In many consultations, I see the same gesture. People place one hand on each side of their face and gently lift their cheeks upward. Can you do this? they ask. Or do I need surgery?

The same motion shows up when we talk about the eyes and the nose. Fingers lifting the skin, testing what changes when tissue is supported rather than filled. The question is always the same: Can this be addressed without surgery?

Scroll through TikTok or Instagram and you will notice a new beauty obsession lighting up the feed: PRF under eyes. The videos all look familiar — a quick blood draw, the centrifuge spinning, and the caption “liquid gold.” Then come the reveals. Eyes that looked hollow and shadowed suddenly appear smoother, brighter, and rested.

The under-eye area is one of the most delicate parts of the face — and also one of the most commonly asked-about. Darkness, puffiness, fine lines, or a hollow look... it can be tough to treat, and even tougher to know what actually works.