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Dark Circles Treatment and Non-Surgical Face Contouring
Dark circles, crow’s feet, brows and profile: what can non-surgical treatments really do?

Dark circles, crow’s feet, brows and profile: what can non-surgical treatments really do?

In short: the eyes and the profile are where people most often hope to avoid surgery, and where non-surgical medicine can do a lot, but not everything. Dark circles have several causes (pigment, visible blood vessels, hollowness, puffiness), and each needs a different approach: filler helps a hollow tear trough, but not brown pigment or fat bags. Botulinum toxin softens crow’s feet and can lift the tail of the brow slightly for three to four months. Hyaluronic acid can camouflage a bump on the nose or project a weak chin in a single session, a « medical rhinoplasty » or « medical profiloplasty », but it cannot make a nose smaller, and the nose and the area around the eyes are among the riskiest zones for vascular complications. In Switzerland, injections must be done by a doctor or by a specially trained nurse with a doctor present, and they are self-funded. This guide goes zone by zone through what works, what does not, the risks and when surgery is the more honest answer.

This article is general information. It does not replace a consultation with a qualified doctor, who will examine your face and your medical history.

For injections in general, including lips, see our guide to facial injections in Switzerland; for skin quality, our guide to lasers, peels, HIFU and microneedling; and for an overview, non-surgical facial rejuvenation: what actually works. This article focuses on the eye area and the contour of the face, nose and chin.

Contents

How does the eye area age?

The skin around the eyes is among the thinnest on the body, and it moves thousands of times a day as we blink, smile and squint. Several changes combine over time:

  • Skin: loses collagen and elasticity, becomes thinner and finely wrinkled, and shows the colour of the muscle and vessels underneath.
  • Muscle: the circular muscle around the eye (orbicularis oculi) creates crow’s feet when we smile.
  • Fat: the fat pads around the eye can bulge forward (bags), while the cheek fat descends and loses volume, deepening the groove between lower lid and cheek (tear trough).
  • Bone: the eye socket widens slightly with age and the cheekbone loses projection, reducing support.
  • Brow: the brow, especially its outer part, tends to descend, adding weight to the upper lid.

Genetics plays a major role: some people have tear troughs or dark circles from their twenties. Lifestyle factors such as sun, smoking, allergies, rubbing the eyes and lack of sleep make things worse. Understanding which layer is responsible is the key to choosing the right treatment.

Dark circles: which type do you have?

« Dark circles » is one word for several different problems, which is why one person’s miracle treatment does nothing for another.

Type What it looks like Simple test Treatments that can help
Pigmented Brown, often in darker skin types or with family history Colour stays when the skin is gently stretched Sun protection, topical depigmenting agents, peels, certain lasers (with caution)
Vascular Blue or purple, visible veins, worse when tired Colour fades a little when stretched; looks bluer in daylight Skin thickening (biostimulation, skinboosters), concealer, some lasers
Structural (hollow) Shadow from a groove between lid and cheek Shadow disappears when light comes from the front or when you look up Tear trough filler, cheek support, fat grafting, surgery
Puffy (fat bags or fluid) Bulge under the eye, sometimes worse in the morning Bulge increases when you look up Allergy control, less salt, sleep position; true fat bags need surgery
Mixed Combination of the above Most people Combined, stepwise approach

Can dark circles be a sign of illness?

Occasionally. Allergies (allergic rhinitis, eczema), thyroid problems, iron deficiency, kidney disease or sleep apnoea can contribute to puffiness or dark circles. If your dark circles appeared suddenly or come with other symptoms, see your GP before thinking of aesthetic treatment.

Do eye creams work?

Creams cannot fill a hollow or remove a fat bag. Some ingredients, such as retinoids (used carefully around the eyes), vitamin C, niacinamide and sunscreens, can modestly improve skin quality and pigment over months. Caffeine products may temporarily reduce puffiness. Expensive creams are not proven to be better.

Tear trough filler: who is a good candidate?

Filling the tear trough with hyaluronic acid has become one of the most requested treatments, and one of the most technically demanding.

Who benefits most?

People with a clear hollow under the eye, good skin thickness, little or no fat bag, no tendency to puffiness and realistic expectations. Younger patients with a genetic tear trough often get the best results.

Who should avoid it?

  • People with large fat bags: filler under a bag makes the area look heavier.
  • People with chronic morning puffiness, allergies or fluid retention: hyaluronic acid attracts water and can worsen swelling.
  • People with very thin, crepey skin: filler can show through as a bluish tint (Tyndall effect) or lumps.
  • People with significant skin laxity: they may need skin tightening or surgery instead.

How is it done?

The doctor uses a soft, low-swelling hyaluronic acid, injected in small amounts deep on the bone, often with a blunt cannula rather than a sharp needle to reduce bruising and the risk of entering a vessel. Many experienced injectors treat the cheek first, because restoring cheek support often reduces the tear trough on its own. Less is usually more: under-correction is preferable, with a touch-up after two to four weeks if needed.

How long does it last?

Often longer than elsewhere in the face, frequently a year or more, because the area moves less. Some patients keep filler visible on scans for years. This longevity is an advantage but also means mistakes persist unless dissolved.

What are the risks?

  • Bruising and swelling, usually for a few days.
  • Prolonged swelling or puffiness, sometimes appearing weeks or months later.
  • Bluish tint or visible lumps if filler is too superficial.
  • Rarely, vascular occlusion: blockage of a blood vessel by filler, which can cause skin damage and, around the eyes and nose, very rarely blindness.

Hyaluronic acid can be dissolved with an enzyme, hyaluronidase. This is a key safety advantage, and it is one reason to choose hyaluronic acid rather than permanent or semi-permanent fillers around the eyes.

Other treatments for dark circles

Skinboosters and biostimulation

Fine injections of non-crosslinked or lightly crosslinked hyaluronic acid, or products intended to stimulate collagen, can improve skin thickness and hydration under the eye. They do not fill a deep hollow but can make the skin look less transparent and less crepey. Several sessions are usually needed. Polynucleotide injections are increasingly marketed for this area; evidence is still limited, so treat claims with caution.

Platelet-rich plasma (PRP)

PRP, prepared from your own blood, is sometimes injected under the eyes. Some small studies suggest improvement in skin quality, but results are variable and evidence remains limited.

Peels and lasers for pigment

Light chemical peels, topical depigmenting treatments and certain lasers can reduce brown pigmentation. Around the eyes, and especially in darker skin, they carry a risk of making pigmentation worse if done too aggressively. In Switzerland, the use of certain lasers and devices for cosmetic purposes has been regulated since June 2024, with some treatments reserved to doctors.

Fat grafting

Fat transferred from another part of your body can fill the tear trough and improve skin quality. It is a surgical procedure with a longer recovery and less predictable results, but it can last for years.

Camouflage

Colour-correcting concealer (peach or orange tones for blue circles, under your normal concealer) remains effective and risk-free.

Eye bags: when non-surgical treatment is not enough

What are true eye bags?

They are fat pads that bulge forward through a weakened membrane under the eye. They are often hereditary and get more visible with age. Unlike fluid puffiness, they do not disappear during the day.

Can filler hide eye bags?

Only in mild cases, by smoothing the transition between the bag and the cheek. With larger bags, filler adds weight and can worsen the appearance. Radiofrequency and other devices can tighten the skin slightly but do not remove fat.

What is the surgical option?

A lower blepharoplasty removes or repositions the fat, sometimes through an incision inside the lower lid with no visible scar. It is the only lasting solution for true fat bags. See our guide to facial plastic surgery in Switzerland and Medespoir’s French page on blepharoplasty.

Crow’s feet: toxin, skin quality and limits

What are crow’s feet?

The fan of lines at the outer corner of the eyes when you smile. They start as dynamic lines that appear only with movement, then become static lines visible at rest as the skin loses elasticity.

How does botulinum toxin help?

A few small injections relax the outer part of the circular eye muscle, softening lines when you smile. Results appear within a few days to two weeks and usually last about three to four months. Botulinum toxin is a prescription medicine in Switzerland, and certain products are authorised for specific facial lines; it should be injected by a doctor or under a doctor’s direct supervision.

Will my smile look different?

It can, if too much product is used or if it spreads too far. A natural result keeps some movement. Potential side effects include bruising, an asymmetric smile, a slightly drooping lower lid, dry eye or rarely double vision. Most are temporary.

What about lines that remain at rest?

Toxin alone may not erase deep static lines. Skin quality treatments such as skinboosters, fractional lasers, microneedling or peels can be combined. Very fine filler is occasionally used, cautiously, in this thin skin.

How often do you need treatment?

Usually two to three times a year. Some people find that results last longer after several treatments, but this varies.

Brows: chemical brow lift, filler and threads

What is a « chemical brow lift »?

By relaxing the muscles that pull the brow down, mainly at the outer tail, toxin allows the forehead muscle to lift the brow slightly. The effect is subtle, a few millimetres, and lasts about three to four months. It suits people who want a more open look, not those with significant brow descent.

Can filler lift the brow?

Restoring volume at the temple or just under the outer brow can support the brow and soften a hollow temple. The temple is a delicate area with important vessels, so technique and experience matter.

Do thread lifts work for the brow?

Absorbable threads with small cones or barbs can lift the brow tail temporarily. Results vary, generally last months rather than years, and complications include visible threads, dimpling, asymmetry and infection. The Canton of Vaud, in its information on aesthetic procedures, describes the risks of resorbable thread lifts and reminds that they are medical acts.

What about brow tattooing or microblading?

These change the shape and density of the brows, not their position. They can create an optical lift by drawing the brow slightly higher at the tail. Choose an experienced practitioner and check hygiene; in Switzerland, tattooing is regulated mainly by cantonal health and hygiene rules.

« Fox eyes » and the almond look

The « fox eye » look, an elongated eye with a lifted outer corner and brow tail, became a social media trend. It is a look, not a procedure, and it can be achieved by very different means, from temporary toxin to permanent surgery on the eye’s outer ligament.

Approach Type Duration Main caution
Toxin to lift the brow tail Non-surgical About 3 to 4 months Subtle effect
Filler at the temple and brow tail Non-surgical Often around a year Vascular zone; experienced injector needed
Thread lift Minimally invasive Months Visible threads, asymmetry, dimpling
Temporal lift Surgical Years Scars in the hairline
Canthopexy or canthoplasty Surgical on the eye corner Long-lasting Risk of an unnatural or overdone look; specialist surgery

The most frequent failure is an overdone look that does not fit the face. A trend changes; the anatomy of your eyes stays. Medespoir’s French page on fox eyes describes these different paths.

Hooded upper lids: what can be done without surgery?

Can toxin or filler fix hooded lids?

Only slightly. A chemical brow lift can reduce mild hooding when the brow is part of the problem. Radiofrequency, plasma devices and some lasers can tighten skin a little. But when there is real excess skin on the upper lid, only surgery removes it.

When does insurance pay for upper lid surgery?

When excess skin significantly limits the field of vision, documented by an eye specialist, basic insurance can cover an upper blepharoplasty performed in Switzerland, after the insurer’s approval. Medespoir’s French page on medical blepharoplasty explains this functional situation and recommends checking the options in Switzerland first in that case.

Considering treatment around the eyes or for your profile? Request a free quote with photos. You receive a personalised, nominative proposal within 48 hours, indicating whether a medical or surgical approach is more appropriate.

Medical rhinoplasty: what can filler do for the nose?

A « medical », « liquid » or « non-surgical » rhinoplasty uses small amounts of hyaluronic acid to reshape the nose without surgery. It is quick, done under topical anaesthesia, and the result is visible immediately.

What can it do?

  • Camouflage a bump by filling above and below it, making the profile straighter.
  • Lift a slightly drooping tip a little.
  • Improve small asymmetries or irregularities, including some after a previous surgery.
  • Raise a low nasal bridge.

What can it not do?

  • Make a nose smaller or narrower: it adds volume, it does not remove it.
  • Correct a significantly deviated nose or a large hump.
  • Improve breathing.
  • Replace surgery for a wide or bulbous tip.

How long does it last?

Often a year or more on the bridge, sometimes longer, because the area moves little.

Who is a good candidate?

Someone with a small bump, a slightly low bridge or minor irregularities, who accepts that the nose may look slightly larger in profile while straighter. Someone who wants a smaller nose or better breathing should consider surgical rhinoplasty.

Why the nose is a high-risk zone

The arteries of the nose are connected to those that supply the eye. If filler enters an artery, it can block blood flow to the skin, causing necrosis, and, very rarely, travel to the arteries of the eye and cause sudden, often permanent, vision loss.

How common are serious complications?

Rare, but real. A narrative review of complications of non-surgical rhinoplasty with hyaluronic acid, published in Aesthetic Plastic Surgery in 2025, identified vascular occlusion as the main serious risk, with possible tissue ischaemia, necrosis or blindness, while concluding that the procedure is generally safe with a low rate of severe complications. Patients who have had a surgical rhinoplasty before may be at higher risk, because scar tissue changes the anatomy and vessels.

What reduces the risk?

  • A doctor with detailed knowledge of nasal anatomy and experience in this procedure.
  • Hyaluronic acid only, never permanent fillers in the nose.
  • Small volumes, slow injection, appropriate depth.
  • Hyaluronidase available on site, and a clear emergency protocol.

What symptoms require immediate action?

Severe pain, skin turning white, then mottled or purple, during or after injection, or any visual disturbance, eye pain or headache. These are emergencies: the injector must act immediately with hyaluronidase, and any visual change requires urgent ophthalmological care. Do not wait until the next day.

Medical profiloplasty: chin, jawline and profile balance

The profile is the relationship between forehead, nose, lips and chin. A weak chin can make a nose look larger; a strong chin can balance it. « Profiloplasty » usually refers to surgery that combines rhinoplasty, chin surgery and sometimes liposuction under the chin. A medical profiloplasty uses filler to achieve part of this balance without surgery.

Chin filler

Hyaluronic acid or other fillers can project a retruded chin, lengthen a short chin or improve its shape. It is one of the most satisfying treatments in terms of profile change for the amount of product used. Results often last a year or longer.

Jawline filler

Filler along the jaw angle and jawline can sharpen the contour, which is popular with men and with people who want a more defined lower face. Good candidates have good skin quality and no significant sagging; with heavy jowls, filler alone can make the face look heavier.

Lips and the profile

Lip volume also changes the profile. Over-projected lips can make a weak chin more obvious. A balanced treatment considers the whole lower face, not one feature in isolation.

When is surgery better?

For a very retruded chin, a chin implant or bony genioplasty gives a permanent and often more natural result, and avoids repeated filler sessions. Bite problems linked to jaw position need orthodontic and sometimes jaw surgery. Medespoir’s French page on surgical profiloplasty describes the combination of rhinoplasty, genioplasty and double chin treatment.

Goal Medical option Surgical option
Straighten a small nasal bump Hyaluronic acid (medical rhinoplasty) Rhinoplasty
Reduce the size of the nose Not possible Rhinoplasty
Project a weak chin Chin filler Chin implant or genioplasty
Define the jawline Jaw filler, toxin for large masseter muscles Jaw implants, neck lift for sagging
Reduce a double chin Injectable fat reduction, devices Liposuction under the chin, neck lift
Brighten a hollow under-eye Tear trough filler, skin treatments Fat grafting, lower blepharoplasty with fat repositioning
Open the eye area Chemical brow lift, threads Brow lift, upper blepharoplasty

Double chin without surgery

What are the options?

  • Injectable fat reduction based on deoxycholic acid, which destroys fat cells under the chin. Several sessions are usually needed, with marked swelling for days after each. Ask whether the product used is authorised in Switzerland.
  • Cryolipolysis (fat freezing) with a small applicator, for modest fat deposits.
  • Radiofrequency and other energy devices, which may tighten skin slightly.

When is liposuction better?

For larger fat deposits or when you want a single treatment, liposuction under the chin is effective. When the main problem is loose skin or muscle bands in the neck, a neck lift is the solution. Non-surgical options work best on small, localised fat with good skin elasticity.

Slimming the jaw with toxin: masseter treatment

Large chewing muscles (masseters) make the lower face look square and wide. Botulinum toxin injected into the masseter relaxes the muscle; over weeks, the muscle shrinks, softening the jaw angle and giving a more oval face. The effect builds over about four to eight weeks and usually needs repeating every four to six months at first, sometimes less often later.

Who is it for?

People with genuinely large masseters, often linked to clenching or grinding. The doctor checks by feeling the muscle while you clench. If the width comes from bone or fat rather than muscle, toxin will not help.

Is it also a medical treatment for grinding?

Toxin is used for bruxism, but it does not replace a dental assessment and a night guard to protect the teeth. In Switzerland, the aesthetic use is self-funded, and the indication for bruxism should be discussed with your dentist and doctor.

What are the side effects?

Temporary chewing fatigue with hard foods, rarely an asymmetric smile if product spreads to nearby muscles, and occasionally a hollow look under the cheekbone in slim faces. Careful dosing limits these effects.

Temples: the forgotten frame of the eyes

Hollow temples are an early sign of facial ageing and of weight loss, and they make the eyes and brows look heavier. Restoring a little volume at the temples can open the upper face and support the brow tail, sometimes more effectively than treating the eyes directly.

How is it done?

Hyaluronic acid or a collagen-stimulating product is placed deep on the bone or in a superficial fat layer, depending on the technique. The temple contains important arteries and veins, so the injector must know the anatomy precisely; a blunt cannula is often used.

How long does it last?

Often around a year with hyaluronic acid, sometimes longer with collagen stimulators, which act more gradually and cannot be dissolved.

Eye area and profile treatments for men

Men increasingly request treatment for tired eyes, crow’s feet and a stronger jaw and chin. The principles are the same, but the goals differ.

  • Toxin: men usually have stronger muscles and may need different doses; the aim is to soften lines without lifting the brows into a feminine arch.
  • Tear troughs: men often have thicker skin, which can hide filler well, but also more frequent fat bags that need surgery.
  • Chin and jaw: filler can create a squarer, more projected chin and a defined jaw angle; overdoing it creates a heavy, artificial look.
  • Nose: medical rhinoplasty can straighten a bump, but men who want a smaller or straighter nose after an old fracture usually need surgery.

Combining treatments: in which order?

Many people want to treat several areas. A logical order reduces the total amount of product and the risk of an unnatural result.

  1. Treat the cause of puffiness (allergies, sleep, salt) and assess fat bags first; if surgery is needed, plan it before filler.
  2. Relax muscles with toxin (crow’s feet, brow, masseter), then wait two weeks to see the effect.
  3. Restore structural support: cheek, temple, chin.
  4. Refine: tear trough, nose, lips, in small amounts.
  5. Improve skin quality with skinboosters, peels, lasers or microneedling over several months.

Spreading treatments over several appointments lets swelling settle between steps and allows you to judge each change. « Full face » treatments in a single session are possible but leave less room for adjustment.

Common myths

« Filler stretches the skin and makes it sag later. »

Not when used in reasonable amounts. Repeated overfilling over years, however, can make tissues heavier and look unnatural. Moderation and regular reassessment are the safeguards.

« Botox makes wrinkles worse when you stop. »

No. When the effect wears off, lines return to how they would have been; they do not become deeper because of the toxin.

« Non-surgical means risk-free. »

No. Injections are medical procedures with real, if rare, serious risks, especially in the eye area and nose. That is why Swiss rules reserve them to doctors or supervised nurses.

« A good injector can fix everything with filler. »

A good injector is the one who tells you when filler is not the answer.

Weight loss, GLP-1 medicines and a hollow face

The spread of weight-loss medicines such as semaglutide and tirzepatide has made « hollow face » after weight loss a frequent topic. Rapid or major weight loss reduces facial fat, which can deepen tear troughs, flatten cheeks and make the face look older or tired.

Should you treat your face while losing weight?

It is usually wiser to wait until your weight is stable, then assess. Volume added during weight loss may need to be adjusted later. If the change is mainly loss of volume, carefully placed filler or fat grafting can restore it. If the main problem is loose skin, a surgical lift may be more appropriate.

Do these medicines damage the skin?

The changes come mostly from fat loss rather than a direct effect on skin. Adequate protein intake, resistance training and a gradual pace of weight loss may help preserve muscle and overall appearance.

How much downtime should you expect?

« No downtime » is a marketing phrase. Most treatments are compatible with normal life within a day or two, but bruising and swelling can be visible, especially around the eyes. The table below gives typical ranges.

Treatment Typical visible effects Usual duration When the result is visible
Toxin for crow’s feet or brow Small bumps, occasional bruise A few hours to a few days 3 to 14 days
Tear trough filler Swelling, bruising A few days to two weeks Immediately, final after about two weeks
Medical rhinoplasty Redness, slight swelling One to three days Immediately
Chin or jaw filler Swelling, tenderness when chewing A few days Immediately, final after about two weeks
Masseter toxin Little visible None to one day 4 to 8 weeks
Injectable fat reduction under the chin Marked swelling, numbness Several days to two weeks After several sessions
Thread lift Swelling, puckering, tenderness One to two weeks Immediately, then settles

Plan treatments around important events, photos and travel. Avoid flights immediately after high-risk injections such as the nose, so that the injector can check you if a problem appears in the first hours.

Safety in Switzerland: who may inject, products and red flags

Who may inject?

According to the Canton of Vaud, hyaluronic acid injections may only be performed by doctors, or by specially trained nurses under the direct responsibility of a doctor present on the premises; a doctor must also be present for needle-free « pen » injections, which remain injections. Similar principles apply elsewhere in Switzerland. Botulinum toxin is a prescription medicine. You can check whether a doctor is registered in the federal register of medical professions (MedReg).

How do you know the product is genuine?

Ask for the name of the product and keep the label with the lot number. Fillers are medical devices and must carry a CE mark followed by a four-digit number; Vaud notes that the mark can also be counterfeited and recommends products sold in Switzerland, since products bought online are likely to be counterfeit.

Red flags

  • Injections offered in a beauty salon, at a party or at home without a doctor.
  • Prices far below the market, or « bring a friend » deals on medical treatments.
  • No consultation, no medical history, no consent form.
  • Refusal to name the product or show the packaging.
  • No hyaluronidase on site and no plan in case of complication.
  • Pressure to treat many areas at once at the first visit.

What does insurance pay?

Aesthetic injections and treatments are not covered by basic insurance (KVG/LAMal). Treatment of a complication is a medical matter; your insurer’s position may depend on the circumstances. Keep all documents from your treatment.

Non-surgical or surgical: an honest comparison

Advantages of non-surgical treatment

  • Little or no downtime; you can often return to work the same or next day.
  • Gradual, adjustable results.
  • Hyaluronic acid is reversible with hyaluronidase.
  • Lower immediate cost per session.

Limits

  • Temporary results requiring repeat sessions; cumulative costs over years can exceed those of surgery.
  • Cannot remove skin or fat bags, or reduce the size of the nose.
  • Risk of overfilling and an unnatural look when used beyond its limits.
  • Rare but serious vascular complications, especially around the eyes and nose.

How to decide

Ask the doctor to explain which layer of your face is responsible for what bothers you. If the problem is movement (lines), toxin is logical. If it is volume (hollows), filler is logical. If it is excess skin or fat bags, surgery is logical. A good doctor will tell you when non-surgical treatment is not the right answer, even if it means not treating you that day.

How to plan treatment and follow-up

Before treatment

  • Avoid aspirin, anti-inflammatory drugs and supplements that increase bruising for a few days before, if your doctor agrees.
  • Do not schedule injections just before an important event; allow two weeks for bruising and swelling to settle.
  • Mention any previous fillers, surgery, cold sores, autoimmune disease, pregnancy or breastfeeding.

After treatment

  • Avoid massaging the area unless instructed, and avoid intense exercise, sauna and alcohol for about 24 hours.
  • Sleep with the head slightly raised the first night after eye-area treatment.
  • Follow up at about two weeks for a check and possible touch-up.
  • Report any unusual pain, colour change, visual disturbance or progressive swelling immediately.

Keep a record

Write down the date, product, lot number, volume and areas treated. Bring this to every new injector: it helps avoid overfilling and makes managing complications safer.

Treatment abroad: what to check

Some Swiss residents combine aesthetic medicine with a stay abroad or with surgery. Injections are quick, but follow-up matters: swelling, lumps or complications can appear after you return home.

What to check before treatment abroad

  • The identity and qualifications of the doctor who injects.
  • The name, origin and lot of the product.
  • Availability of hyaluronidase and an emergency protocol.
  • A plan for follow-up after your return, including who to contact.
  • Avoid high-risk areas such as the nose immediately before a flight if a check cannot be done.

What does Medespoir offer?

Medespoir describes its aesthetic medicine treatments in Tunisia on its French pages on hyaluronic acid injections, botulinum toxin and in its aesthetic medicine guide. According to its prices page, treatment in Tunisia is about 60% less than the equivalent in Switzerland. For Turkey, Medespoir confirms hair transplants; for other treatments, the quote states whether they are possible and where. In Tunisia, consultations and documents are in French; there are direct flights of about two hours from Geneva and Basel-Mulhouse.

Your next step: send photos with your request for a free quote. You will receive a personalised and nominative answer within 48 hours, without commitment.

Main sources: Complications of nonsurgical rhinoplasty with hyaluronic acid injections: a narrative review, Aesthetic Plastic Surgery (2025); A critical review of complications in non-surgical rhinoplasty and their management, Journal of Cosmetic Dermatology (2021); Canton of Vaud, hyaluronic acid injections, botulinum toxin injections and resorbable thread lifts (in French); FOPH, FAQ on treatments with non-ionising radiation and sound (in German); Multinational consensus on reducing the risk of filler-related vision loss (2020).

FAQ

What is the best treatment for dark circles?

It depends on the cause: filler for hollowness, skin treatments for thin skin, pigment treatments and sun protection for brown circles, surgery for fat bags.

How long does tear trough filler last?

Often a year or more, because the area moves little. It can be dissolved with hyaluronidase if needed.

Is Botox for crow’s feet safe?

Generally yes, when injected by a qualified doctor. Side effects such as bruising or an asymmetric smile are usually temporary.

Can filler make my nose smaller?

No. It can straighten the profile and camouflage a bump, but it adds volume. Only surgery reduces size.

Is a non-surgical nose job dangerous?

Serious complications are rare but can include skin necrosis and, very rarely, blindness. Choose an experienced doctor with hyaluronidase on site.

Can toxin lift my eyebrows?

Slightly, by a few millimetres at the tail, for about three to four months.

Does Swiss insurance pay for these treatments?

No. Aesthetic injections are self-funded. Upper lid surgery for a documented visual field restriction is a different, medical situation.

When is surgery better than injections?

For true fat bags, excess upper lid skin, a large nasal hump, a much smaller nose, a very weak chin or significant sagging of the neck.

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