Under Eye Treatment Upper East Side

When hollowing, puffiness, or darkness appear under the eyes, they can signal fatigue, even when you feel well-rested. Under-eye treatment helps restore a refreshed, alert, and balanced appearance, without changing the essence of who you are.

*Real Patient

*Real Patient

Don’t Let Tired-Looking Eyes Define You

The under-eye area plays a powerful role in how we’re perceived. Dr. Allison Coombs offers advanced under-eye treatment options from her Upper East Side office, using a combination of medical knowledge, surgical experience, and aesthetic precision. As a board-certified oculofacial plastic surgeon and ophthalmologist, she understands how to treat this delicate area while protecting eye health and preserving natural expression.

Whether you’re addressing early signs of aging or correcting long-standing concerns, Dr. Coombs tailors every plan to your anatomy, desired aesthetic outcome, and lifestyle.

What Causes Under-Eye Concerns?

The under-eye area is structurally complex and particularly prone to visible aging. These issues often overlap, which is why under-eye treatment must be personalized, not one-size-fits-all. Common concerns include the following:

Hollowing or tear troughs from volume loss
Puffiness or bags due to fat pad prominence or fluid retention
Dark circles from shadowing, pigmentation, or vascular visibility
Crepey skin due to collagen breakdown
Fine lines from expression and sun exposure

Our Approach to Under-Eye Treatment

Dr. Coombs combines aesthetic judgment with clinical expertise to create subtle, meaningful results. Depending on the cause of your concern, she may recommend one or more of the following:

Hyaluronic acid fillers to correct hollowing or deep tear troughs.
Neurotoxins to soften fine lines around the outer eye.
Laser skin resurfacing to improve skin tone and texture.
Microneedling with PRF or RF to stimulate collagen production.
Chemical peels to lighten pigmentation and improve smoothness.
Lower eyelid surgery (blepharoplasty) for fat pad removal or skin tightening.

About Under-Eye Treatment Benefits

With Dr. Coombs’ refined approach, patients can expect improvements that are subtle but impactful.

Reduced hollows and shadows under the eyes.
Softens fine lines and crepey texture.
Brightened, more youthful appearance.
Non-surgical or minimally invasive options are available.
Long-term strategies that support graceful aging.

Schedule A Consultation

Are You a Candidate?

Candidates vary widely—some are in their 30s and looking to refresh early signs of aging, others in their 60s seeking a more permanent solution. Dr. Coombs evaluates your skin, volume, and muscle tone before recommending a treatment.

Dr. Allison V. Coombs

Why Upper East Side Patients Choose Dr. Coombs for Under-Eye Treatment

Dr. Coombs brings unmatched specialization to under-eye treatment. Unlike general injectors or med spas, her background in ophthalmology and facial surgery means she understands the anatomy and the function of the periorbital region in exacting detail.

Every treatment is performed by Dr. Coombs herself, using her trained eye to balance precision and artistry. Her practice on the Upper East Side is known for offering boutique-level attention with medical-level expertise, helping patients feel seen, heard, and beautifully supported.

The Consultation Step

At your consultation, Dr. Coombs will carefully examine your under-eye anatomy and discuss the underlying causes of your concerns. She’ll recommend the most effective course of treatment—whether filler, resurfacing, surgery, or a combination—and walk you through every step of the process with clarity and care.

Overview of the Treatment Experience

Your skin is cleansed, and topical numbing may be applied.
Treatment is delivered with careful technique and patient comfort in mind.
Procedures range from 15 minutes (injectables) to one hour (laser/surgical).
You’ll receive detailed aftercare instructions tailored to your treatment.

Recovery and Results

Mild swelling or bruising is common and subsides within a few days.
Results from filler or neurotoxin typically appear within one week.
Laser and surgical recovery varies; full results unfold over several weeks.
Follow-up appointments ensure healing is on track and expectations are met.

FAQ Under Eye Treatment

Can filler completely eliminate dark circles?

It depends on the cause. If your dark circles are due to hollowing or shadowing, filler can help significantly. Pigmentation may require other solutions.

How long do results last?

Tear trough filler can last 9–18 months. Laser and surgical results are often longer-lasting.

Is it safe to treat under the eyes?

Yes, when performed by a highly trained specialist like Dr. Coombs. This is a complex area and should never be treated casually.

How do I know if I need surgery instead of filler?

Dr. Coombs will assess your anatomy and explain all options. Some patients are better candidates for blepharoplasty based on fat pads or skin laxity.

Can I combine this with other facial treatments?

Absolutely. Many patients benefit from a comprehensive approach to the midface, eyes, and brows for optimal harmony.

Common Types of Under-Eye Treatments

Tear Trough Filler – Adds volume to hollow under-eyes.
BOTOX® for Crow’s Feet – Smooths outer eye lines.
Skin Resurfacing – Improves tone, tightness, and texture.
Blepharoplasty – Surgical removal or repositioning of fat and skin.
PRF Injections – Stimulates natural collagen production.

Alternative and Related Procedures

Midface lift – Supports the lower eyelid and cheek.
Cheek filler – Restores volume and reduces contrast under the eyes.
Brow repositioning – Enhances upper facial structure and balance.
Microneedling with RF – Tightens and firms delicate skin.