By Betul Yurekli • Medical review by Sule Guclu Sakrak, MD on February 04, 2021

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Under Eye Filler

It is the result of under-eye filler by Sevgi Ekiyor, MD. For reference purposes only, results may vary.

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Under-eye filler, also known as tear trough treatment, is a dermal filler that is applied to reduce the most common age-related or genetic-based under-eye problems such as under-eye bags, crow's feet lines, sunken eyes, and dark circles.

Before the procedure, the area is sterilized with cleansing fluid. After that, a local anesthetic is applied to make the skin numb. There is numbing material also in the filler’s formula so that the patient doesn't feel any pain during the procedure.

Unlike the other dermal fillers, under-eye fillers are applied to bones, not to the skin itself. The gel-like substance is slowly injected into the area via a blunt-tipped cannula. The entire procedure is about 35 minutes. The area is massaged gently after the procedure for even distribution.

under eye filler


Under-eye filler can be done in a single session, while sometimes according to the patient's situation it needs to be done in three sessions applied in three weeks.

The results can be noted right after the first session. The under-eye area gains its final look within a week after the procedure.

Except for some rare conditions, no side effects like bruising or puffiness are observed in this period. Redness at the injection site is a common situation that is temporary and mostly heals in a few days with no need for extra treatment.

Two weeks after the surgery, you will be scheduled a follow-up appointment to check the results and see if a second session is needed or not. If your doctor decides that you need another session, the procedure is applied again at the end of the third week following the first session.

If you are considering under-eye filler, you can also benefit from other patients' experiences before making a decision.

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Because there is hyaluronic acid in their content, under-eye fillers have long-lasting effects. Fillers last nearly twelve to eighteen months and by the end of this period being absorbed by the skin, their effect ends. Repeating the procedure prolongs the permanence of the fillers.

One of the frequently asked questions is whether the permanence of the filler changes depending on the brand or not. The permanence of the filler varies also depending on the patient's metabolism along with the brand.

"None of the filler substance is 100% permanent. While the permanence depends on the patient, the fillers start to lose their volume in six to twelve months but after that, at least 30% of the filler substance stays in the body, which means they don't fully dissolve," says Dr.Abdülkadir Göksel, replying a question about the permanence of the fillers.

Dr. Özge Ergün answers the same question, "Under-eye fillers last one year. We use Redensity2 and it lasts twelve months."

under eye filler -2

Costs can vary depending on the type of filler, the experience level of the doctor and the location of the clinic or hospital. Prices of the procedure may range from $150 to $375.

Healthy men and women over the age of 18 are generally good candidates for under-eye filler procedure.

Under-eye fillers are most effective for people who have genetic darkness in the tear trough area, dark under-eye hollows caused by genetics or aging, pockets of fat under the eye, or who look always tired. Pregnant and breastfeeding women aren't advised to use eye fillers.

One of the anesthesia products which are used for the under-eye filler procedures is lidocaine which can cause allergic reactions for some patients and in that case, other materials should be considered.

Dr. Süleyman Taş explains the concern of the patients who are allergic to lidocaine in these words: "We use topical anesthetics before the under-eye filler procedure. For your procedure, we can choose special numbing products which are safe for you."

There’s a reason why so many people consider under-eye fillers. Every single patient look fresher and more awake within hours of their appointment.

After having done under eye fillers, they use much less concealer and makeup to cover up undereye circles.

Hyaluronic acid injections plump fine lines and wrinkles, while smoothing the overall look the under-eyes. Besides paients experience long term benefits from the treatment.

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We can list the benefis of under eye fillers as the following:


  • Eye fillers restore volume under your eyes immediately

  • Reduce the appearance of fine lines around the eyes

  • The darkness under your eyes

  • Brighter under-eye area

  • And overall more youthful, less tired-looking under-eye area

There is no harm in continuing your daily life as befre after having under-eye fillers. Because the procedure is done by injection, some people experience mild bruising for the first one to two days afterward.

Rarely, this bruising can last up to ten days. It is recommended that you avoid blood thinners or alcohol in the days before your procedure to speed up the bruising time.

Under-eye filler generally lasts for 6 to 18 months. The materials used in filling directly affect this permanence.

Under-eye fillers made from materials that are no longer recommended today, such as silicone, acrylic and calcium, are more permanent, but are harmful to human health.

For this reason, we no longer use these types of fillings.

Written on 01/01/2018


Last Update: 20/10/2023

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