Under Eye Filler (Tear Trough Filler)

Dark circles and bags under the eyes are not only issues for older patients, but young as well. Both conditions can cause people to look tired, sick, or unhappy which can negatively affect one's social life. Dermal fillers can improve the appearance of dark circles and bags under the eyes in a simple, non-invasive, in office procedure.

Under Eye Filler (Tear Trough Filler) Overview - Everything You Need to Know

The Skinny

Under Eye Filler (Tear Trough Filler)
avg. recovery
5 days
$800 - $5000

About the Procedure

Last Updated: 07.27.2021

Dark circles and bags under the eyes can be brought on by a number of factors. Not getting enough restful sleep at night resulting in fatigue can cause darkness and eye puffiness but can be easily fixed. Allergies and ensuing rubbing are another common reason for discoloration and bags which may be remedied with medications. However, for patients with chronic dark under eye circles and bags caused by aging, sun damage, or hollowing of the eyes, dermal fillers may offer a quick, although temporary, solution. Patients desiring a longer lasting solution may opt for laser resurfacing treatments or a more invasive lower eyelid blepharoplasty to permanently remove under eye bags. A number of hyaluronic acid based dermal filler can be used for under eye treatment. Popular brands include Restylane and Juvederm, however your provider will be able determine which filler will be best for your individual needs. The area under the eye will be cleansed and filler will be injected into the tear trough area. The filler is typically combined with a local anesthetic to reduce any discomfort. Swelling and bruising is common but will subside within 1-7 days.

The goal of under eye filler is to reduce the appearance of dark circles and eye bags for a more rejuvenated appearance.


Under Eye Filler (Tear Trough Filler) addresses concerns such as:

Recovery Notes

The acute edema and erythema experienced after filler injections may be treated with cool compressions for the first 24 hours. Do not massage or manipulate the treatment area and refrain from strenuous cardiovascular or other highly physical activity for at least 6 hours. Sleep with the head elevated for one night.

Ideal Candidate

The ideal candidate for under eye filler has darkening, hollowing, or puffiness of the eyes and does not require surgical intervention to correct their issues.

Not Recommended For

Under eye fillers are not recommended for patients who are pregnant or breastfeeding.

Side Effects

Side effects from hyaluronic fillers to the under eyes can include pain, bruising, asymmetry or nodule formation. The serious complication of injectable fillers is intravascular injection leading to skin necrosis. Immediate regional blanching, a reticulate, purple discoloration of the skin, or significant pain following treatment may indicate impending tissue necrosis.


  • no surgery
  • immediate results
  • reversible


  • temporary
  • possible asymmetry
  • multiple treatments

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