INGE VAN LOTRINGEN: I have half-circle ‘troughs’ under my eyes that make me look permanently exhausted – what can I do about them?

Q: I have semi-circular “dips” under my eyes that make me look permanently tired. What can I do?

A: Go to a cosmetic doctor who is also an eye surgeon; this area requires specialized treatment and surgery may be the only realistic option. That said, there is a treatment called PolarEyes from the London eye surgeon duo behind Face Restoration (facerestoration.com) that combines synergistic technologies to target crepiness, dark circles and puffiness, potentially also minimizing mild hollows.

Microneedling treatments can help tackle wrinkles, dark circles and bags under the eyes

The area around the eyes is fitted with microneedles (it stings a bit) to create small channels in the skin. Then a cocktail of exosomes and niacinamide (they rejuvenate skin cells for plumper, brighter skin) and diluted Botox (minimizes crepe lines) are pushed into the skin using compressed, ice-cold CO2, which dampens inflammation.

The eyes immediately look lifted, brighter and fresher and will improve after ten months. The result is even more impressive if you follow this with three sessions, two weeks apart, with polynucleotides injected under the eyes. Each session costs £500, so the course costs £2,000 in total.