visible. Second, it improves circulation to the area, which can help reduce the pooling that contributes to darkness. Many patients report their dark circles lightening by about 50 percent as the skin becomes healthier and more robust.

When it comes to fine lines and crepey texture, the collagen and elastin boost makes all the difference. As your skin’s structural support strengthens, those delicate lines smooth out naturally. The skin regains firmness and elasticity, giving you a more rested appearance without looking “done.”

Even mild hollowness can improve with PRP treatment. While it’s not a volumizing filler, the increased skin quality and subtle plumping effect from improved tissue health can reduce that sunken look many people struggle with.

The beauty of this approach is that results look completely natural. You’re not introducing foreign substances or drastically changing your appearance—you’re simply helping your own skin function better and look healthier.

The PRP Under-Eye Procedure: What to Expect Step-by-Step

If you’re considering PRP for your under-eyes, you’re probably wondering what actually happens during the treatment. The good news? It’s straightforward, minimally invasive, and designed with your comfort in mind. At ProMD Health, we’ve refined this process to make it as smooth as possible—from your first consultation to your recovery at home.

Preparing for Your Treatment

Think of preparation as setting the stage for your best possible results. A little planning ahead can make a real difference in how your skin responds and how quickly you heal.

Hydration is your best friend. In the days leading up to your appointment, drink plenty of water. Well-hydrated skin heals better, and being hydrated also makes the blood draw easier and more comfortable.

You’ll need to pause certain medications and supplements. About 10 days before your treatment, we recommend avoiding blood thinners like aspirin, Advil, and Motrin unless they’re medically necessary. This also includes supplements like vitamin E, fish oil, flax seed oil, and turmeric—all of which can increase bruising. Always check with us about any prescribed medications you’re taking, and never stop those without your doctor’s approval.

Limit alcohol and skip smoking for at least a week before your appointment. Both can impair your body’s healing response and affect the quality of your blood sample. Your skin will thank you.

Adjust your skincare routine by stopping exfoliating ingredients like retinol and vitamin C about a week before. These can make your skin more sensitive during the procedure.

On the day of your treatment, arrive with a clean face—no makeup, please. Make sure you’ve had a healthy meal and plenty of water. Coming in well-nourished helps your body respond better to the treatment.

During Your PRP Appointment

Here’s where the magic happens. The entire process typically takes 30 to 60 minutes, and most of that time is spent preparing your PRP rather than the actual injections.

We’ll start with a consultation to review your concerns and make sure you’re comfortable with the treatment plan. This is your chance to ask any last-minute questions.

Next comes the numbing cream. We apply a topical anesthetic to your under-eye area and let it work for about 15-20 minutes. This ensures you’ll feel minimal discomfort—most patients describe only slight pressure during the injections, not pain.

While the numbing cream does its job, we’ll do a quick blood draw from your arm. It’s just like a routine blood test, nothing to worry about. That small vial of blood contains everything we need to create your personalized treatment.

Your blood goes straight into our centrifuge, a specialized device that spins at high speeds to separate the components. This is where we isolate the platelet-rich plasma—that golden “liquid gold” packed with growth factors. The whole centrifugation process takes about 10-15 minutes.

Once we’ve extracted the concentrated PRP into syringes, we’re ready for the injection phase. Our practitioners use a microcannula—a blunt-tipped instrument that glides smoothly under your skin. This technique is gentler than traditional needles and significantly reduces bruising and swelling. You can learn more about how a PRP shot works on our website.

We’ll inject the PRP into several strategic points under each eye, then gently massage the area to ensure even distribution. The actual injection process takes just a few minutes.

practitioner performing a PRP under-eye injection with a cannula - prp under eyes before and after

Aftercare and Recovery

One of the best things about PRP under eyes before and after treatment is the minimal downtime. You can typically return to most normal activities right away, though following our aftercare guidelines will help you heal faster and achieve better results.

Expect some mild swelling and possibly light bruising. This is completely normal and usually resolves within a few days to a week. Some patients notice only a tiny red dot at the injection sites and moderate puffiness that fades quickly. Everyone’s different—some people breeze through with barely any visible signs, while others need a few extra days.

Skip the ice pack initially. While it might seem counterintuitive, we actually advise against icing the treated area right after PRP. The mild inflammation is part of how the platelets trigger your body’s healing response. Let nature do its work.

Take it easy for the first 24-48 hours. Avoid strenuous exercise or activities that get your heart racing and increase blood flow to your face. A brisk walk is fine, but save the intense workout for later.

Protect your skin from the sun. The under-eye area is delicate, especially right after treatment. Wear a high-SPF sunscreen and put on those sunglasses when you head outdoors.

Be gentle with your skincare. For the first 24 hours, wash the treated area with a creamy, gentle cleanser—no rubbing or tugging. Skip makeup for at least a day to let your skin breathe and heal. After that, you can gradually return to your normal routine.

Sleep with your head liftd on two pillows for the first few nights. This simple trick helps reduce swelling.

Continue avoiding alcohol, caffeine, and smoking for at least 24-48 hours post-treatment. These can interfere with the healing process and potentially diminish your results.

For more detailed information about the recovery process, check out our guide on what to expect after microneedling with PRP. We’ll also provide you with personalized aftercare instructions custom to your specific treatment and skin type.

The recovery is honestly quite manageable. Most patients are pleasantly surprised by how quickly they bounce back and how natural the process feels. Your body is simply doing what it does best—healing and regenerating—with a little boost from your own concentrated platelets.

PRP Under Eyes Before and After: Real Results and Benefits

The true measure of any aesthetic treatment lies in its results. At ProMD Health, we’ve witnessed the remarkable PRP under eyes before and after changes our patients experience. These aren’t overnight miracles—PRP leverages your body’s natural regenerative capabilities to create gradual yet significant improvements that look authentically you.

patient's 2-month progress after their second PRP under-eye treatment - prp under eyes before and after

Consider one of our patients who completed just two treatments. The photos captured two months after her second session revealed something remarkable: her fine lines had softened considerably, the hollowness beneath her eyes had filled in, and those persistent dark circles had noticeably lightened. Her skin looked healthier and thicker, with the promise of even more improvement as she continued her treatment series.

Another patient shared their excitement after a single session, reporting that their “dark circles are about 50 percent brighter, and [their] malar lines are almost invisible.” What’s particularly encouraging is that they continued to see improvements throughout the following month as their body’s natural collagen production ramped up.

The Transformative Benefits of PRP for Under Eyes

The beauty of PRP lies in how it addresses multiple concerns simultaneously. Reduced dark circles happen because PRP thickens that delicate under-eye skin, making the underlying blood vessels less visible. It also improves circulation and can lighten pigmentation—a triple threat against those shadows that make you look tired even when you’re not.

Fine lines and wrinkles respond beautifully to PRP’s collagen-stimulating effects. As your body produces fresh collagen and elastin, those crepey textures smooth out and the skin regains its youthful resilience. One patient described watching their malar lines—those diagonal lines that run from the inner corner of the eye—fade to near invisibility.

The overall skin texture and tone improvements often surprise patients. The regenerative process doesn’t just target specific concerns; it revitalizes the entire under-eye area. Your skin becomes more vibrant, with a softer and more even appearance. We’ve seen patients find they need less concealer—or none at all. You can explore more about improving skin tone & texture with PRP on our website.

Puffiness reduction is another welcome benefit. PRP’s anti-inflammatory properties help minimize fluid buildup while strengthening the skin structure itself. The result is a less puffy, more defined under-eye area.

Perhaps most importantly, PRP creates firmer and more elastic skin. A clinical study on PRP efficacy found that patients treated with PRP under the eyes experienced measurable increases in both skin volume and elasticity. This firmness helps combat skin laxity and provides a subtle lifted appearance that looks completely natural. These represent just some of the benefits of PRP treatment we offer.

What Results Can You Expect and How Long Do They Last?

The journey to your best PRP under eyes before and after results requires a bit of patience, but it’s worth the wait. While some fortunate patients notice “astonishingly immediate” improvements after their first session, the full regenerative magic takes time. Your body needs weeks to months to build new collagen and elastin—you can’t rush biology, but you can trust the process.

Most people start seeing noticeable improvements within 3-4 weeks. Your dark circles begin to lighten, the skin feels thicker to the touch, and those fine lines start softening. The full results become apparent after 3-6 months, when your collagen production has reached its peak and your skin has completed its natural remodeling process.

For optimal outcomes, we typically recommend three treatments spaced about a month apart. Think of it as giving your skin three separate opportunities to kickstart its regeneration. Some patients benefit from a fourth session, especially if they’re addressing more advanced concerns.

The longevity of your results depends on several factors, including your age and how enthusiastically your body responds to treatment. Generally, you can expect results to last six to twelve months. After completing a full series of treatments, many patients enjoy their refreshed appearance for up to two years.

To sustain these beautiful effects indefinitely, we recommend annual maintenance treatments. It’s like a yearly tune-up for your under-eye area—a small investment that keeps you looking refreshed and rested year after year.

patient's results 30 days after one session of PRP injections - prp under eyes before and after

The science backs up what we see in our practice. Research shows that patients treated with PRP under the eyes three times at monthly intervals experienced measurable increases in skin volume and elasticity, with the vast majority expressing satisfaction with their results. This scientific validation reinforces our confidence in PRP as an effective, natural approach to under-eye rejuvenation.

Is PRP Right for You? Candidacy, Risks, and Comparisons

Choosing any aesthetic treatment is a personal decision that deserves careful consideration. At ProMD Health, we’re committed to helping you understand whether PRP under-eye treatment aligns with your goals, what potential risks you should be aware of, and how it compares to other rejuvenation options. If you’re wondering is PRP right for you, let’s explore what makes someone an ideal candidate and what you should know before moving forward.

Who is an Ideal Candidate for PRP Under-Eye Treatment?

PRP works beautifully for many people, but it’s especially effective for specific under-eye concerns. You might be an excellent candidate if you’re bothered by dark circles—particularly those caused by thin skin that reveals the blood vessels underneath or mild pigmentation issues. The treatment also excels at smoothing fine lines and wrinkles that make you look tired, even when you’re not.

If you’ve noticed your under-eye skin developing a crepey texture—that thin, crinkled appearance that lacks firmness—PRP can help restore thickness and elasticity. While PRP isn’t a traditional filler, it can subtly improve the appearance of mild hollowness by boosting your skin’s natural volume and structure from within.

That said, PRP isn’t suitable for everyone. We carefully evaluate each patient to ensure both safety and effectiveness. You may not be a good candidate if you have a history of blood disorders, including clotting or bleeding conditions. Certain cancers, particularly skin cancer, may also disqualify you from treatment. If you have an active infection in the treatment area, we’ll need to wait until it’s fully resolved.

Pregnancy and breastfeeding are also contraindications, as we want to ensure complete safety for both you and your baby. Additionally, if you’re taking medications that significantly affect blood clotting—such as high-dose NSAIDs or corticosteroids—we’ll need to discuss whether PRP is appropriate for you at this time.

Understanding the Risks and Side Effects of PRP Under Eyes Before and After

One of PRP’s greatest advantages is its exceptional safety profile. Because we’re using your own blood, there’s virtually no risk of allergic reactions or rejection. Your body recognizes the platelets as its own, making this a truly natural approach to rejuvenation.

However, like any injectable procedure, there are some temporary side effects you should expect. Mild to moderate swelling in the treated area is common and typically resolves within one to three days. You might also notice small bruises at the injection sites, which can last up to a week. Some redness or tenderness is normal immediately after treatment, and you may feel mild soreness at both the blood draw site and the injection areas.

While these common effects are temporary and manageable, it’s important to acknowledge that any injection near the eye carries theoretical risks of more serious complications. Vascular occlusion—blockage of a blood vessel—is extremely rare but possible. There have been documented cases of serious complications, including four reported cases of irreversible blindness after PRP injections into various facial areas. While these outcomes are exceptionally uncommon, they underscore why choosing a qualified, experienced injector is absolutely critical.

At ProMD Health, our board-certified practitioners undergo extensive training in facial anatomy and precise injection techniques. We follow stringent safety protocols to minimize any risks and ensure you receive the safest, most effective treatment possible.

How PRP Compares to Other Under-Eye Treatments

When you’re considering under-eye rejuvenation, PRP is one of several proven options. Each approach has its own strengths, and understanding how they differ can help you make the best choice for your needs.

PRP works by stimulating your body’s natural collagen production through concentrated growth factors from your own blood. It’s best for addressing skin quality issues—dark circles, fine lines, and crepey texture. You’ll typically see gradual improvement over three to six months as new collagen forms, with results lasting six to twelve months after a single treatment or up to two years with a complete series.

Hyaluronic acid fillers, on the other hand, work by adding immediate volume beneath the skin. They’re particularly effective for moderate to severe hollowness and deeper tear troughs. Results are visible right away, though you might experience some swelling initially. These fillers typically last nine to eighteen months before gradually dissolving.

Laser resurfacing takes a different approach by using targeted light energy to stimulate collagen and improve skin texture. It’s excellent for fine lines, wrinkles, and uneven pigmentation. Results develop gradually over several months and can last one to three years, though you may need multiple sessions for optimal outcomes.

The choice between these treatments depends on your specific concerns, desired timeline, and how long you want results to last. During your consultation at ProMD Health, we’ll help you determine which approach—or combination of approaches—will give you the refreshed, natural-looking results you’re seeking.

The Cost of PRP Under-Eye Injections

The investment in PRP under-eye treatment varies based on several factors. Generally, you can expect to pay between $500 and $1,500 per session, though prices differ depending on your geographic location and the practitioner’s level of experience and expertise.

Because optimal PRP under eyes before and after results typically require a series of treatments, many practices offer package deals that reduce the per-session cost. At ProMD Health, we believe in transparent pricing and will discuss all costs during your consultation, helping you understand the investment required for your personalized treatment plan.

While cost is an important consideration, the expertise and safety protocols of your provider should be your top priority. Choosing a qualified, experienced practitioner ensures you receive the best possible results while minimizing any risks.

16.12.2025
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