Under-Eye Concerns
Addresses dark circles, under-eye hollows, fine lines and crepey texture, a chronically tired appearance, and skin thinning in the periorbital area. PRF is best for patients who want a regenerative, natural-looking improvement rather than an instant volumizing fix — for deep tear-trough hollowing that needs immediate volume, PRF EZ Gel may be recommended instead.
Ideal Candidate
Best for patients in good overall health who want to improve under-eye skin quality, reduce dark circles, or soften fine lines — and who prefer a treatment made entirely from their own blood with no synthetic material. PRF is also a strong choice for filler-averse patients concerned about the Tyndall effect, migration, or lumps. Not recommended during pregnancy or breastfeeding, with an active infection or skin condition in the treatment area, a bleeding disorder, or certain blood conditions. Your provider will give you an honest assessment at consultation.
PRP vs. PRF vs. EZ Gel
PRP Undereye ($500/session): liquid platelet-rich plasma that stimulates baseline collagen — best for mild concerns. PRF Undereye ($650/session): platelet-rich fibrin spun at a lower speed to retain a fibrin scaffold, releasing growth factors more slowly for stronger, longer-lasting stimulation. PRF EZ Gel ($900/session): PRF heated and cooled into a thick gel that acts as a natural bio-filler — restoring volume immediately while still building collagen.
Why PRF Over PRP
Traditional PRP (platelet-rich plasma) has been used for years to treat under-eye concerns. PRF (platelet-rich fibrin) uses a different centrifuge protocol that produces a denser, longer-acting result.
By spinning your blood at a lower speed, PRF retains a concentrated fibrin matrix. Unlike liquid PRP, which absorbs quickly, this fibrin scaffold holds growth factors and stem cells at the injection site, releasing them gradually over several weeks.
The prolonged release supports stronger, longer-lasting stimulation of collagen and elastin — thickening the delicate under-eye skin, softening fine lines, and reducing the appearance of dark circles.
The Benefits
Collagen Stimulation
The fibrin matrix provides a sustained release of growth factors at the injection site, supporting collagen that thickens and firms the under-eye skin over weeks.
Dark Circle Reduction
Improved blood flow and cellular regeneration help reduce the vascular discoloration that causes under-eye darkness.
Minimal Downtime
PRF is autologous — derived entirely from your own blood. No synthetic material means no risk of allergy or filler migration; most patients resume normal activity the same day.
Under-Eye Concerns We Treat
PRF is a regenerative treatment for specific under-eye issues. Here’s what it addresses and when it’s the right choice.
Dark Circles
Dark under-eye circles are often caused by thin skin allowing underlying blood vessels to show through, combined with vascular congestion in the periorbital area. PRF stimulates collagen production to thicken the skin over time, while the growth factors improve microcirculation and reduce the pigmented appearance. For patients with deeper structural hollowing contributing to shadows, PRF EZ Gel may be recommended for additional volume.
Under-Eye Hollows
Volume loss beneath the eyes creates a sunken, hollow appearance that deepens with age. Standard PRF supports tissue regeneration to gradually restore fullness. For patients with more pronounced hollowing who need immediate volume, PRF EZ Gel functions as a natural bio-filler — providing structural support on day one while continuing to stimulate collagen over weeks.
Fine Lines & Crepey Skin
The under-eye area has some of the thinnest skin on the body. As collagen and elastin decline, fine lines and a crepey texture develop. PRF’s sustained growth factor release stimulates new collagen and elastin fibers, gradually improving skin thickness and elasticity. For full-face texture improvement, PRF pairs well with microneedling — remaining liquid PRF can be applied topically during the same session.
Tired Appearance
Looking fatigued despite adequate sleep is a common complaint that often results from a combination of under-eye volume loss, skin thinning, and vascular discoloration. PRF addresses all three mechanisms simultaneously — thickening skin, improving circulation, and supporting tissue regeneration. Many patients combine under-eye PRF with Botox for crow’s feet to address the full periorbital area in a single visit.
Filler-Averse Patients
Some patients avoid synthetic under-eye filler due to concerns about the Tyndall effect (bluish discoloration), filler migration, or lumps in this delicate area. PRF is autologous — made entirely from your own blood with no synthetic material — eliminating those risks. It’s a regenerative approach rather than a volumizing one: instead of adding a foreign substance, PRF encourages your body to rebuild its own collagen and tissue.
Post-Filler Maintenance
Patients who previously had hyaluronic acid filler under the eyes can use PRF to extend and complement their results. As filler gradually metabolizes, PRF stimulates your body’s own collagen to maintain the structural support. This can reduce the frequency of filler touch-ups and improve the overall quality of the under-eye skin between filler appointments.
PRF vs. Under-Eye Filler
Patients often ask whether PRF or hyaluronic acid filler is the better choice for under-eye rejuvenation. They work through fundamentally different mechanisms. Here’s how they compare.
These approaches can also be combined. Some patients start with PRF to improve skin quality and reduce discoloration, then add filler only if additional structural volume is still needed. Your provider can recommend the right strategy during a consultation. Learn more about dermal fillers at ELLEMES.
What to Expect
A PRF under-eye treatment takes approximately 45–60 minutes from blood draw to completion. Here’s what happens at each step.
Consultation & Assessment
Your provider examines the under-eye area — evaluating skin thickness, degree of hollowing, vascular discoloration, and overall facial structure. You’ll discuss whether standard PRF, PRF EZ Gel, or a combination approach is most appropriate for your concerns.
Blood Draw
A small volume of blood is drawn from your arm — similar to a routine lab draw. The amount depends on whether you’re receiving standard PRF or PRF EZ Gel. Staying well hydrated before your appointment ensures a smooth, fast draw.
Centrifuge & Preparation
Your blood is placed in a specialized centrifuge and spun at a low speed to separate the platelet-rich fibrin layer. Unlike PRP, the slower spin preserves the fibrin matrix, white blood cells, and stem cells. For EZ Gel, the PRF is then heated and cooled to form a thicker gel consistency.
Injection
The PRF is injected beneath the under-eye skin using a fine needle or cannula, depending on your provider’s assessment. Placement is precise — targeting the tear trough, periorbital hollows, and areas of skin thinning. Most patients describe mild pressure rather than pain.
Results Timeline
Mild swelling is normal for 1–3 days. A subtle hydrating effect may be visible immediately. The full collagen-building results develop over 2–4 weeks as the fibrin matrix releases growth factors. Optimal results are typically seen after a series of 3 sessions.
Post-Treatment Tips
Avoid touching or applying pressure to the under-eye area for 6 hours. No makeup on the treated area for 12 hours. Skip strenuous exercise for 24 hours. Avoid blood thinners (aspirin, ibuprofen, fish oil) for 48 hours after treatment. Mild swelling and possible bruising are normal. For full guidance, visit our post-care instructions.
Treatment Options
Three levels of under-eye treatment based on the degree of volume loss and your collagen goals. Your provider will recommend the right option.
PRP Undereye
Platelet-rich plasma — liquid plasma injected under the eyes to stimulate baseline collagen production and improve skin texture. Best suited for mild concerns.
- Liquid plasma formulation
- Stimulates baseline collagen
- Best for mild concerns
- Improves skin texture
PRF Undereye
Platelet-rich fibrin retains a natural fibrin scaffold, releasing growth factors more slowly than PRP for tighter, smoother under-eye skin over several weeks.
- Fibrin matrix scaffold
- Sustained growth factor release
- Stronger collagen stimulation
- Longer-lasting results
PRF EZ Gel
PRF is heated and cooled to form a thicker gel matrix. Functions like a dermal filler — restoring volume immediately — while delivering sustained collagen stimulation.
- Thick natural bio-filler
- Immediate volume restoration
- Sustained collagen building
- Best for deeper hollows
Multi-session pricing — package discounts available
- ✓ Package of 3 — save 10% on the standard per-session price
- ✓ Package of 5 — save 15% on the standard per-session price
- ✓ PRF is a cumulative treatment — most patients see their strongest results after completing a series
Your provider will recommend the right product and number of sessions based on your under-eye concerns at consultation.
Who Performs This Treatment
How Often to Treat
PRF is a cumulative treatment — each session builds on the collagen stimulation from the last. Here’s how most patients schedule their appointments.
The standard protocol for new patients. Three sessions spaced 4–6 weeks apart allow each round of collagen stimulation to build on the previous one. Most patients see their strongest results after completing the full series.
After completing the initial series, a single maintenance session every 6–12 months sustains the collagen gains. Your provider will recommend a schedule based on how your skin responds and how quickly your body metabolizes the fibrin matrix.
A single PRF session can serve as a trial for patients who want to assess the treatment before committing to a full series — or as a one-time refresh for patients with mild concerns who don’t require an intensive protocol.
Patients who opt for PRF EZ Gel may see stronger immediate volume from each session and may require fewer total treatments to reach their goal. Your provider will recommend the right product and schedule during your consultation. View all ELLEMES treatments.
PRF Questions
What to know before booking under-eye PRF injections at ELLEMES Medical Spa in Atlanta.
What is PRF and how does it benefit the under-eye area?
How many PRF treatments will I need?
Are there any downtime or side effects?
How quickly will I see results, and how long do they last?
Can I combine PRF with other under-eye treatments?
Is PRF suitable for all skin types?
How should I prepare for my PRF appointment?
How does PRF differ from PRP and what is PRF EZ Gel?
When You’re Ready
Schedule a consultation and we’ll recommend the right PRF protocol based on your under-eye concerns, your skin type, and your timeline.
Book a Consultation →Or call (470) 222-6581