The Agnes RF Treatment Explained
Agnes RF is a non-surgical radiofrequency device that targets fat deposits and skin laxity. It utilizes micro-needles that deliver controlled radiofrequency energy into the targeted area. The radiofrequency energy melts away excess fat beneath the eyes, reducing puffiness. The heat generated by the RF energy also tightens loose skin and stimulates the production of collagen, which contributes to a smoother and more youthful appearance over time.
Eye bags, often caused by fat deposits under the eyes, can give a tired appearance. Surgical removal of under-eye bags involves risks like under-eye hollowness and extended recovery time, but non-surgical eye bag removal at La Jolla Laser Derm® provides a safer alternative. Using the Agnes RF device, this procedure gently melts away fat, tightens the skin, and stimulates collagen production for smoother under-eye skin. This treatment is ideal for individuals looking to minimize the appearance of puffy under-eyes without surgery.
Agnes RF has been shown to improve the following:
- Mild to moderate puffiness under the eyes
- Under-eye bags caused by fat deposits
- Sagging skin below the eye
- Early signs of aging around the eyes
- Wrinkles and fine lines under the eyes
- Loss of skin elasticity in the under-eye area
- Uneven skin texture around the eyes
- Dark circles related to skin laxity.

Before & After

Your Treatment Plan Explained
The Treatment Process+
During your non-surgical eye bag removal, a topical treatment is applied to ensure comfort. The Agnes RF device uses tiny micro-needles to deliver radiofrequency energy to the under-eye area, targeting excess fat while tightening the skin. The treatment lasts 15 to 30 minutes, and you can expect minimal discomfort. Afterward, there may be mild redness or swelling, but these side effects are temporary.
Side Effects and Downtime+
Like any cosmetic procedure, there may be mild side effects. These can include:
- Redness
- Hot flashes
- Bruising
- Swelling
However, these symptoms are temporary and subside within a few days. As for downtime, there’s no need for extensive recovery like with surgery, but it’s important to follow post-care instructions to ensure optimal healing and results. This includes keeping the treated area clean and avoiding excessive exercise, sweating, swimming, and sun exposure for about a week.
Investment+
Treatment costs typically range from $1,500 to $3,500 depending on the severity of eye bags and number of sessions required. Most patients need 1-3 treatments for optimal results. During your consultation at La Jolla Laser Derm®, Dr. Shirazi will assess your specific needs and provide a customized treatment plan with exact pricing. This investment is often significantly less than surgical blepharoplasty which can cost $3,000-$7,000 plus additional expenses for anesthesia and facility fees.
Results & Benefits+
- Precise fat reduction without surgery
- No incisions, scars, or risk of hollowness
- Minimal downtime with quick recovery
- Customizable treatment for natural-looking results
- Reduces puffiness and improves skin texture
- Short treatment sessions, typically 15-30 minutes
- Long-lasting results with minimal side effects
- Safe, controlled procedure for under-eye rejuvenation
Non-Surgical vs. Surgical
Which is right for you?
- No incisions, stitches, or general anesthesia
- Back to most daily activities in a day or two
- Natural results that build gradually
- Treats fat, laxity, and acne with one device
- Lower pigment risk for skin of color
- Ideal for mild to moderate concerns
- Surgery may suit severe excess skin
- Dr. Shirazi will tell you honestly which is right for you
Not sure which is right for you? Explore our other options for the eye area, including the non-surgical eyelid lift.
| Agnes RF | Surgery | |
| Incisions | None | Yes |
| Anesthesia | Topical numbing | Local or general |
| Downtime | 2 to 5 days | 2 to 3 weeks |
| Treatment Time | 30 to 60 minutes | 1 to 3 hours |
| Scarring | None | Possible |
| Results | Gradual, natural | Immediate, dramatic |
| Skin Types | All skin types | Varies |
Real Patient Before & Afters
Every photo is from a patient of this practice. A selection of documented results across the conditions and procedures we treat most. Results vary.



Your Commonly Asked Questions
How does it work?
Agnes RF is a non-surgical radiofrequency device that targets fat deposits and skin laxity. It utilizes micro-needles that deliver controlled radiofrequency energy into the targeted area. The radiofrequency energy melts away excess fat beneath the eyes, reducing puffiness. The heat generated by the RF energy also tightens loose skin and stimulates the production of collagen, which contributes to a smoother and more youthful appearance over time.
What does it treat?
Agnes RF has been shown to improve the following: mild to moderate puffiness under the eyes, under-eye bags caused by fat deposits, sagging skin below the eye, early signs of aging around the eyes, wrinkles and fine lines under the eyes, loss of skin elasticity in the under-eye area, uneven skin texture around the eyes, and dark circles related to skin laxity.
Meet Your Providers

Dr. Azadeh Shirazi, MD, FAAD
Dr. Shirazi trained at the University of Kentucky College of Medicine, Harvard Medical School, and the Mayo Clinic before completing a research fellowship at Harvard's Wellman Center for Photomedicine, studying the effects of light and laser therapy on skin. This is the work that continues to shape how she treats inflammation, wound healing, and complex skin conditions today.
Beyond her own patients, she trains other dermatologists and speaks internationally on the science of skin, from the Global Aesthetic Conference to the World Congress of Dermatology in Argentina, helping advance the field she's spent her career in.
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Eleni Litras, PA-C
Eleni is a highly experienced Board-Certified Physician Assistant with over 10 years of expertise in Dermatology. She has completed a post-graduate dermatology fellowship under the guidance of a Board-Certified Dermatologist, further enhancing her knowledge and skills. Eleni pursued her undergraduate education at the prestigious University of California Santa Barbara and subsequently obtained her Master of Science in Physician Assistant Studies from Western University in Pomona.
With her extensive experience, passion for dermatology, and commitment to holistic well-being, Eleni is dedicated to providing exceptional care and guidance to her patients. Her expertise, combined with her warm and compassionate approach, makes her a trusted professional in the field.
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Selena Salazar, RN & Aesthetician
Selena Salazar is a Licensed Aesthetician and Registered Nurse with a passion for personalized, results-driven skincare. She began her career with La Jolla Dermatology & Laser Surgery Center in 2019 and furthered her clinical training by earning her RN degree while continuing to work alongside Dr. Shirazi.
Known for her keen eye in skin analysis and meticulous approach to extractions, Selena specializes in customized treatment plans designed for long-term skin health. Her combined background in medical aesthetics and nursing brings both clinical precision and an elevated understanding of skin physiology to every treatment.
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