Injecting dark circles Saarland

Filler against dark circles under the eyes

Injections with hyaluronic acid achieve excellent results in a very short time, provided the injection is actually indicated and the injection has been carried out correctly. This is the only way to achieve the desired effect. Detailed anatomical knowledge is therefore immensely important in order to achieve good results and avoid risks and side effects. Dark circles under the eyes, moderate tear troughs and slight bags under the eyes can be corrected with hyaluronic acid. An improvement in tear troughs can be achieved in around 90 percent of cases 1 . The best results can be achieved in patients with thick skin, slight skin discoloration and moderately deep tear troughs. A minimally invasive lower eyelid lift achieves the best results for wrinkles under the eyes and bags under the eyes.

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Information at a glance

Operation duration - Icon

Operation duration

30 minutes

Anesthesia - Icon


Local anesthesia / anesthetic cream Vibration anesthesia

Hospitalization - Icon



Socially acceptable - Icon

Socially acceptable


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Additions or alternatives

Lower eyelid lift

Causes of dark circles

With increasing age, signs of ageing such as wrinkles and spots on the body and face become more frequent. Dark circles or dark shadows around the eyes develop to varying degrees depending on the individual. Some people experience particularly deep dark circles, giving the impression of tired eyes. Certain factors favor or accelerate the occurrence.

As the skin ages, its elasticity decreases due to the loss of collagen. The reduced moisture is usually counteracted by applying creams against dry skin. Of course, factors such as smoking, too little sleep and an unhealthy diet also have a negative effect. To prevent the appearance of dark circles, wrinkles and spots, the appearance can be slowed down or reduced to a certain extent by anti-ageing products (e.g. a hyaluronic serum), a healthy lifestyle and protection from UV radiation. However, these measures are often not sufficient or are only effective to a greater extent as a preventative measure. There may also be a genetic predisposition.

Affected people search the Internet for promising tips, home remedies and beauty products. However, only a small percentage of the hyaluronic acid in skin care products penetrates into the most superficial layer of the skin. When applied, they are not sufficient to remove particularly dark edges. This often leaves only the concealing of the affected areas of the eye. Covering the edges of the eyes with make-up is an attempt to hide the lack of volume and make chronic dark circles, which are particularly dark, disappear day after day.

One method for removing dark circles that has been proven effective in numerous studies is a dark circles treatment using hyaluronic acid injections. A natural alternative is e.g. autologous fat. Autologous fat injections offer numerous advantages. Among other things, the body’s own fat is very well absorbed by the body during autologous fat treatment. In addition, an autologous fat injection has a regenerative effect. On the Filler – everything you need to know page you will find comprehensive information on treatment with the body’s own tissue (fat cells) and on hyaluronic acid treatment. Among other things, it clarifies the likelihood of developing allergic reactions to the injected hyaluronic acid, the advantages of the various preparations and the areas of application for which the filler is suitable. You will find all the general answers to many other questions on the subject of fillers there.

In the following sections you will find comprehensive information on how to treat dark circles and tear troughs in particular and thus treat dark under-eye circles.

At what age should I start injecting hyaluronic acid?

This is a common question in connection with hyaluronic acid. A dark circles injection is a sensible treatment for signs of ageing on the face. Depending on lifestyle and predisposition, these changes rarely occur before the age of thirty. Hyaluronic acid is also suitable for correcting inherited facial features. Certain features such as nasal humps or a receding chin develop during the growth phase of children and can cause a great deal of suffering. After the growth spurt of puberty, these contours no longer change. Correction is possible after the first menstrual period or voice break. The filler is also suitable for treating small wrinkles or smaller wrinkles up to deep wrinkles in certain areas.

At CenterPlast, you are in the hands of experienced and highly trained plastic surgeons. Every treatment plan is preceded by an examination and diagnosis by plastic surgery experts. In a consultation with the plastic-aesthetic specialist, various treatment methods of aesthetic medicine and their chances of success in relation to the desired result and the associated risks are weighed up. The aesthetic plastic surgery experts will help you to make a sensible and well-considered decision. With fact-based information and careful explanation, we support our patients in making self-determined decisions. It is important and helpful for young people to be accompanied by their parents.

The treatment of dark circles with hyaluronic acid

Allow 20 to 30 minutes for one treatment. A local anesthetic cream is applied for your comfort. The skin is then carefully disinfected. The precise injection of hyaluronic acid is crucial for a long-term and aesthetically pleasing result. When injecting the hyaluronic acid gel, it is applied directly below the edge of the eye socket. As swelling can occur as a result of hyaluronic acid treatment, 0.2 milliliters of hyaluronic acid is sufficient for the first treatment. Nevertheless, the hyaluronic acid may be visible or palpable on very thin skin. A check-up after two weeks will show whether further treatment in the form of a second injection with hyaluronic gel is possible and necessary for your desired result. In only about 50 percent of cases is there a slight bruise after the procedure, which resolves completely after five to seven days and therefore has no effect on the patient’s appearance after these days. A slight swelling will disappear after a few weeks. A gentle massage with little pressure after the treatment helps to distribute the hyaluronic acid evenly in the tissue. In 85 percent of cases, the effect of hyaluronic acid lasts for 15 months 2 .

Treatment of dark circles
Man looks at his tear ducts in the mirror

Filler against tear troughs

Tear troughs form at the transition between two fat pads (orbital fat and suborbicularis oculi fat: SOOF). These fat pads are separated by connective tissue fibers (orbicularis retaining ligament). The fibers of this connective tissue run from the lower edge of the eye socket through the eye ring muscle to the skin. Small changes in the skin, fat pads or connective tissue can lead to shadows forming on the surface of the skin. This can be caused by a reduction in skin elasticity, severe weight loss, water retention or signs of ageing. The following features must be considered when examining and treating tear troughs:

  • Depth of the lacrimal groove: Distance from the anterior lacrimal crest of the upper jaw (crista lacrimalis anterior) to the depth of the groove.
  • Dark circles under the eyes: Discoloration of the skin leading to dark circles under the eyes can increase the impression of depth of a tear trough. Congestion of the blood in the fatty tissue of the subcutis can also lead to darkening.
  • Bags under the eyes: If the connective tissue is weak, the central fat pad under the eye in the vicinity of the nasal bone may protrude. The prolapse of these fat pads leads to the formation of bags under the eyes and an accentuation of the depth of the tear trough.
  • Wrinkles under the eyes: Wrinkles on the lower eyelid emphasize the protrusion of the fat pad under the eye and the depth of the tear trough.

Mild forms of a tear trough are effectively corrected or removed by injecting hyaluronic acid. Most patients also experience a loss of volume on the sides, above the cheekbones. It is therefore important to include the entire eye area in the examination and treatment. In moderate or severe cases, surgical treatment (aesthetic surgery) is recommended or necessary to loosen the connective tissue and redistribute the fat deposits. You can find out more about this under lower eyelid lift.

Filler for upper eyelids (A-frame deformity)

An arched eyelid crease and a harmonious transition from the upper eyelid to the eyebrow lend a radiant, youthful expression. With age, the skin becomes thinner and the subcutaneous fatty tissue shrinks. As a result, the bony eye socket and the upper eyelid crease become more prominent. With a certain predisposition, a tapered eyelid crease forms on the upper eyelid, also known as “A-frame deformity”. This makes the eye socket appear larger and the eyes appear sunken. The eyelid frenulum loses its elasticity, making the eye opening smaller. This creates the impression of small eyes. The sunken area between the upper eyelid and the eye bulge can give a prematurely aged and tired impression. Sunken eyes can be corrected with hyaluronic acid injections. The effect of hyaluronic acid usually lasts for 12 months or longer.

Man has his upper eyelids corrected
Consultation for Versus therapy with filler

Filler versus therapy with the patient’s own blood

The blood can be separated into its components by centrifugation. Blood platelets and messenger substances are enriched with a specific separating gel. Over 800 signaling molecules are detectable in the concentrated plasma, including vascular endothelial growth factor (VEGF), platelet-derived growth factor (PDGF) and transforming growth factor (TGF) 3 . The concentration of thrombocytes is over one million platelets per microliter and corresponds to 4 to 7 times this amount 4 . The body’s own substances are involved in many metabolic processes of tissue renewal. In the so-called vampire lift, the body’s own stimulating blood components are injected in a concentrated form. The positive properties have been known for many years 5 and proven in high-quality and meaningful studies 6 . Skin suppleness and elasticity are improved 7 . Nevertheless, certain deviations from one patient to another are unavoidable, as each person has a slightly different platelet count in the blood taken.

The concentrated blood platelets also stimulate the formation of new hyaluronic acid 8 . However, the effects are very diverse. The combination of hyaluronic acid injections and therapy with the patient’s own blood achieves better results 9 . The effects of filler and plasma complement each other. If both the skin elasticity and the subcutaneous fatty tissue are reduced, hyaluronic acid injections together with a treatment with the patient’s own blood make sense.

Your experts for dark circles injections

Dr. Adelana Santos Stahl
Dr. Adelana Santos Stahl
Dr. Stephane Stahl
PD. Dr. Stéphane Stahl

What are the costs for removing dark circles with fillers?

At CenterPlast, we will be happy to provide you with the specific costs for your individual treatment in a personal consultation.

Our before and after pictures for dark circles injections

Before patients opt for non-surgical removal of dark circles, they naturally want to see before-and-after pictures of eye injections that the practice has performed. At Centerplast, you can view photos of treatment results during the preliminary consultation so that you can determine the desired result with the surgeon.

Dr. Adelana Santos Stahl has a unique international perspective with a female view of plastic surgery. Your individual and detailed approach is the key to the beautiful and natural results. Having trained in Brazil, one of the largest and best-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.

She completed her medical studies and training as a specialist in plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the state medical examination.

Two years later, in 2011, she received the German and in 2012 the EU specialist certification (EBOPRAS) for plastic surgery. From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.

A VDÄPC Fellowship (continuing scholarship for graduate students) in Switzerland, France and the USA has further enriched her professional experience. Dr. Santos Stahl is active in various renowned professional associations. In addition to the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.

She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.

She has been based in Saarbrücken since 2019.

  1. Viana GAP, et. al., 2011, Aesthet Surg J ↩︎
  2. Donath AS, et al., 2010, Plast Reconstr Surg ↩︎
  3. Garcia BA, et al., 2005, J Proteome Res ↩︎
  4. Giusti I., et al., 2009, Transfusion ↩︎
  5. Kim DH, et al., 2011, Ann Dermatol 2011 ↩︎
  6. Hausauer AK, et al., 2020, Dermatol Surg ↩︎
  7. N. Cameli, et al. 2017, Dermatol Surg ↩︎
  8. Kakudo N, et al. 2008, Plast Reconstr Surg ↩︎
  9. Ulusal BG., 2017, J Cosmet Dermatol ↩︎

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The CenterPlast

CenterPlast GmbH
Bahnhofstraße 36
66111 Saarbrücken

Telefon +49 681 30140055

Opening hours

Mo | Di
08.00 Uhr – 12.00 Uhr 13.00 Uhr – 16.00 Uhr
08.00 Uhr – 13.00 Uhr
08.00 Uhr – 12.00 Uhr 13.00 Uhr – 16.00 Uhr
09.00 Uhr – 12.00 Uhr 13.00 Uhr – 18.00 Uhr
Centerplast in Saarbrücken