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PRF or Under Eye Filler? How Our Physicians Choose the Right Option for You
The under-eye area is one of the most delicate regions of the face, and one of the first places where patients notice signs of aging. Hollowness, dark circles, fine lines, and crepey texture can make even the most well-rested person appear tired.
At MD Skin Lab, our Toronto-based physicians approach under-eye rejuvenation with precision and expertise. Two of the most effective treatments we offer for this delicate area are under-eye filler and PRF (Platelet-Rich Fibrin).
Both treatments target the same area but work in different ways. The question we often hear from our patients is: “Which under-eye treatment is better for me?”
Let’s break down each option, its benefits, and how we determine the right approach for your unique needs, all from our Toronto medical clinic.
What Is Under Eye Filler?
Under-eye filler typically uses hyaluronic acid (HA), a naturally occurring sugar molecule in the skin that attracts and retains water. When carefully placed by a skilled physician injector, filler adds volume to hollow tear troughs, reduces shadowing, and creates a smoother transition between the lower eyelid and the cheek.
Key benefits of under-eye filler:
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Immediate results — Most patients notice an improvement right after the treatment.
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Volume restoration — Perfect for those with hollowing caused by genetics or age-related fat loss.
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Long-lasting — Results often last 9–12 months, sometimes longer, depending on lifestyle and metabolism.
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Customizable — Our physician injectors tailor placement and quantity for subtle, natural results.
What Is PRF for Under-Eyes?
PRF (Platelet-Rich Fibrin) is part of the new era of regenerative treatments. It’s created using your own blood (no synthetic ingredients), making it an all-natural way to stimulate your body’s healing response.
During the procedure, a small amount of your blood is drawn and spun in a centrifuge to separate platelet-rich fibrin from other blood components. This PRF is then carefully injected into the under-eye area. Unlike filler, PRF doesn’t simply replace lost volume, but instead, stimulates collagen and elastin production, improves skin texture, and increases microcirculation over time.
Key benefits of PRF:
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Natural approach — 100% from your own body, reducing the risk of allergic reaction.
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Skin quality improvement — Addresses crepiness, fine lines, and skin laxity.
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Gradual results — Subtle improvements appear over weeks to months as your skin regenerates.
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Versatility — Can also be used in combination with other treatments for enhanced outcomes.
The Key Differences: Filler vs. PRF
Under Eye Filler
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Primary Goal: Replace volume and reduce shadows
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Results: Immediate
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Longevity: 9–12 months
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Best For: Hollowness and volume loss
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Downtime: Minimal, but possible swelling/bruising
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Material: Hyaluronic acid gel
PRF for Under Eyes
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Primary Goal: Regenerate skin and improve texture
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Results: Gradual, over weeks to months
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Longevity: 6–12 months (with recommended series)
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Best For: Crepey texture, fine lines, poor skin quality
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Downtime: Minimal, possible swelling/bruising
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Material: Your own platelet-rich fibrin
Who Is Best Suited for Under-Eye Filler?
Under-eye filler is an excellent option for patients experiencing deep hollows or volume loss. If you’ve tried every eye cream under the sun without improvement in that “sunken” look, filler may provide the instant refresh you’ve been looking for.
Ideal candidates for filler:
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Moderate to severe hollowness
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Good skin thickness and elasticity
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No significant under-eye puffiness (filler can worsen bags)
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Patients seeking immediate results
Who Is Best Suited for PRF?
PRF is most effective when the issue is skin quality rather than volume. If your main concerns are crepey texture, fine lines, or darkness from poor circulation, PRF works to strengthen the skin from within.
Ideal candidates for PRF:
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Thin, delicate under-eye skin
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Mild volume loss or crepiness
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Early signs of aging in the area
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Preference for a natural, regenerative approach
Can You Combine Under-Eye Filler and PRF?
Yes, you can! One of the most effective approaches we use at our Toronto medical clinic is combining both treatments.
Filler addresses volume loss immediately. PRF works over time to improve skin health and elasticity. When used together in a strategic treatment plan, patients can enjoy both instant and long-term rejuvenation, with results that look natural and last longer.
The Importance of Physician Expertise
While both under-eye filler and PRF are highly effective, the under-eye area is one of the most technically challenging areas to treat. The skin is thin and vascular; therefore, technique is extremely important.
That’s why at MD Skin Lab in Toronto, all injectable treatments are performed by experienced physician injectors who understand both facial anatomy and aesthetic artistry.
Our process includes:
Step 1: Comprehensive assessment — evaluating volume loss, skin thickness, pigmentation, and overall facial balance.
Step 2: Customized treatment planning — sometimes recommending a staged approach to achieve the best result.
Step 3: Advanced techniques — using cannulas or fine needles to minimize bruising and ensure precise placement.
Recovery and Aftercare
Both treatments require minimal downtime, but we advise patients to:
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Avoid strenuous activity for 24 hours
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Skip alcohol and blood-thinning medications around treatment time
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Use cool compresses to minimize swelling
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Follow our personalized aftercare instructions
Results from filler are visible right away, while PRF improvements will develop over 4–8 weeks, with continued results after subsequent sessions.
Which Treatment Is Right for You?
There’s no one-size-fits-all answer, and that’s why your first step should always be a consultation with a qualified physician injector. Whether filler, PRF, or a combination is best depends on:
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Your anatomy and skin quality
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Your aesthetic goals
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Your timeline for results
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Your comfort level with natural vs. synthetic products
At MD Skin Lab, we believe in educating our patients so you can make informed decisions. Our goal is never to “sell” you a treatment; it’s to provide you with safe, natural, and effective solutions tailored to your needs.
Book Your Under Eye Assessment
If under-eye hollows or dark circles are leaving you looking tired, our team can help restore a brighter, refreshed appearance! Our Toronto physician injectors will create a personalized plan to refresh and rejuvenate your under-eye area.
Book your consultation today and take the first step towards brighter, more youthful eyes.