Your Guide to Tear Trough Filler Treatment and Achieving Natural, Refreshed Results
October 1, 2026

Quick answer: Tear trough filler uses hyaluronic acid to reduce the appearance of dark hollows under the eyes. Results typically last 9 to 18 months. Best candidates have visible hollowing but minimal puffiness or fluid retention. Most treatments use a quarter to half a syringe per side.
Dark circles, hollows, and tired-looking eyes can make you appear older and more fatigued than you feel. If concealer has become your best friend and you're looking for a more lasting solution, dermal fillers under eyes might be the answer you've been searching for.
Dermal fillers under eyes, also known as tear trough fillers, are injectable treatments designed to address the hollow area between your lower eyelid and upper cheek. This delicate region, called the tear trough, often develops shadows and depressions as we age, creating the appearance of dark circles or bags under the eyes.
The procedure involves injecting hyaluronic acid-based fillers into the tear trough area to restore lost volume, smooth out hollows, and create a more refreshed appearance. Unlike topical creams or concealers that only mask the problem, under eye fillers address the underlying structural issue.

Understanding why tear troughs develop can help you appreciate how fillers work. Several factors contribute to under eye hollows, including natural aging where the fat pads under our eyes diminish and shift downward over time, genetic predisposition since some people are simply more prone to hollow under eyes due to their bone structure and facial anatomy, volume loss as the skin loses collagen and elastin, and lifestyle factors such as sun damage, smoking, and poor sleep habits that can accelerate the aging process in this delicate area.
Under eye filler can soften hollow areas and reduce the appearance of dark circles caused by shadowing, without surgery. Results typically last between 9 and 18 months, depending on the product used and individual factors. The procedure requires minimal downtime, with most people returning to normal activities within a day or two. Under eye fillers can look natural when performed by a skilled injector, and the treatment is tailored to your specific concerns and facial anatomy. Results vary from person to person.

If you're considering dermal fillers under eyes, here's what typically happens. During your consultation, your injector will assess your under eye area, discuss your goals, and determine if you're a good candidate. On treatment day, the area is cleaned and a topical numbing cream may be applied for comfort. Using a fine needle or cannula, your injector carefully places small amounts of filler into the tear trough area, often massaging gently to ensure even distribution. The entire process usually takes 15 to 30 minutes.
Most fillers used under the eyes contain lidocaine, a local anesthetic, which helps minimize discomfort during the procedure. Many patients describe the sensation as a slight pinch or pressure rather than significant pain.
The under-eye area bruises more visibly than most, so it is worth planning ahead. Our guide to preparing for dermal filler covers what to avoid in the two weeks beforehand and how much calendar room to leave before an event.
Recovery from under eye fillers is generally quick and straightforward. You may experience mild swelling, bruising, or tenderness in the treated area for a few days. Some people notice small bumps under the skin immediately after treatment, which typically resolve within 24 to 48 hours. You can apply cold compresses to reduce swelling and should avoid strenuous exercise and alcohol for 24 hours. Do not stop any prescribed medication without speaking to the person who prescribed it. It's important to sleep with your head elevated for the first few nights and avoid touching or massaging the area unless instructed by your injector. Our full dermal filler aftercare guide covers what is normal and the signs that need a call.

Dermal fillers under eyes work best for individuals with visible tear troughs or hollows under the eyes, mild to moderate under eye bags caused by volume loss, realistic expectations about the results, and good overall health without active skin infections or certain medical conditions.
However, under eye fillers may not be suitable if you have very thin skin, severe under eye bags caused by excess fat rather than volume loss, certain medical conditions, or are pregnant or breastfeeding.
Like any injectable treatment, under eye fillers carry risks. Common side effects include swelling, bruising, tenderness, and asymmetry. Less common but more serious risks include the Tyndall effect, where filler placed too superficially creates a bluish tint under the skin, lumps or bumps that persist, vascular complications in rare cases if filler blocks blood flow, and allergic reactions, though these are uncommon with hyaluronic acid fillers.
Choosing an experienced, qualified injector significantly reduces these risks. This is not an area for inexperienced practitioners, as the under eye region has complex anatomy and delicate blood vessels.
Results from dermal fillers under eyes typically last 9 to 18 months, though this varies based on the specific filler used, your metabolism and how quickly your body breaks down the filler, the amount of filler injected, and lifestyle factors such as sun exposure and smoking.
At Arlo Medical, dermal filler is priced by the syringe: $325 for a half syringe and $650 for a full syringe. Under eye treatment typically uses a quarter to half a syringe per side, so many people need between a half and one full syringe in total. The exact amount depends on your anatomy and is confirmed at your complimentary consultation before anything is agreed.

The skill of your injector is perhaps the most important factor in achieving natural results with under eye fillers. Look for a regulated healthcare professional with specific training and experience in tear trough treatment, and ask how they manage complications, including whether hyaluronidase is kept on site. Review before-and-after photos of their actual patients, read reviews, and book a consultation to discuss your goals and assess their approach.
Don't choose a provider based solely on price. The under eye area is delicate and unforgiving, requiring precision and expertise that comes with proper training and experience.
Dermal fillers under eyes can be a good option for the right candidate, offering a non-surgical way to soften hollows, shadowing, and a tired look. The key is choosing a qualified, experienced injector who understands the anatomy of the tear trough area.
If you're bothered by the appearance of your under eye area and want a solution that goes beyond concealer, book a consultation to discuss whether dermal fillers under eyes are right for you. Suitability, expected outcomes, and risks are reviewed at your consultation.
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Considering tear trough fillers? Learn more about our dermal filler treatments or book a consultation to discuss your options.
Last Updated:
September 27, 2026
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