
Beauty
Reading time: 5 minutes
The eyes are the first point of contact in human relationships and often the first to reveal signs of fatigue or the passage of time.
Many people come to us complaining of a tired appearance, characterized by dark shadows or swelling that nighttime rest can no longer erase.
At IMAGE REGENERATIVE, we offer a scientific and multidisciplinary approach to treat dark circles and bags under the eyes, going beyond simple aesthetic correction to focus on deep tissue regeneration.
To identify the most effective therapeutic strategy, it is essential to distinguish between dark circles and bags, as although they often coexist, they have different origins. Dark circles manifest as a bluish or brown halo under the eye.
This discoloration can be caused by thinning skin that makes underlying capillaries visible or by melanin accumulation, typical of certain skin types. In these cases, the problem is often linked to slowed microcirculation or genetic factors that slow natural cellular renewal, making the physiological revitalization of mature skin less effective.
Bags, on the other hand, are characterized by swelling of the lower eyelid. This imperfection usually derives from tissue relaxation that can no longer contain orbital fat, which tends to herniate outward, or from fluid retention (edema).
Understanding your facial anatomy is the first step in choosing between non-invasive eye area rejuvenation or a surgical solution. Factors such as stress, aging, poor nutrition, and genetic predisposition play a crucial role in accentuating these imperfections, often making complete facial rejuvenation necessary to restore overall harmony.
Before considering medical interventions, it is essential to optimize lifestyle. The health of the periocular area is closely linked to the body's water and mineral balance. A salt-rich diet promotes water retention, significantly worsening the appearance of bags upon waking. It is advisable to increase water intake and consume foods rich in potassium and vitamin C, which strengthen capillary walls reducing the visibility of vascular dark circles.
Sleep quality is also crucial. Sleeping with the head slightly elevated can help prevent fluid accumulation in the face during the night. However, when good habits are no longer enough to ensure a fresh look, aesthetic medicine offers advanced tools for texture improvement, pore reduction, and restoring density to skin that has lost its natural support capacity.
The real revolution in treating these imperfections lies in regenerative medicine. At our clinic, we successfully use Lipogems® Beauty, a technology that goes beyond the concept of simple "filling". Unlike traditional fillers that merely compensate for volume, Lipogems® uses micro-fragmented autologous adipose tissue (one's own fat).
This tissue is rich in mesenchymal stem cells and pericytes that, once injected into the periocular area, trigger a powerful tissue regeneration process.
The result is twofold: on one hand, extremely natural volumetric restoration is achieved that attenuates the tear trough (the depression that creates the dark shadow of dark circles); on the other, there is thickening and improvement in the quality of the overlying skin. Thicker, more vital skin better masks the underlying vascular network, drastically reducing the dark color of dark circles.
This technique is ideal for those seeking a non-surgical facelift with results that evolve positively over time.
When the anatomical situation requires it, it is necessary to integrate or replace regenerative therapies with specific medical or surgical procedures. The choice depends on the severity of the imperfection and the patient's goals.
In the presence of pronounced adipose bags or significant excess skin, the definitive solution is often surgical.
The regenerative blepharoplasty with Lipogems® represents the evolution of the classic procedure. While the surgeon removes excess skin and adipose bags, the tissue is infiltrated with Lipogems® to regenerate the residual skin. This guarantees not only the removal of the defect but also faster healing and significantly superior skin quality compared to traditional surgery.
Post-operatively, manual lymphatic drainage, specific for surgical recovery, is a fundamental ally to quickly reduce edema and accelerate return to social life.
Polynucleotides and Peels
For those with pigmented dark circles or fine wrinkles without significant bags, polynucleotides, specific for eye contour and fine wrinkles, offer excellent biological stimulation. These natural DNA fractions promote deep hydration and collagen production, improving elasticity.
If the main problem is superficial pigmentation (dark spots), a cycle of chemical peels or PRX for regenerated skin can gently exfoliate the area, lightening the dark halo and smoothing the skin.
Comparative treatment table
Treatment | Main Indication | Invasiveness | Recovery Time |
Lipogems® Beauty | Hollow dark circles, thin skin, regeneration | Minimal (micro-injections) | 24-48 hours |
Blepharoplasty | Pronounced adipose bags, excess skin | Medium (Surgical) | 7-10 days |
Polynucleotides | Fine wrinkles, dehydration, mild laxity | None (biostimulation) | Immediate |
Peeling / Laser | Hyperpigmentation, dark spots | Low | 2-5 days (redness) |
Hyaluronic Acid Filler | Deep tear trough (skeletonization) | Low | 24-48 hours |

Maintaining the results achieved requires consistency and attention. It is essential to protect the periocular area from UV rays, the main culprits of skin thinning and hyperpigmentation, using sunglasses and specific sun filters. A skincare routine that includes products based on retinol (in low concentrations), caffeine, or vitamin K can support microcirculation maintenance.
Additionally, periodically undergoing a personalized regenerative facial analysis allows monitoring skin health and intervening with small preventive touch-ups before imperfections become evident again.
Remember that a combined approach, uniting volumetric correction and skin texture improvement, is always the best path to ensure natural-looking results.
To make bags and dark circles disappear, it is necessary to identify the triggering cause. If they are adipose bags (fat), the most effective solution is blepharoplasty, possibly regenerative. If they are dark circles from volume loss, treatment with Lipogems® or specific fillers restores volume. For dark circles from pigmentation, peels or laser are indicated.
Often dark circles can be accentuated by a deficiency of Vitamin K, fundamental for coagulation and capillary health, or Vitamin B12 and Iron, whose lack can lead to pallor that makes underlying blood vessels more visible. Vitamin C is also crucial for collagen production and for thickening the thin skin under the eyes.
There is no single "magic remedy" definitive for everyone, but the combination of surgery (if there is excess skin/fat) and regenerative medicine (Lipogems®) offers the most lasting and stable results over time.
Lipogems®, in particular, continues to improve tissue quality for months after treatment, offering a long-term solution superior to classic resorbable fillers.
To deflate dark circles caused by water retention (edema), it is useful to sleep with the head slightly elevated and apply cold compresses in the morning to vasoconstrict. Professional treatments such as manual or mechanical lymphatic drainage and carboxytherapy are very effective in stimulating microcirculation and draining excess fluids.