Under Eye Filler

Dermal Fillers for the under eye or tear trough area

The appearance of the under eye area can be improved using tear trough filler. Tear troughs are the hollow area between the eyes and cheeks that create a "tired" appearance or are often referred to as "dark circles".


Many patients are concerned about their under-eye area from a young age, and the problem worsens with time. They may be concerned about dark circles and shadowing under the eyes, hollowing beneath the eyes, or fat pockets under the eyes.


Please see our page on muscle relaxants for eye wrinkles if you have concerns about fine lines around the eyes.


These concerns can be addressed using dermal filler.


The type of dermal filler to use in the tear troughs


For the tear troughs, we will only utilize dermal fillers that are as safe as possible for that location at our clinic. We use a product that has good ability to lift the skin while causing the least about of swelling. We may also choose fillers that are the smoothest and least likely to cause lumpiness.


Amount of filler needed


The dose of tear trough filler required varies depending on the patient's anatomy and the desired look.


The injector will examine the tear troughs and determine the best dose. A smaller dose may be chosen to begin with if a patient has a history of dermal filler issues, if their budget is limited, or if they desire a more subtle outcome.


The better the skin for tear trough fillers to sit under, the better the tear trough fillers' results. We may recommend microneedling w/PRP or PRP injections or light chemical peels in the area to get the under eye skin in its best shape so that the tear trough fillers work best.


It is required to inject various areas of the tear trough and under eye area with dermal filler to achieve the best results.


During treatment, pain alleviation is provided.


If a cannula is utilized, a local anesthetic may be given before it is inserted into the skin. The injector may use needles at the last portion of the treatment to fine tune for more precise placement.


The dermal filler contains a local anesthetic.


Ice may be used to relieve pain and prevent bruising.


What occurs during the actual treatment?

To assist in avoiding infections, the region will be cleansed with alcohol and chlorhexide.


Before beginning treatment, apply ice to the affected area for a few minutes. A needle will be used by the injector. Then gauze will be used to provide pressure.


If a cannula is used, a little amount of local anesthetic is injected into the skin, and then a needle is used to produce a small entry in the skin through which the cannula is placed.


How should I care for the dermal filler in my tear troughs?

At the injection or cannula entry sites, there may be redness and swelling, as well as red spots or bruises.


Bruising is less likely when a cannula is used.


Dermal fillers in the tear troughs have the following side effects and risks:


The following are potential hazards:


Bruising: This occurs in a large proportion of cases.

Swelling will occur at the injection area. This will last approximately 48 hours.

Tyndall The dermal filler under the skin has a blue look.

Lumps: Our careful approach and conservative technique helps avoid this

Asymmetry: When one side of a patient is treated better than the other, it is usually because the patient was born asymmetrical.

Infection is an uncommon complication that can occur when a needle is inserted into the skin.

Necrosis (a clogged blood artery that prevents blood from reaching the skin) is extremely rare. This may result in scarring.

Additional therapy is required: It may take multiple syringes of product to get the patient to the desired outcome.

Blindness: Extremely rare but can occur. Our provider has taken multiple precautions and safety courses to avoid this


Instructions for after-treatment care for Tear Trough Filler

  • avoid makeup for 4 hours

  • avoid strenuous exercise for the remainder of the day

  • avoid touching or rubbing the eye area

What can you expect after a dermal filler treatment for the tear trough?

The filler for the tear trough will have an immediate effect.


By 2-3 days after the treatment, the majority of the swelling caused by the dermal filler will have subsided. Even 2-4 weeks after the treatment, there may be some minor swelling.


Any potential bruises can linger for 7-8 days.


How long do the results generally last?

The answer is highly personal and varies on the patient's anatomy, metabolism, dose, placement, and product, among other factors.


After the initial treatment, it is recommended to follow up in one month as needed for additional product, and then yearly procedures after that.


Dermal filler in tear troughs costs

The price is per syringe. A typical treatment can use between 1-3ml of product so final pricing will vary. The price per syringe for tear trough is $550 per ml