Under Eye Wrinkles

under eye wrinkle treatments cheshire

Cheshire Lasers quest for Under Eye Wrinkle Treatment

At Cheshire Lasers, we have found the treatment of under-eye wrinkles very difficult. We have so many successful solutions for treating or improving other areas of the face. However, the under-eye area has a different story.

Over the years Cheshire Lasers has invested in numerous treatments and machines, hoping to find the latest best treatment for under eye wrinkles. Sadly many of them have not fully met our expectations. The treatments either don’t deliver consistently high-quality results in every one or they cause too much downtime or discomfort. This does not mean they do not work, because they do, but the results don’t work well in everyone, or sometimes don’t meet the clients’ expectations.

The more aggressive treatments work the best, but some of them can leave you bruised for weeks on end, especially when a course of treatments are required.

The following article discusses why we get dark circles, the treatments available and the pros and cons of each one. Cheshire Lasers offers all of the following under eye wrinkle treatments. Which ones have you tried? Which one would you consider trying? We would love to know.

Our Favourite treatments for this area at the moment are the CACI Eye Revive and the Ultraformer MF2.

Why do we get under eye wrinkles?

As we age, we lose collagen and elastin in the skin, and so the skin loses its capability to bounce back when we move and make different facial expressions. Facial expressions are important, but they do put a strain on our skin and its supporting collagen and over time can cause dynamic wrinkles.

Smoking, sun exposure, diet and genetics also influence how the skin ages.

One study shows that smoking 30 cigarettes a day will add 14 years to your skin!

There are two types of UV rays present in sunlight. UVB, which is responsible for giving you sunburn and UVA. It is the UVA rays that are responsible for DNA damage and ageing of the skin.

Sugar may also contribute to premature ageing through the process of glycation. Glycation can cause damage the skin tissues over time and may make you more prone to having fine lines and wrinkles.

Genetics and our DNA can also play a role in ageing. Often if your parents and grandparents have great skin, you will too. However, if they have skin issues like big pores and acne-prone skin, you may be more susceptible to these issues also.

How to prevent wrinkles?

Avoiding smoking, limiting sun exposure and cutting down on sugar will all help to improve your skin health. Eating a healthy well-balanced diet rich in fruits and vegetables and including oily fish, like salmon, will also improve your skin health. Vitamins and minerals from fruits and vegetables will not only boost your overall health but will give you a glow from within. Hydration is also a crucial part of keeping your skin healthy and clear, so make sure you are getting enough water throughout the day too.

There are also some serums and creams designed for the eye area that can help prevent more wrinkles.

The ingredients to look out for are:

  • Retinol.
  • Antioxidants
  • Patented peptides.
  • AHAs
  • Hyaluronic acid / B5 serum

Find out about these ingredients, how they work, and what products you can find them in here. 

Which treatments can improve under eye wrinkles?

Injectable Treatments:

Botox for Dynamic Wrinkles

Most people have heard of Botox; it is excellent for treating what they call dynamic wrinkles, which are wrinkles caused by repetitive muscle movement. Botox works by temporarily paralysing the muscles that create your wrinkles and fine lines. Treatment of these muscles causes the muscles to relax, and the wrinkles soften.

Botox is very effective at muscle relaxation (it starts working within a few days), and as long as you do your research and go to a recommended experienced medical practitioner, you won’t end up with the ‘frozen face’ you see in some celebrities.

Botox helps for dynamic wrinkles commonly known as crow’s feet, but it does not work so well if your concern is directly under the eye. This is because these lines are usually due to loss of collagen and elasticity of the skin and not just repetitive movement.

Find out more about Botox here. 

Injectables That Stimulate Collagen Production.

The following treatments all stimulate collagen in the skin to improve skin texture and elasticity. They all involve a course of treatments; they are not always as popular as the multiple under eye injections, often cause some bruising which can last 1-2 weeks.

PRP Treatment

Platelet Rich Plasma (PRP) is an injectable treatment that can help the eye area. It has the power to trigger your body’s tissue regeneration potential. PRP is a naturally occurring component of your blood which encourages skin rejuvenation by stimulating your body’s regeneration system. Promoting the growth of your collagen and elastin, improving blood supply to improve skin tone and texture while also reducing fine lines and wrinkles. It can take 2-3 months following a single treatment to appreciate the results. Two to three treatments, 2-3 months apart are recommended for most people for significant results.


Xela Redermalization is an injectable treatment that introduces hyaluronic acid and succinate into your skin cells and provides a powerful collagen stimulation effect and also reduces pigmentation. 2-3 sessions are usually required two weeks apart. View more about this treatment and view some before and after images here.

RRS® Mesotherapy:

RRS Mesotherapy is a prescription-only injectable treatment designed to improve skin quality. It plumps and lifts the skin due to it boosting collagen production. It also treats pigmentation, dark circles and fine lines under the eyes.
Usually, results are visible after two treatments. However, 4 to 6 may be necessary, one every week, for the best results. View more about this treatment and view some before and after images here.

PRP with Redermalization

In 2016, a study published in the Journal of Cosmetic Dermatology looked at varying degrees of facial ageing signs in 94 female patients, who were treated with PRP and Rederm. Compared to the baseline, the PRP and rederm injections in combination provided a clinically visible improvement on skin.

Treatments For Under Eye Wrinkles Non-Injectable:

Most other under-eye anti-ageing treatments involve damaging your skin to make it heal, repair and then regenerate. The results last for varying lengths of time. Generally, the more aggressive the treatment, the better the results and the longer they last.

There are various ways to damage the skin surface, including Microneedling, Laser or Plasma treatments, which cause different amounts of downtime. You can also damage under the skin’s surface without causing injury to the top layer of skin by using HIFU treatments or with the gentler heating treatments that use radiofrequency and microcurrent energy avoiding downtime.

Treatments causing surface trauma and downtime:


Microneedling (AKA dermarolling) involves puncturing tiny holes into your skin with a needle-covered roller or with an electronic pen to stimulate collagen production. The treatment essentially damages the skin to create newer, younger skin. The procedure is performed under local anaesthetic so is only moderately irritating, despite how it sounds. You can watch some videos of a full face procedure here.
The cons: It takes 24-48hrs for the redness to settle. 3-4 treatments every 6-8 weeks may be needed to see results, which include brightening, smoothing and fine-line reduction.


Resurfacing lasers create trauma to your skin. The most popular one is a CO2 laser. This is often fractionated in small dots to reduce the amount of trauma to the skin and the downtime. There are some downsides to Laser treatments. Your skin will look and feel badly sunburned for a few days to a couple of weeks depending on the intensity of the treatment. It then goes sandpapery texture for a week or two. The results can be fantastic as long as you are prepared for the downtime. No pain no gain as they say! This treatment is not currently available at Cheshire Lasers. Why not visit The Consulting Room website to see who provides this treatment near you.


Plasma Devices use Plasma Energy to create trauma to your skin. The downside is the immediate side effects including, swelling and reddening over the treated area for at least 2-3 days. The healing process will include crusting (which should be left to fall away naturally) over the course of about 7-10 days. Sometimes you can be left with residual inflammation/redness of the skin for weeks after treatment. This treatment is, therefore, more popular for the upper eye area where it can be covered rather than under the eye.
Find out more about Plasma here. 

Treatments unlikely to cause downtime:

Ultraformer MF2

Ultraformer MF2 causes injuries just under the skin using ultrasound energy. The high-intensity energy can be focused at the depth we want, causing injury to the collagen. It does not damage the visible upper layer of skin cells known as the epidermis, so there is little downtime.
This treatment could cause some bruising if you are unlucky. It can also cause a bit of redness, which usually goes after an hour or two. Sometimes it can cause slight swelling which generally goes in hours or a few days if you are unlucky. Ultraformer MF2 usually requires a course of 3 treatments sometimes more. It is currently the most popular treatment at Cheshire Lasers. The results are typically visible one month after your first treatment, but the result of collagen remodelling, tighter, younger-looking skin can take three months to be fully appreciated.

Generating approximately 65.4°C into target layers induces natural coagulation and wound-healing processes to stimulate collagen renewal underneath the epidermis. You can read the scientific explanation about how this treatment works here. 


ultraformer mf2 eye treatment


Radiofrequency Treatments

The ThermaClinic eye treatment, the Endymed eye treatment uses radiofrequency technology to heat the skin to around 40 degrees Celsius, which is about the same temperature as a hot shower. The collagen in the dermis layer of the skin is heated to a level where it will contract. This brings on healing and repair, leading to the production of new collagen, which re-models and tightens naturally over time.

under eye wrinkle treatment radiofrequency


The CACI Eye Revive

The CACI Eye Revive Treatment which involves low-level radiofrequency technology to stimulate collagen and it then opens up the skin channels of the skin to encourage penetration of hydrating products from the eye revive mask. It soothes tired, puffy eyes, reduces dark circles, lifts hooded eyes and yes reduces fine lines and wrinkles.

A one-off treatment can lead you with a refreshed look and is great before a special event. However, a course of treatments delivers the best results.

Before and after caci eye revive

How do I know which under eye rejuvenation treatment is for me?

Injectable treatments often cause bruising.

The more ablative treatments such as CO2 laser, Plasma and Ultraformer are usually more effective requiring fewer treatments but can be more uncomfortable.

The Ultraformer is a compromise as it is quite aggressive in the deep layers of the skin. However, it rarely causes downtime. It can be uncomfortable, but the treatment is quick to perform so any discomfort is over quickly.

Radiofrequency is a more enjoyable treatment. Many people find it relaxing/therapeutic a bit like a hot stone massage for the face. It takes longer to perform and more treatments are required.
Maintenance is recommended every 6 weeks after an initial course of 6 to 8 treatments.

If you are not ready for any of the above treatments, you could try under eye products. 

If you would like a consultation for us to discuss your options, please let us know.