Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Microneedling with radiofrequency is effective for puffiness, crepey skin, and triangle skin on the corner of the under-eye area. — Diana Ponsky, 3 Nonsurgical Under Eye Treatments | Dr. Diana Ponsky · 0:32
3 Nonsurgical Under Eye Treatments | Dr. Diana Ponsky
Watch →
video0:56 · Jun 2026
Building rapport with a physician through smaller procedures (Botox, filler) before larger interventions increases patient comfort and trust. A day well spent with Dr. Ponsky! · 0:05
A day well spent with Dr. Ponsky!
Watch →
I cannot tell you how nice it was to be able to trust my surgeon 100%! By the time I had my upper blepharoplasty and chemical peel with Dr. Diana Ponsky, I had been getting treatments with her for years!
Of course I was nervous going into
video0:31 · Jun 2026
Summaries and takeaways+ Show
Summary of this collection+ Show
Key points+ Show
Featured picks for families are being prepared — the summaries above are written for you.
Takeaways+ Show
Periorbital rejuvenation employs a multimodal approach tailored to specific anatomic concerns. Volume loss and hollowing respond to conservative filler placement in targeted zones . For textural concerns—crepey skin, puffiness, and lateral canthal laxity—microneedling with radiofrequency demonstrates efficacy by inducing dermal tightening and reducing infraorbital fat herniation [e13240-c2, e13240-c4]. Optimal outcomes typically require two treatment sessions . Surgical intervention remains relevant: a skin pinch excision addresses isolated dermal redundancy when skin quality is the primary issue . Patient selection and procedural sequencing matter. Establishing trust through minimally invasive treatments (neuromodulators, fillers) before recommending blepharoplasty or other surgical options improves acceptance and satisfaction . The key is matching modality to pathology—volume deficit versus skin excess versus fat prolapse—rather than applying a single technique universally.
- Conservative filler placement addresses infraorbital hollowing and volume loss effectively when anatomically targeted. [e13240-c1]
- Microneedling with radiofrequency tightens crepey periorbital skin and reduces puffiness; expect two sessions for optimal results. [e13240-c2, e13240-c3, e13240-c4]
- Skin pinch blepharoplasty remains a straightforward solution for isolated dermal redundancy without significant fat herniation. [e13240-c5]
- Building procedural trust through injectables before surgical referral improves patient comfort and treatment acceptance. [e13251-c1]
- Match intervention to pathology: fillers for volume, RF microneedling for texture and laxity, excision for skin excess.
For patients & families
Physicians discussed several approaches to refreshing the appearance around the eyes. For hollowing and a tired look under the eyes, fillers placed carefully in the right spots can make a noticeable difference. When puffiness, crepey skin, or loose skin at the outer corner of the under-eye area is the concern, microneedling with radiofrequency was described as an effective option that tightens skin and works beneath the surface to reduce puffiness. This treatment may need to be done twice for the under-eye area. For crepey skin specifically, a single skin pinch procedure was mentioned as helpful. Doctors also noted that starting with smaller procedures like Botox or filler can help patients feel more comfortable and build trust before considering any larger treatments.
Physicians discussed several approaches to refreshing the appearance around the eyes. For hollowing and a tired look under the eyes, fillers placed carefully in the right spots can make a noticeable difference. When puffiness, crepey skin, or loose skin at the outer corner of the under-eye area is the concern, microneedling with radiofrequency was described as an effective option that tightens skin and works beneath the surface to reduce puffiness. This treatment may need to be done twice for the under-eye area. For crepey skin specifically, a single skin pinch procedure was mentioned as helpful. Doctors also noted that starting with smaller procedures like Botox or filler can help patients feel more comfortable and build trust before considering any larger treatments.
The doctors in this collection+ Show
All expert statements+ Show
Expert statements from the recordings in this collection.
3 Nonsurgical Under Eye Treatments | Dr. Diana Ponsky
Fillers placed conservatively in the right area can help with tired eye appearance and hollowing under the eyes.
clinicalDiana Ponsky0:12 ↗
Microneedling with radiofrequency is effective for puffiness, crepey skin, and triangle skin on the corner of the under-eye area.
clinicalDiana Ponsky0:32 ↗
Microneedling with radiofrequency may require two treatments for the under-eye area.
clinicalDiana Ponsky0:36 ↗
Microneedling with radiofrequency tightens skin and works under the skin to reduce puffiness in the under-eye area.
clinicalDiana Ponsky0:40 ↗
A single skin pinch can help with crepiness of under-eye skin.
clinicalDiana Ponsky0:47 ↗
A day well spent with Dr. Ponsky!
Building rapport with a physician through smaller procedures (Botox, filler) before larger interventions increases patient comfort and trust.
opinion0:05 ↗
What's new+ Show