Mesotherapy is a procedure in which vitamins, minerals, amino acids, hyaluronic acid and antioxidants are delivered into the middle layer of the skin through micro-injections. It has no role in treating eye disease. Around the eyes it is used as a supportive method for dryness, fine lines and changes in skin tone.
The solution is not a single fixed product. Its content varies with skin type, age and the nature of the complaint. At the consultation my first task is to establish whether the problem genuinely originates in the skin, because mesotherapy does not correct volume loss or herniated fat.
Under-eye mesotherapy aims to support the thin skin of the lower lid in terms of hydration, elasticity and colour. The question I am asked most often is whether it clears dark circles. The answer depends on what is causing them:
Sessions started without making this distinction end in disappointment. That is why I try to separate the source of the darkening with simple examination manoeuvres at the first visit.
Suitable candidates:
I postpone or avoid the procedure when:
The effect does not appear after one session; a noticeable change usually begins after the third. How long it lasts depends on skin type, age and sun protection habits.
When I explain mesotherapy to patients, its limits are what I emphasise most. Mesotherapy does not:
For this reason I treat it as one part of a periocular plan rather than a standalone solution. All the options are gathered on the periocular rejuvenation page.
I am an ophthalmologist working in oculoplastic surgery in Kadıköy, Istanbul. I hold the FEBO diploma of the European Board of Ophthalmology and am an active member of ESOPRS and of the Oculoplastic Surgery Unit of the Turkish Ophthalmological Association.
Because mesotherapy is a multi-session protocol, patients travelling from abroad should know that a single visit rarely completes the course. In practice I plan the sequence around the patient's travel schedule, and where a full protocol is not feasible I say so at the outset rather than starting a series that cannot be finished.
In these situations the cause needs to be established before any aesthetic procedure is started.
As an Ophthalmologist, Dr. Ayşe Dolar Bilge, I provide diagnosis and treatment services with my experienced team.
Under-eye mesotherapy is the delivery of hyaluronic acid, vitamins and antioxidants into the superficial layer of the skin with very fine needles, to support the hydration, elasticity and colour of the thin lower lid skin. It is a skin treatment, not a treatment for any eye disease.
It depends on their source. Where the darkening is pigmentary, tone usually lightens over several sessions. Where it is vascular, the contribution is more limited. Where the darkness is shadow cast by hollowing, mesotherapy is not enough, because that requires volume.
A common protocol is 4-6 sessions at intervals of 2-4 weeks. The effect does not appear after a single session; a noticeable change usually begins after the third. Spaced maintenance sessions may be planned afterwards to hold the result.
Because very fine needles are used, discomfort is generally mild, and a topical anaesthetic cream can be applied beforehand. A session takes 15-30 minutes. The small blebs at the injection points settle within a few hours.
No. Under-eye bags are caused by forward displacement of orbital fat, and no injection into the skin corrects that. These patients are assessed under lower eyelid blepharoplasty. Mesotherapy is a treatment directed at the skin.
It is not performed where there is active skin infection, eczema or an open wound in the area, or where there is active blepharitis or uncontrolled allergic eye disease. It is also avoided during pregnancy and breastfeeding, in patients with bleeding disorders or on blood thinners, and where there is a known allergy to any component.
No eye make-up should be applied for the first 24 hours. Sauna, steam rooms and intense exercise should also be avoided on the day of treatment. Afterwards, using sun protection is the single habit that most determines how well the result holds.
Duration varies with skin type, age and sun protection habits, and it would be wrong to quote a fixed figure. It is not a permanent procedure and is maintained with spaced repeat sessions. Because the ageing process continues, a single course does not hold the result indefinitely.
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