Under Eye Filler: What to Know Before You Book

Under eye filler treats the tear trough — the hollow groove that runs from the inner corner of the eye outward and downward along the under-eye area.

When it is hollow, your under eye area looks dark and shadowed, regardless of how rested you actually are. Filler placed in the right anatomical plane lifts that hollow, smooths the transition between lower eyelid and cheek, and dramatically reduces the tired appearance.

It does not treat:

• Pigmentation under the eye (that needs skin treatments, not filler)
• Fine lines or crepiness (different treatment territory)
• Severe under eye bags (these need surgical evaluation, not filler)
• Excess skin

Good candidates for under eye filler:

• Patients with visible tear trough hollowing
• Patients whose under eye looks tired regardless of how much they sleep
• Patients with relatively thin, taut skin in the under eye area
• Patients whose primary concern is shadowing, not bags

Poor candidates:

• Patients with significant under-eye bags (fat pads protruding from the lower lid). Filling around bags often makes them look worse.
• Patients with very thin, translucent skin that may show product as a bluish tint (called the Tyndall effect)
• Patients with significant pigmentation as their main issue — filler will not help darkness from melanin
• Patients with very strong orbicularis oculi muscle activity

At your consultation, your injector will assess your specific anatomy and tell you honestly whether filler will help. If the answer is no, we will explain why and what alternative might.

Under eye filler is the highest-skill filler treatment we do. The anatomy is unforgiving:

• Vascular density. The infraorbital area has several arteries that, if compromised, can cause serious complications including vision loss. This is rare, but injectors must know exactly where every vessel runs.
• Skin thinness. The skin under the eye is the thinnest on the face. Product placed too superficially shows.
• Migration risk. Hyaluronic acid filler placed in this area can attract water and look puffy weeks or months later if not placed correctly.
• Visible asymmetry. Tiny asymmetries are visible because the area is so prominent.

For these reasons, we restrict under eye filler at Plump to providers with significant injection experience in this area. This is one of the few treatments where we explicitly do not let every qualified injector perform it.

A typical under eye filler appointment at Plump:

1. Consultation and assessment. Your injector reviews your anatomy, your skincare, your sleep, and your goals. We may take photos.
2. Topical numbing. Applied 15-20 minutes before injection.
3. Marking. Your injector marks the exact placement points based on your anatomy.
4. Injection. Usually performed with a blunt cannula (a flexible tube with a rounded tip) rather than a needle, which significantly reduces vascular risk and bruising. Most patients describe minimal discomfort.
5. Massage and assessment. Your injector molds the product into place and checks symmetry.

Total appointment: 45-60 minutes. Actual injection time: 10-15 minutes.

Immediately after: Some swelling and possible bruising. Cool compresses help.

24-48 hours: Most swelling resolves. Bruising, if any, peaks then begins fading.

1 week: Most patients look refreshed and natural. Slight residual swelling possible.

2 weeks: Final result visible.

Results typically last 12-18 months — longer than most facial filler because the under-eye area has less muscle movement.

Some patients see filler last 2+ years. A small subset retain visible product for years because the area metabolizes slowly.

Under eye filler at Plump is priced per syringe like our other filler treatments. Most patients use half to one full syringe — total volume is typically less than other facial filler areas because over-correction is much more visible.

The longer duration means under eye filler often has lower annualized cost than lip filler or cheek filler. You pay once and the result lasts well over a year for most patients.

Member pricing applies. See our pricing page for current rates.

Honest discussion of risks:

• Bruising: Common. Most resolves within a week.
• Swelling: Common in the first few days.
• Mild lumps: Possible. Most resolve within weeks or with light massage. Persistent lumps can be dissolved if needed.
• Tyndall effect: Bluish discoloration from filler too superficial. Rare with experienced injectors. Resolvable with hyaluronidase.
• Migration / persistent puffiness: Rare but possible months later, especially with overcorrection. Resolvable.
• Vascular complications: Very rare but the most serious risk. This is why injector experience and technique are non-negotiable.

We discuss all of this honestly at consultation. If under eye filler is not right for you, we will say so.