Under Eye Treatments
People keep asking if you're tired. You're not tired — you just look it.
What Under Eye Treatment Involves at Maintenance Bar
Under-eye rejuvenation encompasses a range of minimally invasive procedures — including hyaluronic acid tear trough filler, autologous platelet-rich plasma therapy, and platelet-derived growth factor protocols — designed to restore periorbital volume, improve infraorbital skin quality, and stimulate cellular regeneration in the delicate tissue surrounding the orbital rim.
The under-eye area is unforgiving. Millimeters of miscalculation create visible lumps, Tyndall effect discoloration, or puffiness that looks worse than the original concern.
Maintenance Bar's providers have specific training in periorbital anatomy — the thin skin, the orbital septum, the vascular structures that make this area uniquely challenging.
Under Eye Treatments Available at Maintenance Bar
Tear Trough Filler
Tear trough filler uses a soft hyaluronic acid gel placed beneath the orbicularis oculi muscle to restore volume in the infraorbital hollow. Maintenance Bar's providers use cannula technique — reducing bruising and improving placement precision.
The goal isn't to "fill" the under-eye. It's to restore the smooth transition between the lower eyelid and the cheek that volume loss disrupted. Maintenance Bar starts conservative — you can always add more at a follow-up.
PRP for Under Eyes
Platelet-rich plasma therapy uses your own blood — centrifuged to concentrate growth factors and cytokines — and injects it into the periorbital skin. PRP stimulates collagen production, improves microcirculation, and addresses the crepey texture and dark pigmentation that filler alone can't fix.
Maintenance Bar often combines PRP with tear trough filler for patients who have both volume loss and skin quality concerns. The treatments complement each other — filler restores structure, PRP restores the skin sitting on top of it.
PDGF Protocol
Platelet-derived growth factor protocol takes regenerative under-eye treatment further. PDGF concentrates specific growth factors from your blood to stimulate deeper cellular regeneration — targeting fibroblast activity and extracellular matrix repair in the periorbital tissue.
Maintenance Bar recommends PDGF for patients with advanced skin quality concerns or those who've already done filler and PRP but want additional regenerative improvement beneath the orbital area.
Maintenance Bar's Under Eye Treatment Approach
Under-eye treatment fails when providers don't diagnose the correct cause. Dark circles have at least four different mechanisms — volume loss, vascular show-through, hyperpigmentation, and skin thinning. Each requires a different treatment.
Maintenance Bar's consultation assesses which mechanism is driving your under-eye concern before recommending a protocol.
A patient with tear trough hollowing needs filler. A patient with crepey texture and discoloration needs PRP. Many patients at our Seattle clinic need a combination of both.
Even if you've had under-eye filler that didn't deliver — or worse, created puffiness — Maintenance Bar can dissolve previous product and reassess with fresh eyes.
How to Choose the Right Under Eye Treatment
Your under-eye concern determines your treatment. Maintenance Bar identifies whether volume loss, skin quality degradation, or both are driving the issue — because each mechanism responds to a different protocol.
Tear trough hollowing with visible shadowing responds best to filler. Crepey texture, dark circles from vascular show-through, and thin skin need PRP or PDGF. Maintenance Bar frequently combines tear trough filler with PRP for patients dealing with multiple mechanisms simultaneously.
If you've had under-eye filler before that created puffiness, Maintenance Bar starts with dissolution before recommending a new approach. A fresh baseline reveals the actual anatomy — not the previous provider's guesswork.
Frequently Asked Questions
Is under-eye filler safe?
In trained hands, tear trough filler has an excellent safety profile. Maintenance Bar's providers use cannula technique and conservative volume to minimize risks. The periorbital area requires specific anatomical knowledge — which is why Maintenance Bar treats it as a specialized procedure, not an add-on.
How many PRP sessions do I need?
Most patients at Maintenance Bar see optimal results after 3 PRP sessions spaced 4-6 weeks apart. Your provider builds a treatment timeline based on the severity of your skin quality concerns and your regenerative response.
Can you fix botched under-eye filler?
Yes. Maintenance Bar dissolves misplaced or overfilled hyaluronic acid under-eye filler using hyaluronidase enzyme. After dissolution, we reassess the area with fresh anatomy evaluation before considering re-treatment. Learn about corrective treatments at Maintenance Bar →
Will under-eye filler make me look puffy?
Not when placed correctly. Puffiness from under-eye filler typically results from superficial placement or overfilling. Maintenance Bar uses cannula technique and conservative volume — building gradually rather than placing too much in one session.
Can PRP help with my dark circles?
PRP is one of the most effective treatments for dark circles caused by thin skin and vascular show-through. Maintenance Bar's PRP protocol improves microcirculation and skin thickness over a series of sessions. See all services →
Your First Under Eye Visit at Maintenance Bar
Maintenance Bar's under-eye consultation starts with a diagnostic assessment. Your provider examines the periorbital area under multiple lighting conditions — identifying whether hollowing, discoloration, texture, or a combination is creating the concern.
You'll learn exactly which mechanism is responsible. Maintenance Bar explains why previous treatments may not have worked and what a targeted approach looks like for your specific anatomy.
Plan for a 30-minute consultation. Maintenance Bar may photograph your under-eye area for treatment planning and progress tracking. Book your assessment here →
Fix Your Under-Eye Concerns at Maintenance Bar in Seattle
Without guessing which treatment fits your specific under-eye issue — Maintenance Bar's consultation diagnoses the mechanism first, then recommends the protocol that actually addresses it.