Which Fillers Are Best for Under-Eye Hollowing? Pros, Cons, and Results

 

 

When you look in the mirror, do you notice hollow, sunken eyes that make you look tired or older than you feel? Under-eye hollowing is a common concern, and it’s not just about dark circles. As we age, the skin under our eyes loses volume, causing that area to appear hollow and sometimes even puffy.

Luckily, dermal fillers are a great solution for restoring youthful volume and reducing the hollowed-out appearance. But with so many options available, it’s hard to know which fillers are best for under-eye hollowing. In this article, we’ll explore the top fillers that target under-eye hollowing, weighing their pros, cons, and the results you can expect. Whether you're considering fillers or just curious about them, this guide will help you make an informed decision.

 

What Causes Under-Eye Hollowing?

 

Before diving into fillers, let’s briefly explore why under-eye hollowing occurs. As you age, your skin loses collagen and fat, leading to the thinning of the tissue around your eyes. This can create a hollow, sunken look, sometimes accompanied by dark circles. Genetic factors, dehydration, and lack of sleep can also contribute to the condition.

Under-eye fillers are designed to restore volume, smooth the skin, and create a refreshed, more youthful look. The right filler can make all the difference, but it’s important to understand the options available.

 

What Are Under-Eye Fillers?

 

Under-eye fillers are injectable treatments used to smooth and plump the skin under the eyes. The main goal of these fillers is to replace lost volume, reduce puffiness, and diminish the hollow appearance that can make you look tired. Fillers can also improve the appearance of dark circles, which often appear alongside hollowing.

There are several types of dermal fillers used for the under-eye area, but most are based on hyaluronic acid, a substance naturally found in the body that helps retain moisture and plump the skin. Other options may include poly-L-lactic acid or calcium hydroxyapatite, each with unique benefits and longevity.

 

The Best Fillers for Under-Eye Hollowing

 

1. Hyaluronic Acid Fillers (Restylane, Juvederm)

What It Is: Hyaluronic acid (HA) fillers like Restylane and Juvederm are some of the most popular options for under-eye hollowing. HA is a natural substance in your body that helps retain moisture, making it a perfect fit for under-eye treatments.

Pros:

• Immediate Results: You’ll notice a smoother, more youthful appearance immediately after the injection.
• Natural-Looking: Hyaluronic acid blends seamlessly into the skin, providing a natural, soft look.
• Reversible: If you don’t like the result or experience complications, hyaluronic acid can be reversed using hyaluronidase, an enzyme that breaks down the filler.
• Minimal Downtime: The procedure is relatively quick, with minimal swelling or bruising.

Cons:

• Temporary Results: HA fillers typically last 6-12 months, after which you’ll need a touch-up.
• Risk of Overfilling: If too much filler is used, the under-eye area can look puffy, so it’s crucial to go to a skilled practitioner.

What to Expect: Most people see visible improvements within a few days, and results can last up to a year with proper care.

 

2. Restylane® Lyft

What It Is: Restylane Lyft is another hyaluronic acid-based filler that is specifically designed for deeper injections. It is often used for areas with more pronounced volume loss, including the under-eye region.

Pros:

• Long-Lasting: Lyft’s thicker consistency means it can last up to a year or more with maintenance.
• Versatile: Lyft can be used to address both volume loss and skin laxity.
• Customizable: Your practitioner can adjust the amount of filler based on your specific needs.

Cons:

• Requires Skill: Since it’s a thicker filler, it requires a highly experienced injector to avoid overfilling or lumps.
• Potential for Mild Bruising: As with any filler, there may be minor bruising or swelling after treatment.

What to Expect: Results are visible right away, with the full effect taking a few weeks to settle in. Maintenance is recommended every 9-12 months.

 

Non-Hyaluronic Acid Fillers for Under-Eye Hollowing

 

3. Radiesse® (Calcium Hydroxyapatite)

What It Is: Radiesse is a filler made from calcium hydroxyapatite, a mineral-like compound found in bones. It stimulates the production of collagen, helping to restore volume and smooth out wrinkles.

Pros:

• Collagen Stimulation: Unlike hyaluronic acid fillers, Radiesse stimulates collagen growth, providing longer-term results.
• Longer-Lasting: Results can last anywhere from 12 to 18 months.
• Natural Feel: Radiesse mimics the natural structure of your skin, creating a soft, natural result.

Cons:

• Not Reversible: Once Radiesse is injected, it can’t be easily reversed if there are complications or unsatisfactory results.
• Can Be Heavier: Radiesse is more rigid than HA fillers, so it’s essential to use the right amount to avoid a heavy or unnatural look.

What to Expect: Collagen stimulation begins shortly after the procedure, with full results showing after a few weeks. Maintenance is needed about once a year.

 

4. Sculptra® (Poly-L-Lactic Acid)

What It Is: Sculptra is a unique filler made of poly-L-lactic acid (PLLA), a synthetic substance that stimulates collagen production in the skin. It’s often used for deeper volume loss and is ideal for patients with significant under-eye hollowing.

Pros:

• Long-Lasting: Sculptra provides gradual, natural-looking results that can last up to two years.
• Collagen Production: By stimulating collagen growth, it improves skin texture and tightness over time.
• Suitable for Deeper Hollowing: If you have more significant volume loss, Sculptra can help restore structure.

Cons:

• Gradual Results: Unlike HA fillers, the results aren’t immediate. It may take several weeks or months to see the full effect.
• Requires Multiple Sessions: Sculptra often requires a series of injections to achieve the desired outcome.

What to Expect: Full results take time to appear, but once they do, they provide a natural, rejuvenated look.

 

How to Choose the Right Filler for You

 

When deciding which filler is best for under-eye hollowing, several factors come into play:

• Severity of Hollowing: For mild to moderate hollowing, hyaluronic acid fillers like Restylane or Juvederm are usually sufficient. For more pronounced volume loss, Radiesse or Sculptra may be more effective.
• Longevity: Consider how long you want the results to last. HA fillers typically last 6-12 months, while Radiesse and Sculptra can last 12-24 months.
• Recovery Time: If you're looking for quick results with minimal downtime, HA fillers might be your best option.
• Collagen Stimulation: If you’re looking for long-term skin benefits, Sculptra may be the right choice, as it encourages collagen production.

It’s important to consult with a qualified practitioner who can assess your needs and recommend the best option for your under-eye area.

 

Additional resources

·         Top 10 Things to Know Before Getting Under-Eye Fillers

·         Do Under-Eye Fillers Really Reduce Fine Lines and Wrinkles?

·         How to Extend the Life of Your Filler and Botox for Lasting Results

·         Why Hyaluronic Acid Fillers Are the Go-To Choice in Aesthetic Treatments

 

Possible Side Effects of Under-Eye Fillers

 

Although under-eye fillers are generally safe, there are potential side effects to be aware of:

• Bruising and Swelling: This is the most common side effect and typically resolves within a few days.
• Lumps or Bumps: If the filler is not properly distributed, small lumps may form, but these can often be massaged away by your practitioner.
• Allergic Reactions: While rare, some people may be allergic to the filler. It’s important to discuss any allergies or sensitivities with your doctor beforehand.
• Infection: As with any injection, there’s a slight risk of infection, which is why choosing a skilled, experienced injector is crucial.

 

FAQ: Everything You Need to Know About Under-Eye Fillers

 

Q: How long do under-eye fillers last?

A: The results of under-eye fillers typically last between 6 months to 2 years, depending on the type of filler used.

Q: Are under-eye fillers safe?

A: Yes, under-eye fillers are generally safe when performed by an experienced injector. However, as with any cosmetic procedure, there are some risks involved.

Q: Do under-eye fillers hurt?

A: Most patients report minimal discomfort during the procedure, as many fillers contain lidocaine, a numbing agent that helps reduce pain.

Q: Can I use under-eye fillers for dark circles?

A: Yes, under-eye fillers can help reduce the appearance of dark circles by adding volume and improving the skin's appearance.

 

Conclusion: Restoring Youthful Eyes with Under-Eye Fillers

Under-eye hollowing is a common concern, but with the right filler, you can restore a refreshed, youthful look. Whether you choose Restylane, Juvederm, Radiesse, or Sculptra, there’s a filler option for every need and preference. The key is to consult with a skilled professional who understands your goals and can recommend the best filler for your under-eye area.

Dr. AlirezaHashemnejad, a 1998 graduate of Tehran University of Medical Sciences, has over 25 years of experience in both medical and aesthetic care. Based in Toronto, Canada, he offers expert consultations at three renowned clinics, providing personalized treatments that blend precision, extensive expertise, and genuine compassion to help each patient achieve their unique health and beauty goals.