Lower Eyelid Filler: Non-Surgical Eye Rejuvenation

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Lower eyelid fillers are cosmetic treatments designed to rejuvenate the under-eye area, addressing concerns such as tear troughs, hollowing, and dark circles. These non-surgical procedures utilize injectable substances, often hyaluronic acid-based, to restore volume and create a smoother transition between the lower eyelid and cheek.

This can result in a refreshed and more youthful appearance, reducing the signs of aging or fatigue. While effective for many, it’s crucial to consider individual factors like skin quality and the extent of under-eye issues when evaluating suitability for lower eyelid fillers.

Understanding Lower Eyelid Fillers

Lower eyelid fillers offer a minimally invasive solution to enhance the under-eye area, providing immediate results with minimal downtime. They are a popular choice for those seeking to diminish the appearance of aging or tired eyes without resorting to surgery.

Definition, Purpose, and Indications

Tear Trough Fillers: Tear trough fillers specifically target the deep creases that can form between the lower eyelid and the cheek, often referred to as tear troughs. These depressions can create shadows and give the appearance of dark circles or a fatigued look. By injecting a soft, pliable filler into this area, the skin is plumped up, reducing the depth of the trough and lightening dark circles. The result is a more rested and youthful appearance. The procedure is typically quick, performed in an office setting, and results can be seen almost immediately. However, it’s important to have realistic expectations and understand that results vary based on individual skin types and the degree of correction needed.

Non-Surgical Blepharoplasty: Non-surgical blepharoplasty, often achieved through the use of fillers, is an alternative to traditional eyelid surgery. This approach is less invasive and involves injecting fillers to smooth out wrinkles, fine lines, and restore lost volume around the eyes. It’s particularly suitable for those with mild to moderate skin laxity and can postpone the need for surgical intervention. The treatment can also enhance the shape and contour of the eye area, offering a subtle lift that rejuvenates the overall appearance. While non-surgical blepharoplasty can provide significant improvements, it’s not a replacement for surgery in cases of severe sagging or excess skin.

Addressing Hollowing and Dark Circles: Hollowing under the eyes and dark circles can be caused by a variety of factors, including genetics, aging, and lifestyle. Fillers can play a crucial role in addressing these concerns by adding volume beneath the skin, which in turn reduces the hollow appearance and diminishes the visibility of dark circles. The procedure involves careful placement of the filler to ensure a natural look, avoiding overcorrection which can lead to puffiness. It’s essential to choose a skilled practitioner who understands the delicate nature of the under-eye area to minimize risks and achieve the best possible outcome.

Camouflaging Mild Under Eye Bags: For individuals with mild under-eye bags, fillers can be an effective way to camouflage the issue without surgery. By strategically placing fillers around the bags, it’s possible to create a smoother contour, making the bags less noticeable. This technique is particularly beneficial for younger patients who may not be ready for surgical options. However, it’s important to note that fillers are not suitable for everyone, especially those with more pronounced bags or loose skin, where surgery might be the more appropriate solution. A thorough consultation with a cosmetic specialist can help determine the best course of action based on individual needs and the severity of the under-eye bags.

Benefits, Results, and Effectiveness of Lower Eyelid Fillers

Lower eyelid fillers provide a range of aesthetic benefits, offering a non-surgical solution to refresh and rejuvenate the eye area with results that can be seen almost immediately after the procedure.

Aesthetic Improvements and Expected Outcomes

Reduction of Dark Circles and Shadowing: One of the primary benefits of lower eyelid fillers is the significant reduction in the appearance of dark circles and shadowing. By adding volume to the tear trough area, fillers can diminish the hollowed look that often contributes to a fatigued appearance. The strategic placement of fillers reflects light better, thereby brightening the under-eye area. This treatment is particularly effective for those whose dark circles are primarily caused by volume loss rather than pigmentation issues. Patients can expect a more alert and refreshed look, with the severity of dark circles greatly minimized.

Longevity of Results and Maintenance

Average Duration of Effect: The average duration of effect for lower eyelid fillers typically ranges from six months to a year, although this can vary widely among individuals. Some patients may enjoy the benefits of their treatment for a shorter period, while others may find that the fillers last beyond the one-year mark. The longevity of the results is influenced by the type of filler used, the area treated, and the body’s rate of metabolizing the product. Regular follow-up appointments can help assess the need for additional treatments to maintain the desired aesthetic effect.

Factors Affecting Longevity (Patient’s Age, Skin Quality): Several factors can influence the longevity of lower eyelid fillers, including the patient’s age and skin quality. Younger patients with more resilient skin may find that their results last longer, while older individuals may metabolize fillers more quickly due to changes in skin elasticity and collagen production. Additionally, lifestyle choices such as smoking, sun exposure, and diet can impact the durability of filler treatments. A personalized approach, taking into account these individual factors, is essential for optimizing the duration of the fillers’ effects.

Frequently Asked Questions

How long does under eye filler last?

Under eye fillers typically last between 6 to 12 months, but this can vary based on the type of filler used and individual factors such as metabolism and lifestyle.

Can under eye fillers completely remove dark circles?

Under eye fillers can significantly reduce the appearance of dark circles caused by volume loss, but may not completely remove dark circles due to pigmentation or other underlying causes.

How do I know if I am a good candidate for under eye fillers?

Good candidates for under eye fillers are those with hollowing or dark circles under the eyes due to volume loss, have realistic expectations, and do not have severe eye bags or significant skin laxity.

Can under eye filler be dissolved if I'm not happy with the results?

Yes, hyaluronic acid-based under eye fillers can be dissolved with an enzyme called hyaluronidase, allowing for the reversal of the treatment if desired.

What should I do if I experience complications after the procedure?

If you experience complications or unexpected side effects after the procedure, contact your practitioner immediately for assessment and appropriate management.

How often can I repeat the filler treatment?

Filler treatments can be repeated as needed, usually once the effects start to diminish. This is typically after 6 to 12 months, depending on the individual.

Are there any lifestyle changes I need to make after getting lower eyelid fillers?

After getting lower eyelid fillers, you should avoid strenuous exercise, sun exposure, and wearing makeup for at least 24 hours to minimize the risk of complications.

Can under-eye fillers be used to treat severe eye bags?

Under-eye fillers are not typically recommended for severe eye bags, which may require surgical options for optimal results.


Lower eyelid fillers offer a versatile and minimally invasive option for rejuvenating the under-eye area. While they provide significant aesthetic benefits, it's important to have realistic expectations and understand the potential risks. Choosing a qualified practitioner and following proper aftercare are crucial for achieving the best results and ensuring a safe, satisfying experience. With proper consideration and care, lower eyelid fillers can be a valuable treatment for those looking to refresh their appearance.

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Lee, S., & Yen, M. T. (2017). Nonsurgical Rejuvenation of the Eyelids with Hyaluronic Acid Gel Injections.

Xi, W., Han, S., Feng, S., Li, K., Brunetti, B., Lazzeri, D., Tong, Y., & Zhang, Y. (2019). The Injection for the Lower Eyelid Retraction: A Mechanical Analysis of the Lifting Effect of the Hyaluronic Acid.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.