
Concern
Eye
Concerns
The eye area ages faster than any other part of the face
The periorbital skin is the thinnest on the body — just 0.5mm thick. It shows aging first: fine lines, crepiness, hollowing, dark circles, and crow's feet. EMFACE Eyes and Fotona SmoothEye target this delicate area without needles or downtime.
Why the Eye Area Ages First
The skin surrounding the eyes is fundamentally different from the rest of the face. At just 0.5mm thick (compared to 2mm on the cheeks), it has fewer oil glands, less collagen, and less subcutaneous fat. This makes it the first area to show signs of aging and the most challenging to treat safely.
The eye area is also where others look first during conversation. Under-eye aging can make you appear tired, older, or unwell — even when you feel energised and healthy. Because this area ages earlier and more visibly than the rest of the face, targeted treatment can produce a disproportionately large improvement in overall appearance.
Hollowness Under Eyes
The tear trough is a groove that runs from the inner corner of the eye toward the cheek. As we age, fat pads in the periorbital area shrink and descend, and the underlying bone gradually resorbs. This creates a sunken, shadowed appearance beneath the eye that makes the face look tired or gaunt — even with adequate sleep. The hollowing is structural, not superficial.
Treatments
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Eye Bags
Eye bags are caused by herniation of the periorbital fat pads — the cushions of fat that normally sit behind the eye within the orbit. As the orbital septum (the membrane holding them in place) weakens with age, these fat pads push forward and bulge visibly beneath the lower eyelid. Fluid retention from poor lymphatic drainage can worsen their appearance, particularly in the morning.
Eyelid Droopiness
Upper eyelid drooping (ptosis) occurs when the levator palpebrae superioris muscle — which holds the eyelid open — weakens over time, or when excess skin accumulates above the lid. As collagen declines and skin loses elasticity, the upper lid gradually descends. Brow descent from temporal fat atrophy can compound the effect, pushing the brow downward and adding to the appearance of hooded eyes.
Treatments
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Under-Eye Lines
The tissue directly beneath the lower eyelid is among the thinnest on the body and almost entirely lacking in sebaceous glands. With minimal natural lubrication and constant movement from blinking and facial expression, collagen and elastin break down rapidly here. The result is a fine crêpe-like texture and horizontal lines beneath the eye that deepen progressively with age and sun exposure.
Treatments
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Dark Circles
Dark circles have three distinct causes that often overlap. Vascular dark circles appear purple-blue because the thin periorbital skin allows underlying capillaries and the orbicularis oculi muscle to show through. Pigmentation dark circles arise from post-inflammatory hyperpigmentation or sun-induced melanin deposits. Structural dark circles are caused by hollowing — the shadow cast by a sunken tear trough creates darkness that no topical cream can correct.
Treatments
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Crow's Feet
Crow's feet are the radiating lines that extend from the outer corner of the eye toward the temple. They are caused by repetitive contraction of the orbicularis oculi — the circular muscle that closes the eye during squinting, smiling, and blinking. Over time, collagen loss means the skin no longer snaps back fully after each contraction. The lines deepen from dynamic (visible only during expression) to static (visible at rest).
Treatments
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Eyelid & Under-Eye Skin Laxity
Skin laxity around the eye is driven by the progressive breakdown of collagen and elastin — the structural proteins that give skin its firmness and recoil. Because periorbital skin is both the thinnest on the face and subject to thousands of daily movements, it loses this scaffolding faster than anywhere else. The result is loose, crepey skin on the upper lid and beneath the lower lash line that sags rather than sitting taut. Loss of dermal thickness also makes the skin more translucent, compounding the appearance of darkness and hollowing beneath.
Treatments
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Eye Concern Treatments Compared
EMFACE Eyes
EMFACE Eyes is the first non-invasive treatment designed specifically for periorbital rejuvenation, combining synchronized radiofrequency with High-Intensity Facial Electrical Stimulation (HIFES). The RF heats the delicate periorbital dermis to stimulate collagen and elastin renewal, while HIFES strengthens the orbicularis oculi muscle — the circular muscle surrounding the eye that supports skin from beneath. Stronger muscle tone provides a natural lifting effect, reducing crow's feet and under-eye crepiness. Four sessions over two weeks, completely non-invasive.
Fotona SmoothEye
Fotona SmoothEye uses the Er:YAG laser in a non-ablative mode specifically calibrated for the periorbital area. Controlled thermal energy is delivered to the skin around the eyes, causing collagen contraction and stimulating new collagen synthesis in the weeks following treatment. This tightens crepey skin, reduces fine lines, and improves overall skin quality around the eyes. The treatment is gentle — no anaesthesia needed — and can be performed in the same session as other Fotona facial treatments.
Thermage FLX Eyes
Thermage FLX uses a specialised eye tip to deliver monopolar radiofrequency deep into the periorbital tissue. The controlled heating contracts existing collagen immediately and stimulates new collagen production over months — tightening loose upper eyelid skin, smoothing crow's feet, and improving under-eye laxity. A single treatment with results that continue developing for up to six months.
EndyMed FSR Eyes
EndyMed FSR uses fractional radiofrequency delivered via fine needles to remodel the dermis around the eye area. By creating precise micro-channels in the skin, it triggers a wound-healing response that generates new collagen and tightens skin texture. Particularly effective for under-eye crepiness and crow's feet. A short course of sessions produces progressive improvement with minimal downtime.
Injectable Skin Boosters
Due to TGA advertising guidelines, we are unable to describe specific skin booster treatments or their effects in detail online. What we can say is that injectable boosters work at the dermal level to improve skin quality in the periorbital area. Come in for a complimentary consultation and our practitioners will assess your under-eye skin and recommend the most suitable options for your concerns.
Anti-Wrinkle & Filler Injectables
Due to TGA advertising guidelines, we are unable to describe specific injectable treatments or their effects in detail online. Injectable options for the eye area are highly personalised — the right approach depends on your anatomy, concerns, and goals. Come in for a complimentary consultation and our practitioners will walk you through every option available to you.
Blepharoplasty
Topical Retinoids
Low-concentration retinol (0.025-0.05%) formulated for the eye area can gradually improve fine lines and texture over 3-6 months. Higher concentrations risk irritation of the thin periorbital skin. Retinoids are the best evidence-based daily maintenance alongside professional treatments but cannot replace them for significant improvement.
Before & After
Real results from treatments at 99 Medispa Sydney. Individual results may vary.

Results via Beautique Medical Spa. Individual results may vary.

Results via Beautique Medical Spa. Individual results may vary.

Results via Beautique Medical Spa. Individual results may vary.

Results via Beautique Medical Spa. Individual results may vary.

Results via Sarah White Aesthetics. Individual results may vary.

Results via Concept Cosmetic Medicine. Individual results may vary.
Frequently Asked Questions
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