As we age, the area around the eyes gradually loses volume, causing the lower eyelids to appear hollow and creating under-eye circles that can make the face look tired, sad, or fatigued—even when you are well rested. Hyaluronic acid fillers offer an effective, minimally invasive solution to restore lost volume, smooth the tear trough, and rejuvenate the under-eye area for a fresher, more youthful appearance.
About the Procedure
Under-eye hollows often begin to develop in the early thirties as volume gradually decreases beneath the eyes. The depression may appear in the inner corner of the eye, along the lower eyelid, and sometimes extend into the tear trough between the cheek and the nose.
Please note: Hyaluronic acid fillers improve hollow under-eye circles but do not treat dark pigmentation.
- Purple or bluish circles are usually caused by the underlying muscle showing through the thin eyelid skin. In these cases, micro-fat grafting may be a more suitable option.
- Brown circles are typically caused by excess pigmentation and may respond better to depigmentation treatments such as chemical peels.
Consultation Before Treatment
During your consultation, I carefully examine the eye area to determine the most appropriate treatment plan. This includes evaluating whether the filler should target only the under-eye hollows or both the hollows and the tear trough.
If prominent under-eye bags are present along with volume loss, lower eyelid surgery (blepharoplasty) may provide a more suitable and longer-lasting solution.
Procedure
Before the treatment begins, we review the planned injection areas together. A topical anesthetic cream is applied and allowed to take effect for approximately 30–40 minutes.
The injection procedure itself usually takes 20–30 minutes.
Using a fine blunt-tip cannula, the filler is carefully placed beneath the lower eyelid, between the bone and the muscle. The product is injected deeply along the bone rather than into the superficial fat to minimize visibility beneath the delicate eyelid skin.
A lightly cross-linked hyaluronic acid filler with low water absorption is selected to reduce the risk of swelling. Small, precise amounts are injected gradually to restore volume while maintaining a smooth, natural appearance. The tear trough is also treated when necessary to achieve optimal facial harmony.
Recovery & Results
You can return to your normal daily activities immediately after treatment, as no social downtime is required.
Results are visible immediately and continue to improve over the following 2–3 days.
Because the eyelid area is delicate, mild bruising may occur more frequently than in other facial areas. Any bruising typically resolves within a few days and can usually be concealed with light makeup once appropriate.
For the first 24 hours, it is recommended to avoid:
- Intense physical exercise
- Saunas and excessive heat exposure
A follow-up appointment is scheduled 2–3 weeks after treatment to assess the results and perform any minor refinements if needed.
Longevity
Hyaluronic acid is a biodegradable substance that is naturally absorbed by the body over time.
Treatment is generally repeated every 8–12 months, depending on the type of filler used, individual metabolism, and the natural movement of the treated area. Since the under-eye region is highly mobile, fillers in this area may gradually break down faster than in less active parts of the face.
If you have any questions or would like to learn more about under-eye filler treatment, our team will be happy to guide you through your options and help you achieve a refreshed, natural-looking result.
