Eye bags and dark circles can result from genetics, aging, lifestyle factors (like lack of sleep), or allergies. As the tissues lose elasticity and lead to thin skin in the under-eye area, it can create a sunken appearance that makes you look older than you feel. Fat pads beneath the eyes may shift or shrink as we age, leading to under-eye hollows. Thinner skin makes blood vessels more visible. Under-eye filler treatments address these concerns by restoring lost volume and creating a smoother contour.
While eyelid surgery may be necessary for severe cases, many patients find that under-eye rejuvenation through fillers provides natural-looking results without the downtime of surgery.
To ensure the safest and most effective treatment, avoid blood-thinning medications and supplements (such as aspirin, ibuprofen, fish oil, and vitamin E) for at least one week prior, unless otherwise directed by your physician. Arrive with a clean, makeup-free face.
Your appointment will begin with a personalized assessment and discussion of your goals. Our provider will examine your under-eye area, review your medical history, and recommend an approach for your anatomy.
Most patients report minimal discomfort. A topical numbing cream is usually applied beforehand, and the filler often contains lidocaine, a local anesthetic, to maximize comfort.
The filler is carefully injected into the tear trough or surrounding areas using a fine needle or cannula to reduce hollowness and create a smoother, more refreshed appearance. Needle injections are performed with extreme precision to ensure the product is placed at the correct depth, which is especially important when working with the thin skin around the eyes. The technique is precise, targeting volume loss while minimizing the risk of swelling or bruising.
The entire process usually takes 30 to 45 minutes from start to finish. After the injections, you may notice immediate improvement, with full results becoming visible as any minor swelling subsides. You’ll receive aftercare instructions to help ensure optimal healing and longevity.
Most patients experience minimal to no downtime. You may notice mild swelling, redness, or bruising, but these effects are usually short-lived and easy to conceal with makeup after the first day. Swelling typically peaks within the first 24–48 hours and subsides within a few days. In rare cases, minor swelling may persist for 1–2 weeks.
Improvements are visible immediately, with final results appearing once swelling subsides—usually within 1–2 weeks. Under-eye fillers generally last 9–18 months, depending on the products used, your metabolism, and how much is injected.
When performed by a skilled medical professional, under-eye fillers are considered safe.
Common side effects include:
These effects generally resolve within a few days.
The procedure performed by experienced practitioners ensures that filler is placed appropriately to respect the skin’s surface integrity while addressing deeper concerns. Filler migration is rare when performed using the proper technique and appropriate product choice. Choosing an experienced injector is crucial for optimal results. If migration does occur, hyaluronic acid fillers can be dissolved.
In many cases, combining cheek filler with under-eye filler yields optimal results. Volume loss in the cheeks can contribute to under-eye hollowness, so restoring cheek support may enhance the outcome and reduce the filler needed under the eyes.
Other procedures that complement under-eye fillers include:
Chemical peels and laser therapy can be excellent complementary cosmetic treatments to address skin quality concerns, while fillers restore volume to the hollowed areas. Skilled application of under-eye fillers can address mild asymmetry by balancing volume from side to side. Each treatment is fully customized for symmetrical, natural-looking outcomes.
You may be a good candidate for under-eye filler if you:
Those with lost fat in the under-eye area due to aging or genetics can benefit significantly from adding volume through carefully placed fillers.
Under-eye fillers may not be the right choice if you:
Individuals with darker skin tones can benefit significantly from fillers as they avoid the hyperpigmentation risks sometimes associated with more aggressive treatments. Under-eye filler treatments are suitable for individuals of all skin tones and genders. The hyaluronic acid used is biocompatible and does not affect skin pigmentation. Customization is key—we tailor the approach to your unique anatomy and goals.
There’s no “perfect” age to start. Some patients seek treatment in their 20s or 30s for hereditary hollows, while others choose fillers to address age-related volume loss later in life. The primary consideration is whether your concerns are due to volume loss rather than skin laxity or fat pads.
Injectable fillers are not recommended during pregnancy or breastfeeding due to a lack of safety data. It’s best to wait until after this period before considering under-eye filler treatments.
Under-eye filler treatments are designed to improve:
An additional benefit is that some hyaluronic acid fillers can stimulate collagen production over time, improving the quality of the delicate skin in the treated area.
Key advantages of treatment:
The typical price for under-eye filler treatments in NYC, NJ, and Miami ranges from $700 to $1,400 per session, depending on the amount of product needed and the complexity of your anatomy. Pricing varies regionally and by provider experience.
Most first-time patients require 1–2 syringes for optimal results. The exact amount is determined during your consultation based on your unique needs and goals.
The ideal under-eye filler is a smooth, soft hyaluronic acid gel that integrates seamlessly with the delicate under-eye tissue. Popular options include Belotero, Restylane, and other low-viscosity HA fillers. The choice depends on your anatomy and the injector’s expertise.
Belotero is a favorite for under eyes due to its thin consistency and ability to minimize lumpiness or the Tyndall effect (a bluish tint if filler is injected too superficially). Other effective options include Restylane-L and Restylane Eyelight.
Learn more about our approach and credentials.
Dermal fillers are a proven, non-surgical solution for dark under-eye circles, hollows, and tired eyes. With minimal downtime, instant results, and a high safety profile, it’s no wonder this treatment is one of the most requested in New York City. We encourage you to schedule a consultation to discuss which treatment option best suits your unique concerns and aesthetic goals. By choosing an experienced provider and the right filler, you can achieve natural-looking rejuvenation that helps you look as energized as you feel.
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