An under-eye area that looks puffy can result not only from reduced skin elasticity but from several factors acting together, such as protruding fat, changes in tissue position and changes in the contour where the under-eye area meets the cheek.
Velluti (Belluti Eye), which has recently been drawing attention,
is a non-invasive treatment that uses LISW, or Laser-Induced Shockwave, on the under-eye area.
The key to Velluti is that, unlike typical radiofrequency and ultrasound lifting,
which delivers heat energy directly to the tissue, it works in a different way.
When a 1064nm Q-switched Nd:YAG laser
is directed onto the Diamond Particle Acoustic Patch,
the patch absorbs the laser energy and generates photoacoustic pressure waves,
which are delivered to the tissue as LISW, a mechanical shockwave.
In other words, rather than coagulating tissue with intense heat,
it is closer to a technology that uses mechanical stimulation to induce tissue remodeling.
Similar LISW technology based on diamond particle patches
has recently been studied in the field of skin and soft-tissue remodeling as well.
How far does the clinical evidence for the under-eye area go?
In 2026, a case report was published in Medical Lasers in which LISW using a diamond particle acoustic patch and
a 1064nm laser
was applied to under-eye protrusion and contour imbalance at the boundary between the under-eye area and the cheek.
A woman in her 60s received 2 treatments and a man in his late 50s received 4,
and in both cases a reduction in under-eye protrusion and an easing of the infraorbital contour were observed.
Grays' standards for Velluti
For those who do not need surgery but are bothered by localized under-eye protrusion or
contour changes, it can be an option that works differently from conventional heat-energy devices.
Under-eye aging is a change created by the skin, fat, muscle, bone and supporting structures together.
So what matters is not using a new device,
but first identifying what the actual problem in your under-eye area is right now.
Grays Dermatology approaches Velluti from this same perspective of diagnosis and selection.
The medical information on this website is general guidance only. Diagnosis and treatment may differ depending on your individual condition — please obtain an accurate diagnosis through an in-person consultation.