It’s the ultimate rude awakening: You get out of bed one morning, look in the mirror, and are confronted by dark circles under your eyes, maybe a bit of sagging along your lids. No problem, you think. All you need is a good night’s sleep.

Then you remember, you did have a good night’s sleep. That tired look is actually your new normal. Until recently women faced with this situation had two options: surgery, or invest in an extensive wardrobe of sunglasses. But that was then.

Now a combination of minimally invasive treatments can take the place of plastic surgery. “When it comes to the no-knife lift, it’s all about the three R’s,” says Adam Kolker, M.D., a New York plastic surgeon. “Relax, refill, resurface.”