Sometimes the Needle is Needless

Having built a reputation from using dermal fillers in client’s under eyes, I know all too well how easy it is to fall in love with the needle.

Results are great, impact is rapid, and it allows those of us who like to be hands on to fulfil our desire to craft.

Not only for doctors and nurses but, for patients too. Once they’re able to overcome the fear of injectable treatments, most clients love the needle.

For clients, it represents fast and transformational results, with less than anticipated pain, little downtime and a fraction of the cost of surgery.

So, injectables are an all-around winner. So, how then does it make sense that the title of this piece is ‘…Needles [are] Needless’.

Well, here’s the thing.

Do you ever remember growing up and hearing the saying “patience is a virtue”? Or how about “if it ain’t broke then don’t try to fix it”?  You see, the problem with using dermal fillers around the eyes is that, by very definition, we are filling the landscape of the eye area and while that’s the best thing to do in many cases it’s often jumped to as the first port of call.

In fact, there are many situations where we can get the desired result without running the risk of breaking what we initially set out to fix.

If you’ve read some of my other articles, sat in my talks or been a client at my clinic then you’ll know that at the Cosmetic Eye Clinic we see more than one way to approach any problem.

Dark Circles:

So, I have personally recommended fillers to many of you with dark circles but, the catch is that those dark circles need to be caused by sunkeness of the eyes in order for fillers to be effective.

Dark circles due to hyperpigmentation will not be helped by fillers. However, even some of you with dark circles due to sunken eyes do not need the needle.

You could benefit from some of the newer, more advanced serums that contain hyaluronic acid; the same stuff injected under your eyes.


Now, I am a major fan of Botox, especially around the eye area, and just as much a fan of fillers to treat folds when they’re quite severe.

Yet, it would be remiss of me to not acknowledge the advancement of many peptide containing eye creams that have become very impressive at reversing signs of ageing and stimulating collagen and elastin formation.


Mesotherapy around the eye area can work wonders for hydration and tightening.

If you don’t know, mesotherapy uses many microinjections under the skin to deliver nutrients, hydration and stimulate skin tightening.

Still, as great as mesotherapy can be, the biggest advancements in cosmetic product technology is all about delivery systems.

There are now some stellar products which can deliver the benefits of mesotherapy to the deeper layers of skin giving rise to the same effect.

You see, everything comes with risk and even though injectables, when done in professional hands, are relatively safe, they still come with more risk and more pain than products that we can apply on to the skin.

These products can have risks too but, if you’re ready to be patient for your results, then for many of you these options just make more sense.

Now, of course, this won’t be for all of you and this is why you need to find yourself an experienced and reputable aesthetic practitioner who can guide you to find the best option for you, with the least amount of cosmetic or health risk.

To find out more about the many ways you can enhance your eye beauty, besides injectable treatments, be sure to download ‘The Essential Eye Beauty Guide: 50 Ways to Put Your Best Eyes Forward’.


Dr Uche

Dr Uche is an author and award winning advanced Aesthetic Practitioner. He is also the founder of the founder of The Cosmetic Eye Clinic.