Under-Eye Dark Circles: Causes and Treatments by Type
Concealer and eye creams disappoint most people because “dark circles” aren’t one problem. Here’s how I sort out the four main types and match treatment to cause.
More men are choosing Botox, jawline filler, laser hair removal and hair restoration. Dr. Robin Arora explains what works for men and keeps results natural.
The men who come to see me rarely use the word “beauty.” They say they want to look less tired, less stressed or more like themselves at work. Some are competing with younger colleagues; others just noticed a photo they didn’t like. The goal is almost always the same: look better without anyone being able to tell why.
That goal shapes everything about how I treat men. Below are the treatments men ask about most often in our Hudson and Barboursville offices, and what makes male aesthetics different.
Botox and other FDA-approved neuromodulators remain the most requested treatment. For men, I aim to soften the scowl between the brows and horizontal forehead lines while keeping the brow low and natural. Botox is $11 per unit in Hudson and $10 per unit in Barboursville; because men often need more units, we give you a specific estimate at consultation.
A defined jaw and a chin with good projection are central to a masculine profile. Hyaluronic acid jawline filler and chin filler can sharpen these contours. When fullness under the chin is the issue, Kybella may reduce a small pocket of fat.
Back, shoulders, chest and the neck line below the beard are common requests. For men prone to razor bumps, reducing hair in the neck area can also cut down on ingrown hairs.
Thinning hair is a major concern for many men. PRP hair restoration uses growth factors from your own blood to support existing follicles. It works best for early to moderate thinning, not for areas that are already bald, and it’s often combined with medical therapy.
Many men skipped sunscreen for decades. Peels, microneedling and light-based treatments can improve texture, enlarged pores and brown spots.
Some men pursue body contouring or medical weight loss. In Hudson, men can also explore our men’s health services, including hormone evaluation. I always start hormone conversations with lab work and a careful look at symptoms, because low energy has many possible causes.
All injectables and lasers at Serene are performed or supervised by trained medical professionals under my oversight.
For a first visit, I usually suggest starting with one area, reassessing after two weeks, and adding from there. Most men prefer that approach: small steps, no obvious change overnight, and people simply comment that they look well rested.
With conservative dosing and a male-specific technique, most people just notice you look more rested.
Often, yes, because male facial muscles tend to be larger and stronger. We tailor the dose to your anatomy.
Generally not well. Lasers target pigment in the hair, so light, gray or white hair responds poorly.
No. Jawline and chin filler are among the most popular filler treatments for men.
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References: Allergan. BOTOX Cosmetic (onabotulinumtoxinA) prescribing information. U.S. Food and Drug Administration. · American Society of Plastic Surgeons. Plastic Surgery Statistics Report. · American Academy of Dermatology. Hair loss: diagnosis and treatment. aad.org
This article is for general information only and is not medical advice. Treatments are provided only after consultation and evaluation by a licensed provider. Individual results vary.

Concealer and eye creams disappoint most people because “dark circles” aren’t one problem. Here’s how I sort out the four main types and match treatment to cause.
Fullness under the chin can come from fat, loose skin, a small chin or muscle bands. Here’s how I figure out which one you have, and which treatment fits.
Spider veins are common, harmless for most people, and very treatable. Here’s how sclerotherapy and laser differ, and the warning signs that point to a deeper vein problem.