← All ConditionsAlways Look Tired
Looking perpetually tired despite adequate rest is typically caused by under-eye hollowing, dark circles, skin laxity, or downturned facial features — all of which respond well to aesthetic treatments.
"You look tired" is one of the most common things people hear — and one of the most frustrating, especially when they feel perfectly fine. The culprit isn't fatigue. It's anatomy. As we age, volume shifts in the mid-face cause under-eye hollowing, the skin loses its elasticity, and features that once sat upright begin to descend. The result is a face that reads as exhausted even when you're at your best.
This is one of the most treatable concerns in modern medical aesthetics. At Summer House Medspa in Dallas, we address the structural causes — not just the surface — so results look natural and last. The goal is a face that matches how you actually feel: refreshed, present, awake.
Signs you may have this concern
- ✓Dark or hollow appearance under the eyes, even with good sleep
- ✓A "sunken" look in the under-eye area or cheeks
- ✓Downturned corners of the mouth that create a resting sad expression
- ✓Skin that looks dull or grayish despite being well-hydrated
- ✓The inner corner of the eye appears shadowed or purple-toned
- ✓Others ask if you're tired or unwell when you feel fine
Treatments that address this
Under-Eye Filler (Tear Trough) →Hyaluronic acid filler placed precisely in the tear trough restores lost volume under the eye, eliminating shadows and hollow appearance. One of the most transformative treatments for a tired look.
Cheek Filler →Restoring volume to the mid-face lifts the under-eye area indirectly, reducing the shadow effect caused by descended cheek fat pads — a common but underrecognized driver of the tired appearance.
Skin Brightening & Resurfacing →BBL photofacial and laser treatments improve overall skin tone, reduce pigmentation and dullness, and restore radiance — addressing the surface component of a tired appearance.
Botox for Brow Lift →Strategic Botox placement can lift the tail of the brow and open up the eye area, creating a more alert and awake appearance without surgery.
How we approach treatment
Treatment starts with an assessment of what's actually driving the tired look for you specifically. For most clients, it's a combination of under-eye hollowing and mid-face volume loss — addressed with precise filler placement. For others, skin dullness or brow position is the primary issue, which responds better to resurfacing or Botox.
We don't use a one-size approach. Tear trough filler is technically demanding and requires an experienced injector — overfilling creates a puffy look, underfilling leaves the problem unchanged. Our providers have treated hundreds of clients with this concern and understand the nuance of placing filler where it creates the most natural, rested result.
Frequently asked questions
Will under-eye filler make me look overdone or puffy?
Not when placed correctly. The most common cause of a puffy result is using the wrong product or placing too much volume. We use light, reversible hyaluronic acid fillers placed conservatively — results should look like you slept better, not like you had work done. Results are also fully reversible with hyaluronidase if needed.
How long will it take to stop looking tired after treatment?
Most clients see an immediate improvement with filler, though mild swelling in the first 24–48 hours is normal. Final results settle in about 2 weeks. Skin brightening treatments show progressive improvement over 4–6 weeks as the skin renews itself.
Book a consultation to discuss what's causing your tired appearance and which treatments make the most sense for you.