Under eye mesotherapy applies light nourishing blends very superficially to the thin skin around the eyes. The skin here is among the thinnest on the body, has few oil glands and moves thousands of times a day. That is why tiredness, poor sleep and moisture loss are read here first. At his clinic in Nişantaşı, İstanbul, Dr. Levent Ünal plans this delicate area according to what the examination shows.
What under eye mesotherapy addresses
The aim is to support the moisture and tissue quality of the under eye skin. Fine dryness lines, a flat and tired appearance and skin that no longer reflects light belong under this heading. Under eye darkness, on the other hand, is not one single problem. In some people the vessels beneath the thin skin show through, in others there is an increase in pigment, and in others still the shadow cast by a hollow is what stands out. When the dominant mechanism changes, so does the approach; that distinction is made during the visit.
Which areas and situations it covers
- Lower eyelid and the under eye triangle: dryness and dullness.
- Crow's feet area: superficial fine lining.
- The transition towards the temple: the general vitality of the skin texture.
- A tired look linked to poor sleep and long hours on screens.
Who it suits
It is considered for people who notice dryness, dullness and a tired look under the eyes and who are looking for tissue support rather than a change in volume. Setting expectations correctly matters particularly in this area.
Situations that need closer assessment include pregnancy and breastfeeding, an active infection or cold sore around the eye, recurrent eyelid swelling and underlying kidney, thyroid or allergy related causes, a bleeding disorder or the use of blood thinning medication, a known allergy to the blend, and the early period after eye surgery. Where there are pronounced under eye bags or a deep hollow, expectations need to be discussed alongside other methods. Suitability is decided by a medical assessment.
How a session goes
- Examination: what is actually causing the under eye appearance is assessed, and sleep patterns, allergy history and medical background are reviewed.
- Preparation: make up is fully removed and, if needed, a topical anaesthetic cream is applied and left to work.
- Choosing the blend: a lighter formulation suited to the area is selected.
- Application: the blend is distributed very superficially through a small number of controlled points. The dose is set with care because the area is thin.
- Review: the area is cooled, aftercare is explained and the session interval is planned.
Onset and duration of the effect
The effect is gradual and is assessed as the sessions progress. Under the eyes, the outcome is mostly read through changes in the moisture and tissue quality of the skin. Sleep, salt intake, allergies and sun protection all have a direct bearing on how this area looks. Results vary from person to person, and no outcome can be promised in advance.
Aftercare and what to watch for
- Do not rub the area on the first day and avoid scratching your eyes.
- Postpone heavy eye make up and any vigorous rubbing while removing make up.
- Ask your physician before putting in contact lenses on the first day.
- Sleeping with your head slightly raised can help reduce swelling.
- Postpone sauna, steam rooms and intense exercise for a few days.
Because the area is delicate, mild redness, small raised points and occasionally small bruises can be seen afterwards. These generally settle in a short time.
Points that are often confused
Under eye mesotherapy and under eye filler are different procedures. Filler adds volume to a hollow, while mesotherapy supports the texture and moisture balance of the skin. If the main cause of the darkness is a shadow created by a hollow, the effect of mesotherapy on that shadow will be limited.
Another misconception is expecting a marked change from one session. The treatment is planned as a course. The under eye appearance is also not down to the skin alone; sleep, salt intake, allergies and smoking all feed directly into the picture.