Under Eye Fillers What To Know About Tear Trough Treatment

The tear trough is the groove that runs from the inner corner of your eye down toward your cheek. When this area loses volume or becomes hollow, it creates a shadow that makes you look tired, aged, or unwell.

The tear trough area is one of the first places to show signs of aging because the skin here is extremely thin and delicate. Even young people in their 20s and 30s can develop noticeable tear troughs due to genetics, lifestyle factors, or natural facial structure.

Understanding what causes your under eye concerns helps determine whether filler is the right treatment for you.

Volume Loss

As we age, we lose fat and bone density in the face. The fat pads that once provided fullness beneath the eyes diminish, creating a hollow appearance. This is the primary cause of tear troughs and the main concern that filler addresses.

Genetics

Some people are born with naturally deeper tear troughs or less volume beneath the eyes. If your parents or siblings have prominent under eye hollows, you may develop them as well, sometimes at a young age.

Thin Skin

The skin under your eyes is the thinnest on your body. As it becomes even thinner with age, the blood vessels and underlying structures become more visible, contributing to dark circles.

Shadowing

When the tear trough is hollow, overhead lighting creates shadows that make the area appear darker. This is different from true pigmentation and can be significantly improved with filler.

Pigmentation

True dark circles caused by excess melanin (pigment) in the skin will not improve with filler. If your dark circles are primarily a color issue rather than a shadow from hollowness, other treatments like topical skincare, chemical peels, or laser therapy may be more appropriate.

Lifestyle Factors

Lack of sleep, dehydration, allergies, and stress can all worsen the appearance of under eye hollows and dark circles.

Under eye fillers work by adding volume to the hollow tear trough area. Most tear trough fillers contain hyaluronic acid, a substance that occurs naturally in your skin and attracts water to create a plumping effect.

When filler is carefully injected into the tear trough, it:

Fills the hollow groove beneath the eye

Reduces the shadow that creates the appearance of dark circles

Creates a smoother transition from the lower eyelid to the cheek

Provides a more refreshed, less tired appearance

The filler is typically placed deep, close to the bone, to minimize the risk of visible lumps and achieve natural-looking results. Because this area is delicate, most providers use a conservative amount of product and may recommend a follow-up appointment to add more if needed.

Tear trough filler works well for certain patients but is not appropriate for everyone. During your consultation, your provider will assess whether you are a good candidate.

Good Candidates for Tear Trough Filler:

You have hollowness or volume loss under the eyes creating shadows

Your dark circles are caused by shadowing rather than pigmentation

You have good skin elasticity in the under eye area

You have realistic expectations about what filler can achieve

You are in good overall health

Tear Trough Filler May Not Be Right For You If:

You have significant under eye bags (fat pads bulging forward) rather than hollows

Your skin under the eyes is very thin or crepey

Your dark circles are primarily caused by pigmentation

You have excessive puffiness or fluid retention under the eyes

You have certain medical conditions or allergies

Not everyone who wants under eye filler should get it. A reputable provider will be honest with you if filler is not the best solution for your concerns. In some cases, other treatments like laser therapy, skincare, or even surgical options like lower blepharoplasty may be more appropriate.

At ALGM Beauty Bar, we assess each patient individually and will recommend the best approach for your specific situation, even if that means recommending something other than filler.

The under eye area requires a specific type of filler. Because the skin is so thin, thick or heavy fillers can create visible lumps or a bluish discoloration called the Tyndall effect.

Fillers commonly used for tear troughs are soft, smooth, and designed for delicate areas. Products from the Restylane and Juvederm families that are formulated for fine lines and sensitive areas are often preferred.

Your provider will select the most appropriate filler based on your anatomy, skin quality, and the depth of your tear troughs. The wrong filler choice can lead to complications, which is why experience and product knowledge matter when choosing your injector.

Tear trough treatment is one of the more conservative filler procedures. Most patients need only 1 syringe total, which is split between both eyes (approximately half a syringe per side).

Some providers prefer to start with even less, using half a syringe for the first treatment and reassessing after two weeks. If more volume is needed, additional filler can be added at a follow-up appointment.

This conservative approach is important for the under eye area. Using too much filler beneath the eyes can create puffiness, lumps, or an unnatural appearance. It is better to start with less and add more than to overfill this delicate area.

Under eye filler typically costs between $600 and $900 per syringe, depending on the filler product used and your provider’s pricing.

Since most patients need only 1 syringe for both eyes, the total cost of tear trough treatment is often $600 to $900. This makes it one of the more affordable filler treatments compared to areas like cheeks or jawline that require multiple syringes.

At ALGM Beauty Bar, new clients receive a free consultation and 20% off any service of their choice. We provide transparent pricing during your consultation so you know exactly what to expect.

Under eye fillers typically last 12 to 18 months, and some patients report results lasting up to two years.

The tear trough area has minimal movement compared to areas like the lips, which means filler breaks down more slowly here. This longer duration makes under eye filler a good value for many patients.

Individual results vary based on factors like metabolism, lifestyle, and the specific filler used. Your provider can give you a better estimate based on your situation during your consultation.

Knowing what to expect can help you feel more comfortable about your appointment.

Before Treatment

Your provider will cleanse the area and apply a topical numbing cream to minimize discomfort. This numbing cream typically sits for 15 to 20 minutes before the injection begins.

During Treatment

The filler is injected using a fine needle or cannula. A cannula is a blunt-tipped instrument that some providers prefer for the under eye area because it may reduce bruising and improve safety.

The injection process itself takes only about 10 to 15 minutes. You may feel mild pressure or a pinching sensation, but most patients find the treatment comfortable thanks to the numbing cream and the lidocaine contained in most fillers.

Immediately After

You will be able to see results immediately. Your provider may gently massage the area to ensure the filler is evenly distributed. You can typically return to normal activities right away, though you may want to avoid important events for a few days in case of bruising.

Recovery from tear trough filler is minimal, but there are some things to expect.

Common Side Effects:

Mild swelling for 2 to 5 days

Bruising (the under eye area bruises easily)

Tenderness at the injection sites

Slight asymmetry initially that resolves as swelling goes down

The under eye area tends to swell and bruise more easily than other parts of the face. To minimize these effects, avoid blood-thinning medications and supplements (like aspirin, ibuprofen, fish oil, and vitamin E) for a week before treatment if possible. Avoid alcohol for 24 to 48 hours before your appointment.

Aftercare Tips:

Apply cold compresses gently to reduce swelling

Avoid rubbing or pressing on the treated area for 24 hours

Sleep with your head slightly elevated for the first night

Avoid strenuous exercise for 24 to 48 hours

Avoid excessive heat (saunas, hot yoga) for 48 hours

Most swelling and bruising resolve within a week. Final results are typically visible 1 to 2 weeks after treatment.

The under eye area is one of the more technically challenging areas to inject. While complications are uncommon when treatment is performed by an experienced injector, it is important to understand the potential risks.

Bruising and Swelling

These are the most common side effects and are temporary. The under eye area is prone to bruising due to the thin skin and blood vessels in the region.

Lumps or Bumps

If filler is placed unevenly or too superficially, visible lumps may occur. An experienced injector knows how to place filler at the proper depth to avoid this. If lumps do occur, they can often be massaged out or dissolved.

Tyndall Effect

This is a bluish discoloration that can occur when hyaluronic acid filler is placed too close to the skin surface. The thin under eye skin makes this area more susceptible. Proper injection technique and filler selection minimize this risk. If it occurs, the filler can be dissolved.

Asymmetry

Slight asymmetry after treatment may occur and can be corrected at a follow-up appointment.

Vascular Occlusion (Rare)

In rare cases, filler can be inadvertently injected into or compress a blood vessel, blocking blood flow. This is a serious complication that requires immediate treatment. Choosing an experienced injector who understands facial anatomy significantly reduces this risk.

Because of these potential risks, it is essential to choose a qualified, experienced provider for under eye filler. This is not an area to bargain hunt. Your safety and results depend on your injector’s skill and knowledge.

Tear trough filler produces visible improvement in the under eye area for appropriate candidates. Patients typically notice:

Reduced hollowness beneath the eyes

Diminished dark shadows and circles

A more refreshed, less tired appearance

Smoother transition from lower eyelid to cheek

Results are immediate, though mild swelling may make the area look slightly fuller than the final result. Once swelling subsides (1 to 2 weeks), you will see your true results.

What Tear Trough Filler Cannot Do:

Eliminate dark circles caused by pigmentation (filler addresses shadows, not color)

Remove under eye bags caused by fat bulging forward

Tighten loose or crepey skin

Produce dramatic transformation

The goal of tear trough filler is subtle improvement. You should look refreshed and less tired, not dramatically different.

At ALGM Beauty Bar, we approach under eye filler with the care and precision this delicate area requires. Our team is led by Lily Gazaryan, who brings over 15 years of experience in the medical field. We operate under the clinical oversight of Dr. Aloysius Fobi, a board-certified physician who ensures every treatment meets the highest safety standards.

We take a conservative approach to tear trough treatment, starting with smaller amounts and building gradually if needed. During your consultation, we will:

Assess your under eye area and determine the cause of your concerns

Be honest about whether filler is the right solution for you

Explain the procedure, risks, and expected results

Provide a personalized treatment recommendation

We prioritize patient safety and natural-looking results. If we do not believe filler is the best option for your situation, we will tell you.

New Client Offer: First-time clients receive a free consultation and 20% off any service of their choice.

If you are tired of looking tired and want to explore whether under eye filler is right for you, we invite you to schedule a consultation at our Van Nuys location.