Under Eye Rejuvenation Westlake Village & Thousand Oaks

Name: Under Eye Rejuvenation
Brand: Tansavatdi Facial Plastic Surgery
Rating: 5 (361 reviews)

A Brighter, More Rested Look Begins With the Right Diagnosis

The under-eye area is one of the first places many women notice signs of aging, fatigue, stress, or hormonal change. Hollowness, shadowing, discoloration, crepey skin, and visible vessels can make the eyes appear tired even when you feel rested and well. At Tansavatdi Facial Plastic Surgery, under-eye rejuvenation is approached with care, restraint, and a deep understanding of facial anatomy. Led by Dr. Kristina Tansavatdi, a double board-certified facial plastic surgeon, our goal is not to simply “fill” the under-eyes. The goal is to understand why the under-eye area looks tired in the first place — and then recommend the treatment that truly fits the problem. For some patients, that may include under-eye filler. For others, it may include PRF injections, microneedling, skin brightening products, surgical eyelid rejuvenation, or a combination of treatments. In many cases, the most important part of the consultation is determining whether injectables are appropriate at all.

Under-Eye Rejuvenation Is Not for Every Concern

Not every under-eye concern can or should be treated with filler. Under-eye rejuvenation works best when the cause of darkness or tiredness is related to hollowing, volume loss, or changes in skin quality. However, puffiness, under-eye bags, fluid retention, and true lower eyelid fat prolapse often require a different approach. In some patients, adding filler beneath the eyes can make puffiness more noticeable rather than less. This is why consultation with Dr. Kristina Tansavatdi is so important. As a facial plastic surgeon, she evaluates the under-eye area through both a non-surgical and surgical lens. She will determine whether your concern is caused by hollowing, pigmentation, visible blood vessels, thinning skin, lower eyelid fat, skin laxity, cheek descent, or a combination of factors. The right treatment begins with understanding the cause.

Eyes That Reflect the Way You Feel

The eyes are central to expression. They communicate energy, warmth, emotion, and connection. When the under-eye area appears hollow, shadowed, or tired, it can affect how you feel about your entire face. Many women come to Tansavatdi Facial Plastic Surgery saying they look exhausted even when they are not. Others feel that concealer no longer helps, or that their under-eye area has become darker, thinner, or more fragile with time.

Dr. Kristina Tansavatdi takes a nuanced approach to these concerns. Rather than assuming every patient needs filler, she studies the relationship between the lower eyelid, cheek, skin quality, pigmentation, and facial structure. The goal is to create a softer, brighter, more rested appearance while preserving your natural expression.

Dr. Tansavatdi Demonstrating the Under Eye Rejuvenation Process

Dr Tansavatdi Demonstrates Under Eye Filler for Bags

Dr. Kristina Tansavatdi | Under Eye Rejuvenation

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What Causes Dark Circles and Under-Eye Hollows?

Dark circles and under-eye shadows can have several different causes. Understanding the source of the concern is essential because each cause requires a different treatment strategy.
Under-eye darkness may be caused by:

Hollowing or volume loss that creates shadow
Hyperpigmentation in the skin
Thinning skin that makes underlying blood vessels more visible
Genetics
Changes in the cheek and lower eyelid transition
Allergies or chronic inflammation
Fluid retention or puffiness
Lower eyelid fat prominence
Skin laxity or crepiness

In some patients, what appears to be “dark circles” is actually a shadow from hollowing. In others, discoloration may come from visible vasculature beneath thin skin. In darker skin types, hyperpigmentation may be more noticeable and may require a combination of skin brightening products, microneedling, and carefully selected injectable treatments. Because the causes vary, treatment must be customized.

What Is Under-Eye Rejuvenation?

Under-eye rejuvenation refers to a personalized treatment plan designed to improve the appearance of the lower eyelid and tear trough area. Depending on your anatomy and goals, treatment may focus on hollowing, shadowing, discoloration, skin texture, crepiness, or the transition between the lower eyelid and cheek. Dr. Kristina Tansavatdi will guide you honestly toward the option that best fits your anatomy — even if that means recommending surgery instead of injectables.

At Tansavatdi Facial Plastic Surgery, under-eye rejuvenation may include:

Under-eye filler for carefully selected hollowing
PRF injections to support skin quality and tissue health
Microneedling to improve texture, crepiness, and skin renewal
Skin brightening products for pigmentation concerns
A staged combination plan for more complex under-eye discoloration
Surgical consultation when puffiness, bags, or skin laxity require a different solution

The Tansavatdi Difference

Tansavatdi Facial Plastic Surgery was founded by Dr. Kristina Tansavatdi to provide women with a thoughtful, supportive space for facial rejuvenation. Her approach is grounded in restoration, identity, and natural-looking results — values that define the practice and the patient experience. As a double board-certified, fellowship-trained facial plastic surgeon, Dr. Tansavatdi understands that the under-eye area cannot be evaluated in isolation. The lower eyelid is connected to the cheek, midface, skin quality, facial volume, and the deeper structures that change with age. This matters because under-eye filler is not always the safest or most effective answer. In the wrong candidate, filler can worsen swelling, create puffiness, or fail to address the true cause of the concern. Dr. Tansavatdi’s surgical background allows her to recognize when injectables may help and when a lower blepharoplasty, facial fat transfer, skin treatment, or another approach may provide a better result. At our practice, under-eye rejuvenation is never about chasing a trend. It is about helping your eyes look more rested, open, and aligned with the way you feel inside.

What to Expect From Your Under-Eye Rejuvenation

An In-Depth Consultation

Every under-eye rejuvenation journey begins with a detailed consultation with Dr. Kristina Tansavatdi. She will listen to your concerns, evaluate your lower eyelids, assess your cheek support and skin quality, and determine whether your under-eye appearance is caused by hollowing, pigmentation, visible vessels, puffiness, fat prominence, or skin laxity. She may also review photos from earlier years to understand how your eyes and midface have changed over time. This helps create a treatment plan that is based on your natural anatomy rather than a generic under-eye correction. Your consultation may include a discussion of:

Whether filler is appropriate
Whether PRF or microneedling would better support skin quality
Whether pigmentation requires brightening products
Whether puffiness or bags are better treated surgically
Whether previous filler may be contributing to swelling or heaviness
How your under-eye plan fits into your long-term facial rejuvenation goals

The goal is clarity. You should understand what is causing the concern and why a certain treatment is being recommended.

Under Eye Rejuvenation Before & After

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Personalized Under-Eye Treatment Solutions

Under-Eye Filler

Under-eye filler may be appropriate for select patients with true hollowing or tear trough shadowing. Dr. Kristina Tansavatdi uses hyaluronic acid fillers from the Restylane family when filler is recommended for this delicate area. Hyaluronic acid filler can help soften the transition between the lower eyelid and cheek when volume loss is creating a shadow. However, the under-eye area requires a conservative approach. Too much filler, or filler placed in the wrong patient, can create swelling, puffiness, or an unnatural appearance. Dr. Tansavatdi uses under-eye filler sparingly and only when the anatomy supports it. In some cases, she may recommend avoiding filler entirely if puffiness, fluid retention, or lower eyelid fat is the primary issue. The goal is subtle improvement — not visible filler.

PRF Injections

PRF, or platelet-rich fibrin, uses components from your own blood to support skin quality, tissue health, and natural regenerative processes. PRF may be recommended for patients with thin, crepey, or delicate under-eye skin, especially when the goal is gradual improvement rather than immediate volume correction. During treatment, a small blood sample is drawn and processed to concentrate platelet-rich fibrin. PRF is then carefully injected or applied to the under-eye area depending on your treatment plan. PRF may help improve the appearance of fine lines, crepiness, skin quality, and subtle under-eye discoloration over time. Results are gradual and often work best as a series of treatments.

Microneedling for Under-Eye Skin Quality

Microneedling may be recommended when under-eye concerns are related to skin texture, fine lines, crepiness, or overall skin quality. By creating controlled micro-injuries in the skin, microneedling supports the body’s natural repair process and encourages collagen renewal. For some patients, microneedling may be combined with PRF to support a more regenerative approach to under-eye rejuvenation. This can be especially helpful when the skin appears thin, dull, or finely wrinkled. Microneedling is not a replacement for filler or surgery, but it can be an important part of a comprehensive under-eye plan.

Skin Brightening for Hyperpigmentation

Some dark circles are caused by pigmentation in the skin rather than hollowing alone. This is especially common in darker skin types, where under-eye hyperpigmentation may be more noticeable or more persistent. When pigmentation is part of the concern, Dr. Kristina Tansavatdi may recommend a combination approach that includes skin brightening products, microneedling, PRF, and selective injectable treatment when appropriate. This is an important distinction: filler does not treat true pigment. If discoloration is caused by melanin, skin quality, or visible vasculature beneath thin skin, a different strategy is needed.

When Surgery May Be the Better Approach

Under-eye puffiness and bags are often caused by lower eyelid fat prominence, skin laxity, or structural changes that injectables cannot correct. In these cases, filler may not solve the problem and may even make the area look more swollen. Because Dr. Kristina Tansavatdi is a facial plastic surgeon, she can evaluate whether non-surgical treatment is appropriate or whether surgery may provide a more effective result. Surgical options such as lower blepharoplasty or facial fat transfer may be discussed when the concern involves:

Under-eye bags
Puffiness
Fat bulging
Loose lower eyelid skin
Significant skin laxity
Advanced hollowing
Poor lower eyelid-cheek transition
Prior filler-related swelling or heaviness

The right recommendation depends on your anatomy, goals, and long-term facial rejuvenation plan.

Combined Treatments for More Complete Results

Many under-eye concerns have more than one cause. A patient may have hollowing, thin skin, visible vessels, and pigmentation at the same time. Another patient may have early skin crepiness combined with cheek volume loss. Another may have puffiness that is better treated surgically. For this reason, Dr. Kristina Tansavatdi may recommend a combined or staged approach. Your plan may include:

PRF to improve skin quality
Microneedling to support collagen and texture
Skin brightening products for pigmentation
Conservative under-eye filler for hollowing
Surgical evaluation for puffiness or bags
Long-term maintenance to preserve results

This approach allows treatment to be more precise and more natural-looking.

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“Dr. Tansavatdi and her staff are incredible! I was very nervous about getting rhinoplasty and when I found Dr. T, she made me feel so comfortable. From the consultation to the post op appointments, she is there to answer any questions. Sarah and Yvonne were amazing and helped me...

Ashley S.

"I initially went to meet with Dr. Tansavatdi because she had gotten excellent Yelp reviews. So now I'll pay it forward to someone else trying to find a good plastic surgeon.

I was impressed from the first visit. She took time to understand my goals and reasons for want...

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"I cannot possibly find enough good things to say about Doctor T and her entire staff. Dr. T did a rhinoplasty and deep neck lift for me. The results are outstanding. She is so knowledgeable and professional. She pays the very most attention to detail. She is kind and she is a...

Jordan B.

This review is from my mother Rose who recently had a comprehensive facelift and both a upper and lower eyelid lift. She found Dr. T through Yelp based on all her fantastic reviews and honestly couldn't agree more. Dr. T is professional, thorough, understanding and makes sure ...

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“I have worked with many surgeons as an RN. I wouldn’t go to anyone else for my face! I am almost one year post op and look great.”

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“Let me start off by saying that I have used three other plastic surgeons for various procedures. Not only is Dr. Tansavatdi an excellent surgeon, she is great at all cosmetic procedures. She is kind, professional, and knowledgeable, while at the same time being warm and caring. ...

Agourasue

“I wanted to improve my breathing and to fix my crooked nose, and Dr. T went above and beyond to make me feel at ease throughout the entire rhinoplasty process from our consultation to the post surgery follow ups. I chose Dr. Tansavatdi because she makes sure you are at a complet...

Asquire29

“After my first visit with Dr. Tansavatdi and her staff, all anxiety about having eyelid surgery disappeared. They are very professional yet kind and warm and patient. I am delighted with my experience, it was not painful, recovery was not prolonged and the results are completely...

Usermary

“I cannot praise Dr. Tansavatdi and her entire team enough. I had an amazing experience since the moment I arrived to her office for a consultation. Everyone is very warm and genuine, and I do value that very much. She performed a rhinoplasty and I couldn’t be any happier with th...

Marie100719

“Dr. Tansavatdi is a miracle worker, plain and simple. I cannot recommend her enough. I went to Dr. T with a septoplasty that went terribly wrong. There were multiple problems done by the previous doctor. I came to Dr. T feeling insecure, hopeless, and defeated after enduring a b...

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Michelle C.

“I was looking to improve the bump in my nose by using injectable fillers. From the first time I called, the girls in Dr. Tansavatdi’s office were warm, patient, and so helpful! As soon as I met Dr. Tansavatdi and talked to her, I knew she would be able to give me the best experi...

Sedonacastro

“Dr, Tansavatdi is everything she's talked up to be. I had an ill-placed Bolotero filler in my tear troughs that had been concerning and disfiguring me for 2 years. She’s the only one I trusted (after carefully reading reviews) to inject the reversal antidote, hyaluronodiase. Sh...

Alison S.

"Great team & masterful plastic surgeon specializing in face & neck. I had many consultations all around & after seeing Dr Tansadvati’s work, meeting her & her staff I was convinced I was in the right place & in the best hands. I highly recommend Dr T. beca...

Giga A.

"Dr. Tans did an amazing job on my upper/lower eyelid surgery! I’m so pleased and happy at how it turned out. Dr. Tans and her staff were wonderful and treated me with kindness and respect. I totally trust her and will definitely be back for another procedure! Thank you for gi...

Susie L.

"I just loved Dr. T and her team. Everyone is wonderful and really care about their patients. I am 57 and got an endoscopic deep plane facelift with fat transfer, underbleph and eye brow lift and i am very happy with the results. It has been a month and so far so good. No pain...

Diana P.

Recovery After Under-Eye Rejuvenation

Recovery depends on the treatments performed. Most non-surgical under-eye treatments involve minimal downtime, although temporary swelling or bruising can occur. Most patients return to normal daily activities soon after treatment. However, you may be asked to avoid strenuous exercise, direct pressure on the under-eyes, alcohol, heat exposure, and prolonged sun exposure for a short period. Our team will provide customized aftercare instructions based on your treatment plan. After under-eye filler, PRF, or microneedling, you may experience:

Subtle asymmetry while swelling settles
Temporary firmness or sensitivity
Mild swelling
Redness
Tenderness
Bruising

Your Post-Treatment Process

After your under-eye rejuvenation treatment, our team will guide you through what to expect and how to care for the area. Your post-treatment plan may include:

Injection site care
Skin care instructions
Sun protection
Swelling and bruising management
Activity limitations
Makeup timing
Products to avoid temporarily
Symptoms to monitor
Timing for follow-up or additional treatments

Some under-eye treatments require a series of sessions, especially PRF, microneedling, and pigmentation-focused plans. Dr. Kristina Tansavatdi and her team will follow your progress and recommend maintenance based on how your skin and tissue respond.

Revealing a More Rested Under-Eye Area

Under-eye filler results may be visible soon after treatment, although swelling must resolve before the final result can be appreciated. PRF and microneedling results develop more gradually as collagen production, skin quality, and tissue support improve over time. Pigmentation-focused treatments also require patience and consistency. Skin brightening products and collagen-stimulating treatments often work best when used as part of a longer-term plan. The goal is not an artificially smooth or overcorrected under-eye area. The goal is a softer, brighter, more rested look that still feels natural to you.

Under Eye Rejuvenation Frequently Asked Questions

How do I know which under-eye rejuvenation option is right for me?

The right treatment depends on the cause of your under-eye concern. During your consultation, Dr. Kristina Tansavatdi will evaluate whether your tired appearance is caused by hollowing, pigmentation, thinning skin, visible vessels, puffiness, lower eyelid fat, or skin laxity. Based on that evaluation, she may recommend filler, PRF, microneedling, skin brightening products, surgery, or a combination of treatments.

Is under-eye rejuvenation good for puffiness?

Not usually. Under-eye puffiness is often caused by lower eyelid fat, fluid retention, skin laxity, or swelling. In these cases, filler may not help and can sometimes make puffiness look worse. A consultation with Dr. Kristina Tansavatdi can help determine whether your concern is better treated with non-surgical rejuvenation or whether a surgical option, such as lower blepharoplasty, may be more appropriate.

Can under-eye filler treat dark circles?

Sometimes. Under-eye filler may help when dark circles are caused by hollowing or shadows. However, filler does not treat all forms of discoloration. If darkness is caused by pigmentation, visible blood vessels, thin skin, or darker skin type-related hyperpigmentation, Dr. Tansavatdi may recommend skin brightening products, PRF, microneedling, or a combined treatment plan instead.

Is under-eye filler safe?

Under-eye filler can be safe and effective in the right candidate when performed with careful technique and a conservative approach. Dr. Kristina Tansavatdi uses hyaluronic acid fillers from the Restylane family for select under-eye patients. However, the under-eye area is delicate, and not every patient is a good candidate. Dr. Tansavatdi will evaluate your anatomy and discuss risks, benefits, and alternatives before recommending filler.

What if I have darker skin and under-eye pigmentation?

Patients with darker skin types may experience more noticeable under-eye hyperpigmentation. When pigment is part of the concern, filler alone is usually not enough. Dr. Tansavatdi may recommend a combination of skin brightening products, microneedling, PRF, and selective injectable treatment depending on the cause of the discoloration and your skin’s needs.

When is surgery better than injectables?

Surgery may be a better option when under-eye concerns are caused by puffiness, under-eye bags, lower eyelid fat, loose skin, or more advanced structural changes. Injectables cannot correct every under-eye problem, and in some cases, they may worsen swelling or heaviness. Dr. Kristina Tansavatdi will help determine whether non-surgical treatment or surgery is the better path.

How long do under-eye rejuvenation results last?

The longevity of your results depends on the treatment performed. Under-eye filler may last several months to over a year depending on the product, placement, and your anatomy. PRF and microneedling results develop gradually and may require a series of treatments for best results. Pigmentation treatments require consistency and maintenance over time. Dr. Tansavatdi will create a plan that fits your goals and explains what kind of maintenance may be needed.