INGE VAN LOTRINGEN: I have half-circle 'troughs' under my eyes that make me look permanently exhausted - what can I do about them?

Q: I have half-circle ‘troughs’ under my eyes that make me look permanently tired. What can I do?

A: Do see a cosmetic doctor who’s also an eye surgeon; this area requires specialised treatment, and surgery may be the only realistic option. That said, there’s a treatment called PolarEyes by the London eye surgeon duo behind Face Restoration (facerestoration.com) that combines synergistic technologies to tackle crepiness, dark circles and puffiness, possibly minimising mild hollows as well. 

Microneedling treatments can help to tackle crepiness, dark circles and puffiness

The eye area is microneedled (it stings a bit) to make small channels in the skin. Then a cocktail of exosomes and niacinamide (they rejuvenate skin cells for plumper, brighter skin) and diluted Botox (minimising crepey lines) is pushed into the skin using compressed, ice-cold CO2, which dampens inflammation. 

Eyes look lifted, brighter and fresher immediately and will improve over ten months. The result is supercharged if you follow this with three sessions, two weeks apart, of polynucleotides injected under the eyes. Each session is £500, so the course costs £2,000 in total.