AdvancedSpecialized

Under Eye Treatment

Under-eye filler, also known as tear trough treatment, addresses hollowing and dark shadows beneath the eyes by carefully adding volume to create a smoother transition from the lower eyelid to the cheek. This advanced technique requires significant expertise due to the delicate anatomy of the eye area.

How it works (at a glance)

  • Targeted volume: Hyaluronic acid filler is precisely placed in the tear trough area to fill hollows.
  • Shadow reduction: Adding volume reduces the shadowing that creates tired or aged appearance.
  • Smooth transition: Creates better continuity between lower eyelid and upper cheek.
  • Advanced technique: Requires expert knowledge of eye anatomy and specialized injection methods.

Who's a good candidate?

  • You have hollowing or deep shadows under your eyes that aren't just from fatigue.
  • Your under-eye concerns are due to volume loss rather than excess skin or puffiness.
  • You have realistic expectations about subtle, natural improvement.
  • You're willing to see a highly experienced injector who specializes in this area.

Pro Tip

Not all dark circles are treatable with filler—pigmentation issues need different approaches. A consultation can determine if you're a good candidate.

Treatment day & aftercare

Before:

  • Choose an injector with extensive experience in tear trough treatments.
  • Avoid blood thinners if approved by your provider to minimize bruising risk.

During:

  • Topical numbing is typically applied for comfort.
  • Very precise, conservative injection technique using cannula or micro-needles.
  • Provider will assess symmetry and placement throughout treatment.

After:

  • Expect swelling and possible bruising that may last longer than other areas.
  • Sleep elevated for several nights to minimize swelling.
  • Avoid makeup and touching the area for at least 24 hours.
  • Be patient—final results may take 2-4 weeks as swelling completely resolves.

Safety & special considerations

  • Higher risk area due to delicate anatomy and proximity to blood vessels.
  • Common: significant swelling, bruising, and temporary puffiness.
  • Possible: asymmetry, overcorrection appearance, or Tyndall effect (bluish tint).
  • Rare but serious: vascular complications that could affect vision.
  • Critical: choose only highly experienced, specialized injectors for this area.

Investment considerations

  • Typically costs more than other filler treatments due to complexity and expertise required.
  • Usually requires less product than other areas, but technique demands premium pricing.
  • Results tend to last longer than lip or nasolabial fold treatments.
  • Factor in potential need for expert correction if initial results aren't optimal.

Selecting your provider

  • Choose an injector who specializes in tear trough treatments with extensive before/after photos.
  • Ask about their specific training and experience with under-eye anatomy.
  • Consider starting conservatively—this area is easier to add to than correct.
  • Discuss alternative treatments if you're not an ideal candidate for filler.

Quick FAQ

When will I see results?

Initial results are visible immediately, but significant swelling is normal. True results are best assessed 2-4 weeks after treatment once all swelling has resolved.

Why is under-eye filler considered advanced?

The eye area has complex anatomy with important blood vessels and nerves. Poor technique can cause serious complications, so expertise is crucial.

What if I don't like the results?

Hyaluronic acid fillers can be dissolved with hyaluronidase, but this should only be done by experienced providers familiar with the eye area.

Quick Facts

Duration

30-45 minutes

Results last

9-12 months

Commenting

2 weeks minimum between treatments

Typical Cost

Per syringe or area

Ready to Get Started?

Find highly experienced injectors who specialize in advanced under-eye treatments.

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Good Candidate?

  • You have hollowing or deep shadows under your eyes
  • Your concerns are due to volume loss rather than excess skin
  • You're willing to see a highly experienced specialist

This overview is educational and not a substitute for medical advice. Consult a qualified injector to determine what's right for you.