What Is PRP Under Eyes and How Does It Work?

Platelet-Rich Plasma (PRP) is a restorative treatment that uses a patient’s own biological resources to promote healing and rejuvenation. This therapy involves isolating and concentrating specific components from the blood, which are then reintroduced to a targeted area. PRP is a popular, non-surgical option in cosmetic medicine for stimulating tissue repair and improving skin quality. It is particularly sought after for addressing signs of aging and fatigue in the delicate skin beneath the eyes, offering a way to naturally refresh the periorbital area.

The Science of Platelet-Rich Plasma

PRP is a high concentration of platelets derived from a patient’s own blood, suspended in plasma. A small blood sample is drawn from the arm, similar to a standard blood test. This sample is placed into a centrifuge, which spins the blood to separate its components by density. This process isolates the clear, yellowish plasma layer containing the high concentration of platelets from the red and white blood cells.

Platelets contain numerous signaling proteins called growth factors, which drive the treatment’s regenerative effects. When these concentrated platelets are introduced into the skin, they are activated to release growth factors, such as Platelet-Derived Growth Factor (PDGF) and Vascular Endothelial Growth Factor (VEGF). These proteins stimulate the production of new collagen and elastin, the fundamental building blocks for healthy skin. The release of VEGF specifically helps stimulate the formation of new blood vessels, which improves circulation and tissue health.

Addressing Under-Eye Concerns

The skin beneath the eyes is the thinnest on the body, making it susceptible to showing signs of aging and fatigue. PRP therapy is specifically applied here to combat issues arising from this anatomical vulnerability. The bio-stimulatory effects of the concentrated growth factors work to thicken and tighten the skin, which is a primary goal in this region.

This regenerative process helps diminish the appearance of fine lines and a crepey texture. For dark circles caused by thinning skin allowing underlying blood vessels to show through, the collagen-boosting effect can make the skin more opaque. By stimulating new collagen, PRP injections can also provide a subtle improvement in mild volume loss or hollowness, often referred to as tear troughs. The treatment improves the overall tone and elasticity of the periocular skin, resulting in a more refreshed appearance.

Preparing for and Receiving the Treatment

Before treatment, a consultation assesses the skin to determine if PRP is the appropriate solution for the patient’s concerns. Preparation instructions include avoiding blood-thinning medications and supplements, such as aspirin and ibuprofen, for a few days prior to minimize the risk of bruising. Patients are also advised to be well-hydrated and eat a meal before the procedure to prevent lightheadedness during the blood draw.

The procedure begins with a small blood sample taken from the arm, which is then processed in the centrifuge for 10 to 15 minutes to yield the PRP. While the PRP is being prepared, a topical numbing cream is often applied to the under-eye area to enhance comfort during the subsequent injections. Once the concentrated platelet solution is ready, it is carefully administered into the skin beneath the eyes.

The delivery method can involve multiple small, shallow injections using a fine needle, or the practitioner may use a blunt-tipped cannula, which can reduce trauma and bruising. The PRP is strategically placed along the tear troughs and areas of skin laxity to trigger the regenerative cascade. The entire process, from blood draw to the final injection, is generally quick, often completed within 30 to 45 minutes.

Expected Outcomes and Recovery

The results from PRP treatment are not immediate, as the improvements rely on the body’s natural cellular regeneration process. Patients typically begin to see gradual changes in the texture and brightness of the under-eye skin within a few weeks, with more noticeable and optimal results appearing over the course of two to three months as new collagen is formed. A full treatment regimen often involves a series of two or three sessions, spaced several weeks apart, to maximize the regenerative effects.

Because PRP utilizes the patient’s own blood components, the risk of allergic reaction is virtually eliminated, making it a generally safe option. Immediately following the procedure, it is common to experience mild side effects, including some temporary swelling, redness, and potential bruising at the injection sites. These effects are usually minor and resolve within a few days, though bruising can sometimes persist for up to a week or more.

Patients are generally advised to avoid strenuous exercise and direct sun exposure for at least 48 hours after the treatment. Makeup application should also be avoided for several hours post-procedure to keep the injection sites clean. The longevity of the results can vary based on individual factors like age and lifestyle, but the benefits often last between 12 and 18 months, leading many patients to opt for periodic maintenance treatments to sustain the refreshed appearance.