Under-eye lines are one of the earliest signs of skin ageing. They can make the eyes appear tired, aged or even sunken, affecting overall facial expression. These fine lines, also commonly referred to as crow’s feet or periorbital wrinkles, typically form due to a combination of skin thinning, loss of collagen and repeated facial expressions over time.
As the skin around the eyes is among the thinnest and most delicate on the face, it is particularly prone to wrinkling and dehydration. While a natural part of the ageing process, under-eye lines can also occur prematurely in younger individuals due to lifestyle and environmental factors.
Under-eye lines are fine or deeper-set wrinkles that appear beneath the lower eyelid. They are generally classified into:
Present even when the face is at rest. These lines are usually a result of collagen and elastin loss in the skin.
These form with facial movement, such as smiling or squinting, and are often the earliest form of expression lines.
This refers to skin that appears thin and finely wrinkled, often due to dehydration and reduced skin density.
Present even when the face is at rest. These lines are usually a result of collagen and elastin loss in the skin.
These form with facial movement, such as smiling or squinting, and are often the earliest form of expression lines.
This refers to skin that appears thin and finely wrinkled, often due to dehydration and reduced skin density.
It is not uncommon for patients to experience a combination of the above, which may require a multi-modal treatment approach.
There are several contributing factors to the development of under-eye lines:
Blinking, smiling, and squinting cause thousands of micro-folds daily. Over decades the dermis may “remember” these creases.
Ultraviolet (UV) exposure, intense in Singapore, breaks down existing collagen and generates free radicals that hinder new formation. Consistent sunscreen use is therefore critical.
Age-related depletion of subcutaneous fat and bone resorption along the orbital rim flatten underlying contours, allowing loose skin to wrinkle more readily.
Collagen and elastin synthesis slows in the late twenties, reducing structural support and skin thickness.
A naturally thin dermis or prominent eye socket can predispose an individual to earlier line formation.
Dry skin is more prone to wrinkling, especially in the under-eye area.
Smoking, lack of sleep and poor diet can all contribute to premature skin ageing.
At Mizu, our doctor-led treatments are tailored to address the root causes of under-eye ageing. While results may vary between individuals, here are some options available to help improve the appearance of under-eye lines:
Thermage Eye is a non-invasive radiofrequency (RF) treatment designed specifically for the delicate eye area. It works by delivering controlled RF energy to the deeper layers of the skin, stimulating collagen regeneration and tightening existing collagen fibres. This results in a gradual lifting and firming effect that helps reduce the appearance of fine lines. Thermage Eye is FDA-approved and suitable for those experiencing early signs of ageing around the eyes. Read more
HIFU Eye utilises focused ultrasound energy to stimulate collagen production in the skin around the eye. It comes with a 2.0mm handpiece that is designed to fit the contours of the eye area. This treatment helps to contract and lift the tissues, providing a subtle but noticeable lifting effect. HIFU is well-suited for patients who are not ready for surgery and want a non-invasive solution for skin tightening. Read more
RF Microneedling combines microneedles and radiofrequency to stimulate collagen production to tighten loose skin and improve skin quality. It is effective for those with crepey under-eye skin or fine lines. When applied to the under-eye area, this procedure can firm up sagging skin, reduce fine lines and improve vascular dark circles. Read more
Skin boosters involve the injection of skin rejuvenating solutions that hydrate and improve the quality of the skin. These are especially beneficial for under-eye areas that appear dry, dull or textured. For the under-eye, common ingredients include hyaluronic acid for hydration and polynucleotides for repair and rejuvenation. Skin boosters can improve the skin’s overall glow and elasticity, and are often used in combination with other treatments for synergistic results. Most patients undergo a course of three to four treatments, with visible improvements developing over several months. Read more
For dynamic lines that appear when smiling or squinting, botulinum toxin can help relax the muscles responsible for those movements that wrinkle the skin. When administered by an experienced doctor, it can soften fine lines around the eyes without freezing natural expressions. The effects are temporary and typically last about six months.
In addition to in-clinic procedures, maintaining a consistent skincare routine with adequate sun protection, hydration, and the use of eye creams containing peptides or retinol can help prolong results. Read more
Over-the-counter products can improve hydration and, in some cases, surface smoothness, but they are unlikely to match the collagen-stimulating capacity of in-clinic treatments.
Yes. All treatments offered at Mizu Aesthetic Clinic are performed by licensed medical doctors using protocols that are safe for the delicate under-eye region.
Most procedures have minimal downtime. For example, Thermage and HIFU generally have low to no downtime, while RF microneedling may result in mild redness for 1 to 2 days, and skin boosters mild swelling for a few days. Your doctor will advise you based on your treatment plan.
This varies by treatment. Energy-based modalities stimulate collagen gradually; noticeable tightening often appears after 6 to 12 weeks, continuing for several months. Botulinum toxin typically peaks at 2 weeks. Skin boosters give an early hydration glow, with collagen effects emerging later.
Sensitivity is assessed during consultation. Gentle protocols, lower energy settings, or staggered sessions can be adopted. Always inform your doctor of eczema, dermatitis, or allergies.
Yes, combination therapy is often recommended for optimal results. Your doctor will assess your skin condition and goals to customise a safe and effective treatment plan.
Some treatments, such as Thermage, are designed as single-session therapies, while others like RF microneedling may require a few sessions for best results. A consultation will help determine the appropriate frequency.
At Mizu, we focus on providing safe, evidence-based treatments that are tailored to your unique concerns. Our doctors take the time to assess each patient’s skin concern comprehensively, designing a treatment plan that is both safe and effective. We believe in subtle enhancements that preserve your natural features, helping you look refreshed, not altered.
Take the first step towards brighter, refreshed eyes. Schedule a personalised consultation with our medical team to discuss your concerns and explore the best treatment options for your skin type.
This page is intended for educational purposes and does not constitute medical advice. For an accurate diagnosis and personalised treatment plan, please consult with our licensed medical professionals.
