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
30-45 minutes
9-12 months
2 weeks minimum between treatments
Per syringe or area
Ready to Get Started?
Find highly experienced injectors who specialize in advanced under-eye treatments.
Find ProvidersGood 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
Explore More
View All TreatmentsThis overview is educational and not a substitute for medical advice. Consult a qualified injector to determine what's right for you.