Non-Surgical Eyes

About These Under Eye Filler Photos

All patients were treated with filler under the eyes, and the captions describe it as under eye filler, tear trough filler, or hyaluronic acid (HA) filler for the tear trough. The tear trough is the groove that runs from the inner corner of the eye diagonally down toward the cheek. Filler softens that groove by replacing lost volume. Individual results vary, and each photograph shows that patient's own outcome.

What Causes Under Eye Hollows and Dark Circles

Tired-looking under eyes can have several different causes, and filler only addresses some of them. A hollow tear trough from volume loss responds well. A shadow created by puffy fat pads above the groove usually does not, and adding filler beneath a bulge can make the area look fuller instead of smoother. Pigmentation, thin skin showing blood vessels, and bone structure each contribute too, and each calls for a different approach. This is why a careful examination comes before any injection.

Filler or Eyelid Surgery

When the problem is mostly a hollow, filler is a quick, non-surgical option. When it is mostly a bulge, or when skin is also loose, eyelid surgery is the more suitable route, and some patients benefit from a combination. The article on blepharoplasty explains what the surgical option involves and who it is for.

Safety and Technique

The skin under the eye is thin and sits close to important blood vessels, so technique matters more here than in most areas of the face. Common side effects include swelling, bruising and small lumps. Hyaluronic acid filler placed too superficially can cause a bluish tint, and a serious but rare complication is a filler blocking a blood vessel. Because hyaluronic acid can be dissolved with an enzyme, mistakes in placement can usually be corrected, which is one reason it is preferred in this area. Choose an injector who understands the anatomy and explains these risks plainly. The tear trough rejuvenation page describes how the treatment is approached.

How Long Under Eye Filler Lasts

Longevity varies by product, by how much movement the area has, and by how quickly your body breaks the filler down. Many patients see their result last for months to a year or more, and top-up treatments are common. The overview of dermal fillers and the page on Juvederm give more detail on products, and the Juvederm guide covers common questions.

More Eye Photos

Surgical results are in the eyelid surgery gallery, and men's results are in the men's eyes gallery. The wider range of injectable treatments is also described on the site.

Frequently Asked Questions

How long does under eye filler last?
It varies, but many patients find it lasts from several months to a year or more. Your own metabolism, the product used and the area treated all play a part.

Is under eye filler painful?
Most people describe mild discomfort. Numbing cream is commonly used, and some fillers contain a local anesthetic.

Can under eye filler be dissolved?
Hyaluronic acid filler can be dissolved with an enzyme called hyaluronidase if there is a problem or you are unhappy with the result.

Who is not a good candidate for tear trough filler?
People whose main concern is a puffy fat bulge, very thin or crepey skin, or heavy pigmentation may be better served by another treatment such as surgery, and an examination will confirm which applies.

What is the downtime after under eye filler?
Most patients return to normal activities right away, though swelling and bruising can last several days and a few people notice lumps that settle over time.

How do I start?
Book a consultation, or start with a video consultation.