Mesotherapy — Under-Eye Hyaluronic Acid

Mesotherapy for the under-eye area at Follow Clinic delivers low-molecular-weight hyaluronic acid directly into the delicate skin below the eye via micro-injections, improving hydration, skin thickness, and the appearance of dark circles caused by thin or dehydrated skin (rather than structural hollowing). At 4,900 Kč per session, it is a gentle, non-volumizing alternative to tear trough filler — ideal for clients with fine-textured periorbital skin. A series of 2–4 sessions spaced 2–4 weeks apart is recommended for cumulative benefit, with maintenance every 4–6 months thereafter.

The under-eye area is one of the most delicate regions of the face — the skin here is approximately 0.5 mm thick, compared to 2 mm on the cheeks — making it highly susceptible to dehydration, creasing, and the blue-grey discolouration associated with dark circles. Mesotherapy for under-eye rejuvenation at Follow Clinic uses micro-injections of low-viscosity hyaluronic acid — a highly hydrophilic molecule that draws and retains moisture within the dermis — delivered via a fine needle in a linear or retrograde threading technique just beneath the skin surface. Unlike tear trough filler (which adds volume deep along the orbital rim), under-eye mesotherapy works superficially to thicken and hydrate the papillary and reticular dermis, reducing translucency, improving skin texture, and lessening the shadowing effect of dark circles caused by thin skin rather than hollowing. The treatment takes approximately 20–30 minutes. Multiple micro-injections are made across the periorbital skin. Fine-needle technique is used to minimize bruising, though small haematomas can occur in this sensitive area and typically resolve within 3–5 days. A series of 2–4 sessions spaced 2–4 weeks apart is generally recommended for cumulative benefit, with results maintained by top-up sessions every 4–6 months. This treatment is not suitable for clients whose dark circles are primarily due to orbital fat herniation or significant hollowing — in those cases, deep tear trough filler is more appropriate. Contraindications include active skin infection, pregnancy, and breastfeeding.