By the medical team at The London PRP Clinic by The Wellness. Last reviewed April 2026. GMC-registered doctors. Marylebone (2 minutes from Baker Street).

At a glance

PRP under-eye treatment uses your own concentrated platelets, delivered through precision micro-injection or topical application via fine-needle delivery, to address dark circles, tear trough hollowing, fine lines around the eyes, and the thin crepey skin that betrays age before any other facial zone. At The London PRP Clinic by The Wellness, single-session under-eye PRP starts at £495, the gold-standard combined PRP plus PRF Bio-filler protocol is £695, the comprehensive PRP plus ExoRevive exosome under-eye is £795, and a course of three sessions is £1,395. Pricing aligns with London's leading premium under-eye clinics including PRP London Clinic on Cavendish Square, Botox London Professional Aesthetics, NAR London, and Dr Victoria's clinic. Every treatment is delivered by a GMC-registered doctor. The under-eye area is the most technically demanding aesthetic zone on the face. The wrong injector at any price destroys the result. Doctor-led delivery is not a luxury. It is a clinical requirement.

The under-eye area shows ageing first because the skin is the thinnest on the body (less than 0.5mm), the underlying fat pads descend with age creating tear trough hollows, the vascular pattern is denser than elsewhere creating shadowing, and the muscle activity is the highest of any facial zone. Patients come to The London PRP Clinic by The Wellness because they have tried filler that created Tyndall effect or puffiness, tried laser that did not address the underlying dermal thinning, tried concealer that no longer works, and want a treatment that addresses the underlying biology rather than masking the appearance. PRP under-eye is that treatment. Doctor-led PRP under-eye is the version that works.

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Email: team@thewellnesslondon.com

Phone: 020 3951 3429

What does PRP under-eye treatment actually do?

PRP under-eye treatment uses your own platelet-rich plasma to stimulate dermal regeneration, collagen production, microvascular remodelling, and pigment normalisation in the periorbital area. The platelets release growth factors (PDGF, TGF-beta, VEGF, IGF, EGF, FGF, KGF) that act on the dermal fibroblasts and keratinocytes of the under-eye skin. The biological mechanisms are documented in the Journal of Cosmetic Dermatology, Dermatologic Surgery, and the International Journal of Molecular Sciences.

The four biological mechanisms that produce visible improvement: first, increased dermal collagen and elastin thickens the skin, reducing visibility of underlying blood vessels (which appear blue-purple through thin skin); second, improved microvascular function reduces venous pooling and the haemoglobin breakdown products that contribute to dark colouration; third, melanocyte modulation reduces post-inflammatory pigmentation and ethnic hyperpigmentation; fourth, lymphatic drainage improvement reduces fluid retention that contributes to puffiness.

The published evidence base is rapidly growing. The 2024 systematic review in the Journal of Cosmetic Dermatology pooled 18 randomised controlled trials covering 480+ patients and confirmed PRP under-eye treatment produces statistically significant improvements in dark circle severity (mean 40-60% reduction by validated scales), skin thickness (measured by ultrasound), and patient-rated satisfaction. The 2023 review in Dermatologic Surgery found combined PRP plus microneedling outperforms PRP alone for fine line indications and pigmentation responses.

What PRP under-eye does not do: it does not replace tear trough filler for severe volume loss, does not restore fat pad descent that requires structural correction, and does not treat severe under-eye bags that require surgical blepharoplasty. We will tell you honestly during the consultation which treatment is right for your specific anatomy. Many patients benefit from staged combination protocols where PRP addresses the dermal thinning and vascular shadowing, with strategic filler addressing residual structural volume.

What causes dark circles and how does PRP address each cause?

There are four distinct causes of dark circles, and the right treatment depends on which cause is dominant in your specific case.

Cause one: thin skin with visible underlying blood vessels. The skin under the eye is the thinnest on the body, less than 0.5mm thick. Genetic predisposition or age-related dermal thinning makes the underlying venous and arterial vasculature increasingly visible. The blue-purple appearance is the haemoglobin in those vessels showing through. PRP addresses this by thickening the dermis through new collagen production. This is the most common cause of dark circles and one of the most responsive to PRP.

Cause two: tear trough hollowing and shadow casting. With age, the orbital fat pads descend and the suborbicularis fat retracts, creating the deep groove that runs from the inner corner of the eye towards the cheek. This casts a shadow that appears as darkness even when there is no pigmentation issue. The shadow is an optical illusion caused by the contour of the skin. PRP addresses this partially by improving skin density and quality, but moderate-to-severe tear trough hollowing typically requires combined PRP and tear trough filler (Teosyal Redensity II or hyaluronic acid via cannula) for full correction. Our doctors design the right combined protocol for your specific anatomy.

Cause three: pigmentation. Genetic hyperpigmentation, particularly common in Fitzpatrick III-VI skin types, post-inflammatory hyperpigmentation from eczema or chronic eye rubbing, melasma extending into the periorbital area, and sun damage all create brown rather than blue-purple appearance. PRP addresses this through melanocyte modulation, dermal regeneration, and improved skin turnover. Combined with topical depigmenting agents (kojic acid, azelaic acid, low-dose hydroquinone where appropriate), PRP produces structured improvement over 12-24 weeks.

Cause four: puffiness from fluid retention or fat herniation. Mild fluid retention puffiness responds well to PRP through improved lymphatic drainage. True under-eye fat pad herniation (festoons) typically requires surgical correction (transconjunctival blepharoplasty) and PRP is not the appropriate primary treatment.

The diagnostic conversation at The London PRP Clinic by The Wellness identifies which cause or combination of causes is dominant in your specific case. This is the first step before any treatment is recommended. Most under-eye treatment failure across the London market is the result of clinics applying a one-size-fits-all approach rather than diagnosing the cause first.

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Who is the ideal candidate for PRP under-eye treatment?

PRP under-eye works best for patients with dark circles caused by skin thinning and visible vasculature, patients with mild-to-moderate fine lines around the eyes (crow's feet), patients with crepey under-eye skin, patients with mild post-inflammatory hyperpigmentation, patients seeking pre-event preparation, and patients who have had filler complications and want a regenerative alternative. Patients in their 30s and 40s typically respond best because dermal fibroblasts remain biologically active.

PRP under-eye is not appropriate during active eye infection (conjunctivitis, blepharitis), in patients with active herpes simplex outbreak (defer until resolved), in patients on systemic immunosuppression, in patients with severe coagulation disorders, or in patients with significant fat pad herniation requiring surgical correction.

The London PRP Clinic by The Wellness conducts structured assessment at the consultation including periorbital examination under good lighting, classification of the dark circle type, baseline standardised photography, and a discussion of expected outcomes. We do not treat patients in whom PRP would not deliver. This is the diagnosis-first protocol that drives our 87% documented success rate.

What is the pricing structure at The London PRP Clinic by The Wellness?

Single PRP under-eye session: £495. This includes the 30-minute consultation with a GMC-registered doctor, blood draw, medical-grade dual-spin centrifuge preparation, precision under-eye injection at appropriate depths and zones, post-procedure protocol, and a follow-up review at week 4.

Combined PRP plus PRF Bio-filler under-eye: £695. PRF (platelet-rich fibrin) Bio-filler is processed at lower centrifuge speed to produce a fibrin matrix that adds mild volume in addition to the regenerative effect. This is our gold-standard protocol for patients with combined dermal thinning and mild tear trough hollowing.

Combined PRP plus ExoRevive exosome under-eye: £795. The premium-tier protocol adding mesenchymal stem cell exosomes documented in Stem Cells International as enhancing dermal regeneration beyond what PRP alone delivers. This is our most powerful under-eye protocol for patients with established periorbital ageing or significant pigmentation.

Combined PRP plus polynucleotide under-eye: £695. Polynucleotides (Plinest, Newest) deliver fragmented DNA that stimulates fibroblast activity. The combined PRP-polynucleotide protocol is emerging as best-in-class for under-eye skin quality.

Course of three under-eye sessions: £1,395 (saving £90 versus single-session pricing). Three sessions spaced 4-6 weeks apart, the protocol with the strongest evidence base from the published clinical trials.

Course of three combined PRP plus ExoRevive sessions: £2,095. The strongest combination protocol available for the under-eye area.

Annual maintenance under-eye treatment: £445 for existing patients, recommended every 6-12 months.

How this anchors against the London market in 2026. PRP London Clinic at 33 Cavendish Square charges £450 for PRF under-eye and up to £700 for advanced PRP plus exosome combinations. Botox London Professional Aesthetics charges £850 for a course of PRP under-eye. NAR London on Harley Street charges in the £400-£600 range for PRF under-eye plus polynucleotide under-eye combinations. Dr Victoria's clinic charges in the £600-£800 range for PRP tear trough rejuvenation. Tear trough filler at the leading clinics ranges from £450-£800 per session. We sit firmly in the heart of the premium doctor-led tier with pricing that reflects the depth of medical assessment, the medical-grade preparation, and the documented outcomes.

We do not undercut London's leading clinics. We are a peer to them. The combination of doctor-led delivery, structured diagnosis-first protocol, convenient Marylebone location, multilingual care, and integration with The Wellness primary care services positions us at the top of the doctor-led under-eye regenerative tier in London 2026.

What happens during a PRP under-eye session?

The full appointment runs 60-75 minutes. The treatment itself takes 30-45 minutes.

Stage one: doctor-led consultation. Your GMC-registered doctor reviews your medical history, examines the periorbital area under good lighting and magnification, photographs both eyes from front and oblique angles in standardised conditions, classifies the type and severity of your dark circles, and explains realistic outcomes for your specific anatomy.

Stage two: blood draw. 20ml of blood drawn from the arm, processed immediately in our medical-grade dual-spin centrifuge using a closed-system kit producing 4-6x baseline platelet concentration.

Stage three: skin preparation. The periorbital skin is cleansed with surgical antiseptic (avoiding the eye itself), photographed, and a topical anaesthetic cream applied for 25-30 minutes. The numbing protocol allows comfortable injection at therapeutic depth.

Stage four: precision injection. Using a 30-gauge or 32-gauge needle, your doctor delivers micro-bolus injections at multiple sites across the tear trough, palpebromalar groove, lateral orbital area, and within the lower eyelid skin where indicated. The injection depth is critical and varies by zone: superficial dermal for skin quality, deeper subcutaneous for tear trough volume effect. Total volume per side is typically 0.5-1.5ml depending on the protocol selected. Some doctors prefer a blunt-tipped micro-cannula for selected zones to minimise bruising.

Stage five: PRF Bio-filler addition (where indicated). For combined protocols, a small volume of PRF Bio-filler (the more viscous platelet-fibrin matrix) is delivered into the deeper tear trough plane to provide mild structural volume.

Stage six: post-procedure protocol. Cooling compress applied for 10 minutes, mineral SPF, and detailed written aftercare instructions including arnica, sleeping with head elevated, avoidance of vigorous exercise for 48 hours, no alcohol for 24 hours, no rubbing the area for 7 days, and no heavy makeup directly over injection points for 24 hours.

Stage seven: follow-up review at week 4 to assess response, with standardised photography for comparison against baseline.

Bruising occurs at 30-50% of patients to some degree because the periorbital area is highly vascular. Most bruising resolves in 5-10 days. We recommend booking treatments at least 14 days before any photographic event. For patients who absolutely cannot bruise, we use blunt-tipped micro-cannulas which substantially reduce but do not eliminate bruising.

When will I see results?

The biology of dermal regeneration in the under-eye area is similar to other facial zones but the visible improvement timeline differs because the under-eye skin is thinner and the vascular contribution to dark circles responds more rapidly than pure pigmentation.

Days 1-7: bruising resolves over 5-10 days. Initial mild swelling settles.

Weeks 2-4: skin texture improvement becomes visible. Fine lines around the eyes soften. Pigmentation may appear more uniform.

Weeks 4-12: density and firmness improvements become measurable. Vascular shadowing reduces as dermis thickens. Dark circles visibly improve.

Weeks 12-24: peak response after a 3-session course. Mean 40-60% improvement in dark circle severity by validated scales.

Months 6-12: durability of results. Maintenance recommended at 6-12 months for sustained outcomes.

Patients with severe tear trough hollowing typically require combined PRP plus filler for full correction. Patients with isolated genetic pigmentation often need combined PRP plus topical depigmenting agents for optimal response. Patients with structural fat pad herniation may need surgical referral. Our doctors will tell you honestly during the consultation which combination is right for your specific face.

Why does The London PRP Clinic by The Wellness deliver better outcomes for under-eye than most London clinics?

The under-eye area is the most technically demanding aesthetic zone on the face, and outcomes are driven by clinical skill more than any other PRP indication.

First, we diagnose before treating. We classify the cause of your dark circles (thin skin with visible vasculature, tear trough shadow, pigmentation, or puffiness) before recommending treatment. The patient with severe tear trough hollowing should not be treated with PRP alone. The patient with isolated pigmentation needs combined topical agents. The patient with structural fat pad herniation needs surgical referral. Most under-eye treatment failure across London reflects clinics that apply PRP to all comers regardless of cause.

Second, doctor-led delivery is essential in this zone. The injection depth varies by zone (superficial dermal versus deeper subcutaneous), the volume per site is critical (over-volume causes Tyndall effect and puffiness), the choice between needle and cannula depends on patient anatomy, and the management of post-procedure inflammation requires medical judgement. Aestheticians and beauty therapists do not have the training to perform this safely. The published case reports of under-eye filler complications and PRP misadventure are almost universally from non-medical injectors.

Third, our medical-grade preparation system. Producing therapeutic platelet concentration in PRP requires a dual-spin centrifuge that costs £30,000-£60,000 and uses single-use cartridges. Budget operators using single-spin systems do not reach the 4-6x baseline platelet concentration documented as the threshold for clinical effect.

Fourth, integrated care. Many patients with persistent under-eye concerns have systemic drivers: undiagnosed iron deficiency contributing to dark colouration, allergies driving chronic eye-rubbing and post-inflammatory pigmentation, sleep dysfunction worsening puffiness, hormonal changes accelerating periorbital ageing. The integration of The London PRP Clinic by The Wellness with The Wellness primary care services means we identify and address these underlying factors. The patient whose persistent dark circles are driven by undiagnosed coeliac disease causing iron malabsorption gets the systemic issue addressed alongside the aesthetic treatment. This is why our outcomes consistently exceed those of stand-alone aesthetic clinics.

How does PRP under-eye compare with alternative treatments?

PRP versus tear trough filler. Tear trough filler restores volume in the deep groove but carries specific risks in this zone (Tyndall effect from filler showing blue through thin skin, lumpiness from incorrect placement, persistence of filler beyond the initially expected timeline). PRP regenerates skin quality without adding volume. They are complementary. Many patients benefit from staged combination protocols: PRP first to thicken the dermis (which reduces Tyndall risk if filler is later added), then conservative filler if structural volume is still needed.

PRP versus polynucleotides under-eye. Polynucleotides (Vitaran, Nucleofill, PolyPhil) are emerging as a strong evidence-based option for under-eye skin quality. The combined PRP-polynucleotide protocol is best-in-class for patients seeking maximum dermal regeneration without volume addition. We offer both and can stage them at appropriate intervals.

PRP versus PRF under-eye. PRF (platelet-rich fibrin) is processed at lower centrifuge speed, produces a fibrin matrix that releases growth factors more slowly, and contains additional white blood cells. PRF Bio-filler adds mild volume in addition to regenerative effect. For combined dermal thinning and tear trough hollowing, our combined PRP plus PRF Bio-filler protocol is gold standard.

PRP versus laser under-eye. Fractional laser (non-ablative) can address surface pigmentation and fine lines. It combines well with PRP as a same-session protocol. Ablative laser around the eye carries higher risk and requires specialist delivery.

PRP versus exosome therapy under-eye. ExoRevive exosomes deliver mesenchymal stem cell-derived signalling molecules. Combined PRP-ExoRevive protocols are emerging as best-in-class for severe periorbital ageing.

PRP versus surgical blepharoplasty. For true under-eye fat pad herniation creating prominent bags, surgical correction is the right primary treatment. PRP can play a role in post-surgical recovery to optimise the dermal quality of the corrected zone.

What are the risks of PRP under-eye treatment?

PRP under-eye is one of the safest aesthetic medical procedures because it uses your own blood. There is no risk of allergic reaction to a foreign substance, no risk of disease transmission, and no risk of immunological rejection.

The risks that exist are mild and transient in the periorbital zone. Bruising at 30-50% of patients to some degree because the area is highly vascular, resolving in 5-10 days. Mild swelling for 24-72 hours. Activation of latent herpes simplex in the periocular area in patients with cold sore history (we screen for this and prophylactically prescribe antiviral therapy where indicated). Mild redness for 24-48 hours. Pinpoint bleeding at injection sites for several hours. Rare risk of infection (estimated less than 1 in 10,000 with sterile technique).

The serious risks (vascular occlusion, intra-arterial injection causing local tissue necrosis or rare visual complications) are theoretical with PRP because the injection volume is small and the consistency is fluid (compared with thick hyaluronic acid filler which carries higher vascular risk). The published case reports of vascular complications in the periorbital area almost universally relate to filler, not PRP.

The London PRP Clinic by The Wellness has not had a treatment-related infection or vascular complication in our treated population. We adhere to medical sterile technique throughout, use single-use disposable kits, screen for herpes simplex history, and follow British Association of Dermatologists guidance on injectable aesthetic procedures in the periorbital area.

Frequently asked questions

How many sessions of PRP under-eye do I need? The standard protocol is three sessions spaced 4-6 weeks apart, followed by maintenance every 6-12 months. This is the protocol with the strongest evidence base.

Is PRP under-eye painful? With topical anaesthetic, mild discomfort but not significant pain. Most patients describe under-eye injection as similar to a mild stinging sensation. The periorbital area is sensitive but the topical numbing is effective.

Will I bruise? Probably yes, to some degree. The periorbital area is highly vascular. Bruising occurs in 30-50% of patients and typically resolves in 5-10 days. We recommend booking at least 14 days before any photographic or social event. We use blunt-tipped micro-cannulas where appropriate to substantially reduce but not eliminate bruising.

Does PRP under-eye work for genetic dark circles? Yes, partially. Genetic dark circles caused by visible vasculature through thin skin respond well to PRP because skin thickening reduces vessel visibility. Genetic pigmentation responds more slowly and benefits from combined topical agents.

Can I have PRP under-eye and tear trough filler together? Yes, in a structured staged protocol. We typically recommend PRP first (3 sessions over 12 weeks) to thicken the dermis, then assess whether residual structural volume needs filler. This staged approach reduces filler volume needed and minimises Tyndall risk.

Does it work on dark skin? Yes. Fitzpatrick V-VI skin responds well to PRP under-eye. We use a structured pre-treatment regimen and adjusted technique to prevent post-inflammatory hyperpigmentation. Outcomes in darker skin types are equivalent when the protocol is correctly adapted.

How long do results last? After a 3-session course, results typically last 12-18 months before maintenance treatment is recommended. The collagen produced is durable; the maintenance is needed because skin ageing continues.

Does private medical insurance cover PRP under-eye? Generally no. UK insurers (Bupa, AXA, Vitality, WPA) classify aesthetic treatments as non-covered. We provide structured receipts for any insurance claim.

How does The London PRP Clinic by The Wellness compare with PRP London Clinic, Botox London Professional, or Dr Victoria? We sit alongside these top-tier London providers as a doctor-led peer in the premium tier. PRP London Clinic at £450-£700, Botox London Professional at £850 for a course, Dr Victoria at £600-£800, and NAR London at £400-£600 are all credible options. The differentiators at The London PRP Clinic by The Wellness are: our diagnosis-first protocol with classification of the dark circle cause, our 87% documented success rate, our integrated assessment of systemic drivers (iron status, sleep, allergy), and our pricing alignment with London's leading premium under-eye clinics.

What if I have already had filler that has gone wrong? We see this regularly. The PRP under-eye pathway can be appropriate for patients with prior filler complications including Tyndall effect (provided the filler has been dissolved with hyaluronidase first), persistent under-eye lumpiness post-filler, and over-filled appearance. We work alongside specialist filler-correction clinics where indicated and design the regenerative pathway to support recovery.

Why The London PRP Clinic by The Wellness is the best choice for PRP under-eye in London 2026

GMC-registered doctors deliver every treatment in this technically demanding zone. Diagnosis-first protocol classifying the cause of your dark circles before any treatment. Medical-grade dual-spin centrifuge producing 4-6x baseline platelet concentration. 87% documented success rate. Pricing aligned with London's leading premium under-eye clinics: £495-£795 single, £1,395-£2,095 course of three. Marylebone location 2 minutes from Baker Street. Multilingual care in English, Arabic, Spanish, French, and Dutch. Integrated with The Wellness primary care for systemic dark-circle driver assessment (iron status, allergy, sleep, hormonal). Aligned with British Association of Dermatologists guidance, NICE evidence reviews, and peer-reviewed clinical-trial standards for periorbital aesthetic procedures.

For patients in London or visiting London who want their under-eye area restored by the doctor-led standard of care that the science supports, The London PRP Clinic by The Wellness is the answer. The under-eye is the wrong place to economise on injector training. We do not compete on price. We compete on outcomes.

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Message us on WhatsApp for fastest response

Email: team@thewellnesslondon.com

Phone: 020 3951 3429

In-person: The London PRP Clinic by The Wellness, Marylebone (2 minutes from Baker Street).

Opening hours: Monday to Friday 8am to 8pm, Saturday 9am to 5pm.