The eyes are often the first thing people notice—and the first place aging begins to show. The delicate skin around the eyes is prone to hollowness, shadowing, sagging, and puffiness, often long before other facial changes occur. These issues can be caused by genetics, environmental damage, fat loss, or weakening of the muscles and skin. While under-eye filler has become a popular solution, it's not the right option for everyone, and in the wrong patient, it can actually make things worse.
That's why we offer a more thoughtful approach to periocular (around the eyes) rejuvenation. At Franklin Skin and Laser, Dr. Steven Bengelsdorf—a cosmetic surgeon with over 20 years of experience—provides a nuanced, personalized assessment of the eye area. Using a full spectrum of treatment options, from topical skincare to advanced energy-based procedures, we tailor every plan to the individual's anatomy and goals, helping patients achieve brighter, smoother, more rested eyes safely and effectively.
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The area around the eyes is often the first to show signs of aging. Common concerns include:
These changes can stem from genetics, sun exposure, skin damage, fat loss, or muscle weakening. Every eye area is different, and that’s why we take a customized approach.
Tear trough filler can be highly effective in the right candidate, especially when there is true volume loss beneath the eyes. In those cases, a carefully placed hyaluronic acid filler can help restore contour and smooth the transition between the lower eyelid and cheek.
However, filler is not a one-size-fits-all solution. For patients with thin skin, visible blood vessels, fluid retention, or herniated fat pads, filler can actually worsen the appearance, accentuating puffiness, creating a bluish tint (the Tyndall effect), or resulting in irregular texture. Poor filler placement or product choice can make the area look swollen, heavy, or unnatural. This is why an experienced provider who understands periocular anatomy is essential.
At Franklin Skin and Laser, we never recommend filler without a full evaluation of the skin, muscle, fat, and vasculature. In many cases, patients who come in requesting filler may actually benefit more from energy-based skin tightening, exosome therapy, microneedling, or even a fat transfer. Our goal is not just to treat the hollowness, but to improve the quality, firmness, and tone of the skin around the eyes in the most appropriate way for each individual.
You don’t always need surgery to look refreshed. In fact, some minimally invasive treatments can offer better results for certain concerns. At Franklin Skin and Laser, we offer a wide range of tools to rejuvenate the eye area without going under the knife:
Medical-grade products including moisturizers, antioxidants, growth factors, sunscreens, and exosomes can improve elasticity, reduce inflammation, and support collagen.
Botox and Xeomin soften lines and prevent creasing by relaxing muscles that cause crow’s feet and dynamic wrinkles.
For patients with true hollowness, hyaluronic acid fillers or autologous fat transfer can restore lost volume with natural-looking results.
Smooth or lifting threads stimulate collagen and gently lift sagging skin with minimal downtime.
Technologies like Plasma Pen, microneedling, radiofrequency microneedling, ultrasound, and laser therapy (including laser coring) can tighten skin, smooth texture, and reduce pigment.
Combining exosomes with radiofrequency microneedling enhances collagen stimulation while brightening and calming the skin.
Microneedling creates channels that allow exosomes to penetrate deeply, improving fine lines, dark circles, and overall skin quality.
Dr. Bengelsdorf begins with a detailed history, examination, and (if needed) ultrasound imaging to assess fat pads, skin thickness, and tissue quality. From there, he recommends a plan that may include one or more treatment options. We focus on choosing the right procedure, not just the trendy one.
Most of our under eye treatments are non-surgical and involve minimal downtime. Some swelling or bruising may occur, but recovery is generally quick. Depending on the procedure, patients may start seeing results in a few days, with improvements continuing over weeks. Maintenance plans help prolong and enhance your results.
Dr. Bengelsdorf is a board-certified surgeon with extensive experience in both surgical and non-surgical eye rejuvenation. He does not take a one-size-fits-all approach. With a full suite of advanced tools and the knowledge to use them properly, we help patients in Franklin and beyond look refreshed, not overdone.
Book your personalized consultation today by calling (615) 595-8177 or visiting our Franklin, TN, clinic. Let us guide you to a treatment plan that fits your anatomy, goals, and lifestyle.
Yes, when performed by an experienced provider. However, it’s not right for everyone, which is why consultation is key.
Risks vary but may include swelling, bruising, asymmetry, or, in rare cases, vascular complications. We minimize risk with expertise and imaging when needed.
It depends on the treatment. Fillers may last 6-12 months, while skin-tightening procedures build gradually and require maintenance.
Costs vary based on the treatment plan. We’ll provide a detailed quote after your consultation.
Most non-surgical treatments involve little to no downtime. Some swelling or redness may occur temporarily.
Yes, combining modalities often yields the best results. We’ll guide you based on your anatomy and goals.
Experience the artistry of aesthetic innovation at Franklin Skin and Laser. Our team of skilled professionals is dedicated to helping you unlock your true beauty and embrace your confidence like never before. Whether you seek flawless skin, sculpted contours, or the removal of unwanted tattoos, we are here to exceed your expectations. Take the first step today and schedule a consultation with our experts. Let us craft a personalized plan tailored to your unique needs, so you can embark on a path to radiance. Contact us now to rewrite your beauty story with Franklin Skin and Laser.
