Top 10 Things to Know Before Getting Under-Eye Fillers

 

 

If you’ve ever looked in the mirror and noticed dark circles, hollowness, or a tired appearance no matter how much sleep you get, you’re not alone. The under-eye area is one of the first places to show signs of aging or fatigue. Fortunately, under-eye fillers have become a go-to non-surgical solution to restore volume and brighten your look.

But before you take the plunge, it's important to be informed. Under-eye fillers are not a one-size-fits-all solution, and knowing what to expect can make all the difference in your results and satisfaction. In this article, we’ll cover the top 10 things you need to know before getting under-eye fillers—from choosing the right injector to understanding the risks.

Let’s dive in!

 

1. Under-Eye Fillers Are a Specialized Treatment

 

Not all fillers are created equal, and neither are all injectors.

• The under-eye area, also known as the tear trough, is thin and delicate.
• Injecting this region requires advanced anatomical knowledge and experience.
• Look for providers who specialize in under-eye filler treatments and have a portfolio of before-and-after results.

Pro Tip: Choose a board-certified dermatologist or plastic surgeon with experience in facial aesthetics.

 

2. What Causes Under-Eye Hollows and Dark Circles?

 

Before jumping to fillers, understand the cause of your concern:

• Genetics: Some people are born with deep tear troughs.
• Aging: Loss of collagen and fat can cause hollowness.
• Lifestyle: Poor sleep, stress, and dehydration can worsen the appearance.
• Pigmentation vs. Volume Loss: Fillers only treat volume loss—not hyperpigmentation.

Knowing this helps set realistic expectations and may even reveal better-suited treatments.

 

3. Hyaluronic Acid Fillers Are Commonly Used

 

The most popular fillers for the under-eye area are hyaluronic acid (HA) fillers like:

• Restylane-L
• Belotero Balance
• Juvederm Volbella

Why HA fillers?

• They are reversible using hyaluronidase.
• They hold moisture, creating a plump, hydrated effect.
• They are smoother and more suitable for delicate areas.

 

4. You Might Not Be a Good Candidate

 

Fillers aren’t for everyone, even if you have dark circles or hollowness.

You might not be a candidate if:

• You have excess skin or puffiness from fat pads.
• Your issue is pigmentation rather than volume loss.
• You have unrealistic expectations.

Consultation is key. Your provider may recommend alternative treatments like laser therapy or surgery.

 

5. Choosing the Right Injector Is Critical

 

We can’t stress this enough:

• Look for certified professionals with specific training.
• Avoid bargain deals—a low price often means cutting corners.
• Read reviews and ask questions during consultation.

Ask This: How often do you perform under-eye filler treatments?

 

6. The Procedure Is Quick but Not Risk-Free

 

Under-eye filler appointments usually take 30 to 45 minutes.

Here’s what to expect:

• The injector cleans the area and may apply numbing cream.
• A fine needle or cannula is used to inject the filler.
• You might feel mild pressure but minimal pain.

However, there are risks:

• Bruising and swelling
• Lumps or unevenness
• Tyndall effect (a bluish tint if filler is too close to the skin)
• Rarely, vascular complications

Make sure your provider knows how to manage complications.

 

Additional resources

·         Filler Facelifts: What You Should Know Before, During, and After the Procedure

·         Are Under-Eye Fillers Safe? Risks of Swelling, Bumps, and Side Effects

·         Will Too Much Filler Make My Face Look Puffy?

·         Hyaluronic Acid vs. Collagen Fillers: Which One Is Perfect for You?

 

7. Results Aren’t Instant

 

While you might see some changes right away, full results take time.

• Swelling can last 3-7 days.
• The filler may settle over 1-2 weeks.
• You may need a follow-up or touch-up.

Don’t plan important events right after your treatment. Give your body time to heal.

 

8. Maintenance Is Required

 

Under-eye fillers are not permanent.

• Most HA fillers last 6 to 12 months, depending on metabolism and product used.
• Touch-ups may be needed sooner if you have a high activity level or fast metabolism.
• Maintenance ensures consistency and smooth results.

Keep in mind, frequent treatments mean ongoing costs.

 

9. Costs Can Vary Widely

 

How much should you expect to pay?

• Average Cost in North America: $600 to $1,200 per syringe
• You might need 1 to 2 syringes depending on your anatomy

Costs depend on:

• Injector experience
• Location of the clinic
• Product used

Beware of clinics offering fillers at drastically reduced prices. You may pay more in the long run correcting botched work.

 

10. Ask the Right Questions During Consultation

 

A successful treatment starts with an open, honest consultation.

Here are some questions to ask:

1. What filler do you recommend and why?
2. Are you using a needle or cannula?
3. How many treatments have you performed?
4. What happens if I don’t like the results?
5. What are the risks and side effects?
6. Can I see before-and-after photos of past patients?

These questions show your injector that you’re informed and serious about your care.

 

Frequently Asked Questions (FAQ)

 

How long do under-eye fillers last?

Most last 6 to 12 months, but this depends on your metabolism and filler choice.

Is it painful to get under-eye fillers?

Not usually. A numbing cream is often applied, and most people feel pressure more than pain.

Can under-eye fillers fix dark circles?

Only if the dark circles are caused by volume loss. If pigmentation is the problem, other treatments may be more effective.

What is the Tyndall effect?

It’s a bluish tint under the skin that occurs when filler is injected too superficially. A skilled injector knows how to avoid it.

Are under-eye fillers reversible?

Yes—if you’re using hyaluronic acid fillers, they can be dissolved with hyaluronidase.

Can I wear makeup after the procedure?

It’s best to wait 24 hours to reduce the risk of infection or irritation.

Are there any side effects?

Yes, including swelling, bruising, lumps, or in rare cases, vascular occlusion. These are usually temporary when managed properly.

When can I return to work?

Most people return to work the next day, though some prefer waiting 2-3 days until swelling subsides.

 

Conclusion: Make an Informed Choice for Brighter Eyes

 

Under-eye fillers can be a game-changer, offering a refreshed, youthful look without surgery. But they’re not for everyone, and the decision to undergo this treatment should be based on research, consultation, and realistic expectations.

By understanding the top 10 things to know before getting under-eye fillers, you’re well on your way to making a confident, informed choice. Always choose a skilled injector, ask the right questions, and prioritize your safety over price.

Dr. Alireza Hashemnejad, a 1998 graduate of Tehran University of Medical Sciences, brings over 25 years of experience in both medical and aesthetic care. Now based in Toronto, Canada, he provides expert consultations across three top clinics, offering personalized treatments designed to help each patient reach their health and beauty goals with expert precision and genuine care.