Alcove Aesthetics · St James’s, London
Under-Eye Hollows and Dark Circles: Treatment in London
Dark circles and hollows under the eyes are one of the most common reasons people come to see us. The right treatment depends on the cause, and there is often more than one. Here is how we work out what is going on and what can help.
- GDC registered
- Award-winning practitioner, 2024 and 2025
- Mon to Fri, 9am to 6pm
- 120 Pall Mall, St James’s
Causes and treatments at a glance
- Hollow or grooveTear trough filler, sometimes after polynucleotides
- Thin, crepey skinPolynucleotides
- PigmentationSkincare plan and carefully chosen chemical peels
- Puffiness or bagsUsually not filler; may need a medical or surgical opinion
- Loss of cheek supportCheek filler to support the lower eyelid
Watch
Dark circles: what causes them and what helps
A short explainer from Dr Goziem Onuchukwu.
Why do dark circles happen?
Shadows under the eyes come from structure, skin and colour. Volume loss creates a groove that catches the light. Thinning skin lets the darker muscle and vessels show through. Pigment in the skin, which is often inherited and common in darker skin tones, adds colour. Lack of sleep, allergies and fluid retention can make all of these look worse.
How we assess this at Alcove Aesthetics
Every plan starts with a consultation at 120 Pall Mall, St James’s. We look at your skin and face in different lights, take a history, and explain what is likely to help, what is not, and what the realistic result is. If a treatment is not right for you, we will say so.
Before and after
Every result below started with a consultation with Dr Goziem Onuchukwu, who planned each treatment around the patient’s face and goals.
Dark circles
Shadowing under the eyes reduced with a tailored under-eye plan.
Under-eye hollows
Hollowing under the eyes softened for a more rested look.
Eyes covered for privacy. Results vary from person to person.
Not sure if this is right for you?
Book a consultation and we will assess your face and skin, explain your options honestly and only recommend what will help.
What patients say
★★★★★
“I’ve just had my second polynucleotide under-eyes session and both times have been great experiences.”
Sang · Google review
★★★★★
“Does the most natural injectables and has a really good knowledge of facial anatomy.”
Ella V. · Google review
★★★★★
“She took the time to thoroughly explain the treatment process, answer all my questions, and recommend the best options for my skin concerns.”
Taf T. · Google review
Why patients choose Alcove Aesthetics
“Every treatment starts with a proper consultation. I will always tell you honestly if a treatment is not right for you.”Dr Goziem Onuchukwu, founder
Dr Goziem Onuchukwu, BDS, MSc Aesthetic Medicine, is a Dental Surgeon with a special interest in aesthetic medicine and the founder of Alcove Aesthetics. She has practised facial aesthetics since 2019. Dr Goziem’s background in dental and oral surgery means she works from a detailed understanding of facial anatomy, which shapes how she assesses and plans every treatment.
- GDC registered
- GHP Global Excellence Awards: Best Anti-Ageing Aesthetics Practitioner, Central London 2024 and 2025
- GHP Global Excellence Awards: Best Holistic Facial Aesthetics Clinic, London 2026
- Every treatment starts with a consultation, and we will tell you if a treatment is not right for you
Common questions
Can filler fix dark circles?
Only when the darkness is a shadow from a hollow. Filler does not remove pigment and can make puffiness worse.
What is best for thin under-eye skin?
Polynucleotides are usually our first choice, as they support skin quality without adding volume.
Is under-eye treatment safe for darker skin?
Yes, with the right choice of treatment. We avoid aggressive treatments that can trigger pigmentation.
Book your under-eye consultation
Alcove Aesthetics, 120 Pall Mall, St James’s, London SW1Y 5EA. A few minutes’ walk from Piccadilly Circus and Green Park. Open Monday to Friday, 9am to 6pm.
Consultations are £50. Prefer to talk first? Message us on WhatsApp and we will get back to you.
Visit Us
Alcove Aesthetics
120 Pall Mall, St James’s
London SW1Y 5EA
Call 07856 962248
info@drgoziem.com
Monday to Friday: 9am to 6pm
Saturday and Sunday: Closed