Under-eye bags
Bags, dark circles, or puffiness under the eyes can give a tired appearance. Treatment with degradable fillers or autologous PRP provides beautiful natural results.

Under-eye bags
Bags under the eyes can have various causes and require a customized treatment by an experienced cosmetic doctor. Read more below about the treatment of under-eye bags & dark circles.

Under-Eye Bags and Dark Circles: Causes and Effective Treatments
Under-eye bags and dark circles can have various causes. A common reason is volume loss around the eyes, which creates a tired appearance. Additionally, the skin may lose its firmness and elasticity, making the eye contours look saggy. The sagging of orbital fat, also known as fat pads, can also contribute, as well as fluid retention, often referred to as fluid bags. Furthermore, skin discoloration due to pigmentation or visible blood vessels can make dark circles more prominent.
Effective Treatments for Under-Eye Bags and Dark Circles
Several treatments can help reduce under-eye bags and dark circles. Soluble hyaluronic acid fillers can restore lost volume in the tear trough and surrounding areas, reducing shadows and creating a refreshed appearance. The amount of filler needed depends on the extent of volume loss and the desired result.
Other innovative methods include the Morpheus8 treatment or Endolifting with radiofrequency (RF) therapy. These treatments heat and stimulate the deeper layers of the skin to promote collagen and elastin production, leading to long-lasting firmness. They can be combined with hyaluronic acid fillers or bioactivating injections such as PRP (platelet-rich plasma) for optimal skin rejuvenation. The Morpheus8 treatment can also be used to dissolve old fillers or reduce fat pads.
For sagging and wrinkled skin under the eyes, PlexR plasma therapy offers an effective solution. This technique delivers small pulses of heat to tighten the skin and stimulate the natural production of collagen and elastin.
Biostimulation is another advanced technique that involves injecting the skin with natural stem cells, growth factors (PRP), and skin boosters. This helps improve skin firmness, enhance fluid drainage, and reduce pigmentation. Specific products like RRS HA Eyes are designed to revitalize the skin under the eyes.
Can Botox Help with Under-Eye Bags?
Botox is often used to soften a tired look, but it is not the most effective solution for under-eye bags. Dark circles and puffiness are better treated by improving skin quality and restoring lost volume. However, Botox can reduce wrinkles around the eyes, creating a fresher, more open appearance.
Dr. Brandt specializes in treating under-eye bags and dark circles. Curious about the possibilities? Book a free consultation and receive a personalized treatment plan.
Results




How does a filler treatment work?
During an initial consultation, we discuss your desires and treatment options. Based on a few questions about your medical history, we determine if you qualify for a filler treatment.
Through a comprehensive analysis of your skin, we identify areas suitable for filler treatment and recommend products that may be suitable for your skin type.
Our focus at Doctor Brandt is on achieving a natural and subtle result. That’s why we often advise against over-treating in one session. You can always come back later for a touch-up.
During the initial consultation, our goal is to fully inform you about the treatment and the expected results. It’s important that your expectations align with the anticipated outcomes. We will always provide you with honest advice to collaboratively create a well-informed treatment plan.
Schedule an appointment now for a free initial consultation
A filler treatment is simple and typically lasts only 10 to 20 minutes, depending on the number of areas being treated. About half an hour before the treatment, the assistant or the doctor will apply a numbing cream to the areas to be treated. Using a few strategic injections with a very thin needle, the doctor will add extra volume to the chosen areas until the desired effect is achieved. You will see immediate results.
To clearly document the results of the treatment, photos will be taken for your medical record.
After the treatment, you can resume your daily activities immediately. Please be aware that your skin may show slight swelling and redness. This will gradually diminish and should be gone within a few hours. The doctor will provide you with post-treatment tips.
In the days following the treatment, the effect may further enhance due to the filler’s moisture-absorbing nature. This achieves a healthy and voluminous effect that emphasizes certain parts of your face. The longevity of the filler’s filling effect depends on the region treated and the firmness of the gel used. On average, the filling effect of the filler can last 12-18 months.
The hyaluronic acid is naturally broken down by the body into its own substances. After this, you can repeat the treatment without any issues.
Costs of the treatment
It is possible to combine the treatment with the removal of wrinkles in other areas of the face. Check our price list for a complete overview.
0.5 ml – €300
1.0 ml – €500
Under-eye bags “tear troughs” – €500
Lips – volume and contours – €500
MINI Lift (2-3 ml)
Midface – cheeks and cheekbones – €1100
Lower face – jawline and chin – €1100
Full face – entire face – €2000
MAX Lift (4-5 ml)
Midface – cheeks and cheekbones – €1650
Lower face – jawline and chin – €1650
Full face – entire face – €3000
Frown lines – €175
Frown lines + eyebrow lift MINI – €250
Frown lines + crow’s feet – €300
Frown lines + crow’s feet + eyebrow lift – €350
Frown lines + crow’s feet + eyebrow lift + forehead – €400
Crow’s feet – €175
Crow’s feet + eyebrow lift – €250
Crow’s feet + eyebrow lift + forehead – €300
Headache treatment starting from – €175
Jaw muscles / teeth grinding – €400
Excessive sweating armpits – €550
Botox lips “Lip flip” – €75**
Under-eye wrinkles with Botox – €75**
Gummy smile – €75**
Chin dimples – €75**
Nose wrinkles “bunny lines” – €75**
Nose tip lift – €75**
*Prices apply to the standard dosage in our guidelines.
**For Botox treatments, a minimum purchase of 1 zone worth €175 is required.
Profhilo (2 ml) – €350
Course of 2 Profhilo treatments – €650
Course of 3 Profhilo treatments – €1000
“Vampire facial” with autologous Platelet-Rich Plasma (PRP)
PRP + microneedling entire face – €400
PRP + microneedling entire face + neck – €700
Fat removal with injections (Belkyra)
Jawline – €500
Submental area / neck – €500
Course of 2 treatments – €900
Course of 3 treatments – €1300
Radiesse 1,5 ml. – €550
Radiesse neck tightening – €550
Radiesse jawline and neck tightening – €1000
The Endolift with autologous growth factors (PRP) provides a beautiful natural skin improvement with a visible effect on early signs of skin aging.
Endolift skin tightening + autologous PRP / microneedling – €1100
Course of 2 treatments* – €1950
* Recommended. 2nd treatment after 3 months
The ‘Baselift’ is the latest addition to the clinic’s range and is the signature treatment of Dr. Brandt. The natural skin rejuvenation treatment, without surgery or foreign substances.
Loose skin around the eyes and cheeks:
Skin tightening with subcutaneous radiofrequency (INNOfill) + filtered stem cells (without fat cells) and growth factors (PRP) + microneedling – €2450
Course of 2 treatments* – €4550
Lifting treatments for cheeks and jawline:
Skin tightening with subcutaneous radiofrequency (INNOfill) + unfiltered stem cells (with fat cells) and growth factors (PRP) + microneedling – €2650
Course of 2 treatments* – €4950
* Recommended. 2nd treatment after 3 months
PlexR small zone / large zone (pigmentation/scars/wrinkles and more) – €300 – €500
PlexR skin tightening upper eyelids – €500
PlexR skin tightening lower eyelids – €500
PlexR skin tightening upper face (including upper eyelids and crow’s feet) – €850
PlexR skin tightening midface (including lower eyelids and nasolabial folds) – €850
PlexR skin tightening lower face (including wrinkles around the mouth and jawline) – €850
PlexR skin tightening 2 zones (choice of upper, mid, and lower face) – €1500
PlexR skin tightening full face (including aftercare) – €2000
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Doctor Brandt can be reached on weekdays between 09:00 and 18:00. For emergencies, we are available 24 hours a day.
Frequently asked questions
A filler is, as the name suggests, a filling substance. It is a collective term widely used for temporary fillers applied to the face or body. The most commonly used fillers are made of Hyaluronic Acid – a naturally occurring building block of the skin. In addition to Hyaluronic Acid, collagen-stimulating fillers such as Radiesse or Sculptra are also used.
The result of a filler treatment depends on the type of filler used and the skin layer in which it is placed. For example, a ‘firm filler’ in a deeper skin layer provides a lifting effect on deeper wrinkles, while a ‘soft filler’ in a superficial skin layer softens shallow wrinkles. For an optimal result, a combination of different types of fillers in various skin layers is often applied.
For a filler treatment, usually only local anesthesia is applied with an injection or a numbing cream. Depending on the type of treatment, the most effective option for a comfortable experience will be suggested. If you find it very nerve-wracking or are afraid of needles, please let us know, and we can work together to make the treatment as pain-free as possible.
Fillers like Hyaluronic Acid and Radiesse are naturally broken down by the body over time. On average, results are visible for about a year, gradually diminishing. If you prefer to monitor the results, you can work with the doctor throughout the year to identify areas where a ‘touch-up’ may be beneficial. In some cases, with more robust fillers, results can last for several years.
The recovery after a filler treatment is generally mild. After the procedure, there might be some local mild swelling, redness, or discomfort – this is quite normal and usually resolves on its own within 24-72 hours. Occasionally, a small bruise may occur during the injection, but it typically fades within a few days. Significant bruising is rare. Generally, it’s barely noticeable immediately after the treatment. Within a few days, the filler settles into the skin and may attract some additional water, enhancing the effect over time. Most people experience the ‘wow-effect’ after 2-4 weeks.
A treatment with fillers has a favorable risk profile compared to surgical procedures. Like any medical procedure, there are risks to consider. The most common problems are not severe and easily correctable. If a filler ends up in the wrong layer of the skin, a small bump or swelling may occur. This is often easily corrected with a solvent, especially with soluble hyaluronic acid fillers. The risk of bumps due to fillers is very small when choosing an experienced cosmetic doctor with the KNMG certification.
In extremely rare cases, there may be an allergic reaction or infection (less than 0.1%). Also, in very exceptional cases, a filler may obstruct blood vessel flow. In such cases, the doctor can usually inject a solvent with targeted ultrasound to restore blood flow. Dr. Brandt has extensive knowledge of treating complications and has contributed as an author to the Dutch field norm for non-body-own degradable fillers. If you have any questions, feel free to ask!