Why do dark circles appear under the eyes?
The skin under the eyes is the thinnest and most sensitive on the entire body. It has very little subcutaneous fatty tissue and is therefore particularly susceptible to changes. Dark shadows often appear because the blood vessels show through the transparent skin. With age, the tissue also loses its elasticity and the fatty tissue in the midface sinks. This deepens the tear trough, which leads to increased shadowing.
At The Eram Clinic, we analyse the cause of your dark circles very carefully. Is it a lack of volume, a pigment disorder or the vessels showing through due to a loss of elasticity? We select the appropriate method based on our findings. Injecting the tear trough requires a high degree of expertise and anatomical knowledge, as this is a highly complex area. Our goal is to restore a smooth transition between the lower eyelid area and the cheek in order to eliminate the harsh contours that make the face appear tired.
Hyaluronic acid and the power of biostimulation
We use various innovative approaches to treat dark circles under the eyes at our clinic in Zurich. The classic method is injection with a specialised, very fluid hyaluronic acid. This has been developed specifically for the eye area so as not to cause severe swelling and to integrate seamlessly into the tissue. It gently fills the tear trough and raises the level of the skin, minimising the appearance of shadows.
In addition, we increasingly rely on polynucleotides. These act as biological regulators and regenerate the skin at the cellular level. They improve skin density and microcirculation, which is particularly effective when dark circles are caused by thin skin structure or discolouration. By using blunt cannulas, the treatment at The Eram Clinic is extremely gentle on the tissue and causes minimal pain, which significantly reduces the risk of haematomas.
NCTF 135 HA: The ultimate nutrient boost for the eye area
A particular highlight in our eye rejuvenation portfolio is the treatment with NCTF 135 HA. This is a highly effective polyrevitalisation complex that goes far beyond the effects of conventional active ingredients. NCTF 135 HA combines non-crosslinked hyaluronic acid with 59 other essential ingredients, including vitamins, amino acids, coenzymes and minerals. This unique composition aims to fundamentally improve the quality of the skin under the eyes.
Instead of just adding volume, NCTF 135 HA deeply nourishes the skin and massively stimulates cell regeneration. Fine lines, often known as crow's feet, are smoothed out and the skin regains its radiance and elasticity. At The Eram Clinic, we often use NCTF 135 HA as a complementary mesotherapy treatment or combine it with other fillers to achieve a comprehensive ‘brightening effect’. It is the ideal choice for patients who not only want to correct hollow tear troughs, but also desire visibly healthier and more radiant skin.
Why treating dark circles under the eyes is an excellent choice for you
Correcting the eye area is one of the most effective measures in minimally invasive aesthetics. With a precise procedure, we achieve an effect that immediately makes the entire face appear fresher.
It is the ideal solution for people who suffer from a permanent ‘tired look’ that even sufficient sleep or cosmetic products cannot remedy. As we only use premium products, the treatment is safe and the results are characterised by a high degree of naturalness. You regain your vital radiance without those around you suspecting that you have had surgery.

Advantages of injecting dark circles under the eyes
- Instant freshness boost: Immediate brightening and smoothing of the eye area after treatment.
- Multimodal approach: Individual combination of hyaluronic acid, polynucleotides and NCTF 135 HA.
- Cellular revitalisation: Deeply effective nutrient supply thanks to 59 active ingredients in the NCTF complex.
- Tissue-friendly technique: Use of micro-cannulas for painless application and minimal downtime.
- Long-lasting results: Effective correction with a lasting improvement in skin quality.
| Duration | Approximately 30–45 minutes |
| Results | Immediately visible (hyaluronic acid), progressive (NCTF/polynucleotides) |
| Duration | Approximately 12 to 18 months (depending on the combination of active ingredients) |
| Pain | Very low thanks to local anaesthetic and gentle technique |
| Areas of application | Tear troughs, dark shadows, fine lines, loss of volume |
Holistic synergies: the eyes in the context of the face
At The Eram Clinic, we never view the eye area in isolation. A radiant gaze is significantly influenced by the interaction with other parts of the face. Therefore, the treatment of dark circles under the eyes can be ideally combined with optimisation of the midface or professional dental hygiene. A well-groomed smile and a vital eye area form the foundation for a harmonious appearance. Complementary treatments such as medical microneedling in combination with NCTF 135 HA can also help to further firm the skin structure around the eyes.
Aftercare following the injection of dark circles is straightforward. We recommend gently cooling the treated area occasionally on the first day and refraining from intense physical activity. As the skin in this area is very thin, slight redness may occasionally occur, but this usually subsides within 24 hours. Our specialists will guide you through the entire process and are available for follow-up appointments to ensure that the results fully meet your expectations.
Procedure
Your comfort is our top priority. A treatment in our exclusive premises in Zurich always begins with a detailed preliminary consultation, during which we carefully match your wishes with the medical possibilities.
Make your eyes shine
Give your face back the freshness it deserves. At The Eram Clinic in Zurich, we combine technological innovation with the utmost care. Book your consultation appointment and experience how we revitalise the area around your eyes with precision, hyaluronic acid and the nutrient boost of NCTF 135 HA.

Frequently asked questions about injecting under-eye circles
While pure hyaluronic acid primarily serves as a filler to compensate for volume loss, NCTF 135 HA acts like an intensive treatment from within. It improves skin texture, smooths fine lines by supplying 59 nutrients and provides a special glow that a simple filler alone cannot achieve.
A volumising effect is visible immediately after the injection. The skin-improving effect of NCTF 135 HA or polynucleotides unfolds over the following days and weeks, as the body needs time to process the nutrients and form new collagen.
As the eye area is very sensitive, slight swelling may occur the next morning. However, at The Eram Clinic, we use special preparations with low swelling properties to minimise this risk.
One session is often sufficient for pure volume enhancement. If the focus is on skin quality (e.g. with NCTF), we often recommend a course of 2 to 3 treatments to achieve long-lasting radiance and firmness.
We recommend waiting approximately 6 hours before reapplying concealer or make-up to the injection sites.


