Permanent Under Eye Filler: Durable Aesthetic Solutions

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

Permanent under eye fillers offer a long-term solution to combat hollowed cheeks, deep wrinkles, and the tired look often associated with under eye bags. Unlike temporary fillers that require frequent touch-ups, permanent fillers provide enduring results, enhancing facial contours and restoring youthful volume beneath the eyes.

With options like Aquamid and Bellafill, individuals can enjoy the rejuvenating effects of volume replacement for up to 15 years, making it a cost-effective and time-saving treatment for those seeking a lasting solution to under eye concerns.

Longevity of Permanent Under Eye Fillers

Permanent under eye fillers are a class of injectables designed to address the aesthetic concerns of the delicate under eye area. These fillers differ from their temporary counterparts in composition, longevity, and the way they interact with the body’s tissues, offering a long-lasting solution to under eye imperfections.

What Constitutes a Permanent Filler

Distinction Between Temporary and Permanent Fillers: Permanent fillers are distinguished from temporary ones primarily by their longevity and composition. Temporary fillers, often made of hyaluronic acid, are absorbed by the body over time, typically within 3 to 12 months. Permanent fillers, on the other hand, are composed of materials that are not readily absorbed, allowing them to maintain volume replacement for years. The choice between temporary and permanent fillers depends on the individual’s desired outcome, tolerance for maintenance treatments, and consideration of potential long-term effects.

Expected Duration and Longevity: The expected duration of permanent under eye fillers can be extensive, with some products lasting up to 15 years. This longevity is due to the non-biodegradable materials used in these fillers, which integrate with the body’s tissues and maintain their volume over time. While permanent fillers offer the advantage of infrequent touch-ups, it’s important to note that individual results may vary based on factors such as age, skin quality, and lifestyle.

Benefits, Considerations, and Ideal Candidates

Permanent under eye fillers like Bellafill and Aquamid offer transformative benefits for individuals seeking a durable solution to under eye aging. These fillers provide a long-term alternative to frequent touch-ups, aligning with the lifestyle and aesthetic goals of many patients.

Advantages Over Temporary Fillers

Long-Term Results and Cost-Effectiveness: The enduring nature of permanent under eye fillers translates to long-term results, eliminating the need for regular maintenance appointments associated with temporary fillers. This sustained effect not only saves time but also proves to be cost-effective in the long run. By investing in a permanent solution, patients can enjoy the benefits of a one-time procedure that continues to deliver results years after the initial treatment, making it an economically advantageous option for those considering the cumulative costs of repeated temporary filler sessions.

Suitability and Ideal Candidates

Addressing Deep Wrinkles and Hollowed Cheeks: Permanent under eye fillers are particularly suited for individuals with deep wrinkles and significant hollowing beneath the eyes. These fillers offer substantial volume replacement, making them an ideal choice for those with pronounced under eye aging signs that cannot be adequately addressed by temporary fillers. By providing a robust structural support, permanent fillers can effectively smooth out deep creases and restore the lost volume, rejuvenating the under eye area and contributing to a more youthful facial appearance.

Comparing Permanent Fillers to Other Under Eye Treatments

Hyaluronic Acid Fillers vs. Permanent Options (Duration, Maintenance, Reversibility, and Safety): When comparing hyaluronic acid (HA) fillers to permanent options, several factors come into play. HA fillers are temporary and typically last 6 to 18 months, requiring regular maintenance to sustain results. However, they offer the advantage of reversibility, as they can be dissolved with an enzyme if needed. Safety profiles are well-established, with HA fillers having a lower risk of complications. Permanent fillers provide long-lasting results and require less frequent touch-ups, but they are not reversible and carry a higher risk of complications, making the choice of injector and product critical for patient safety.

Surgical Alternatives (Eye Plastic Surgery Pros and Cons, Consultation with Eye Plastic Surgeon): Surgical alternatives to under eye fillers, such as blepharoplasty, offer more permanent solutions to under eye concerns. The pros include the ability to address excess skin and fat, resulting in a more dramatic and long-lasting correction. However, surgery involves longer recovery times, higher costs, and greater risks compared to non-surgical treatments. Consulting with an eye plastic surgeon is essential to weigh the pros and cons and determine the most appropriate treatment based on the patient’s anatomy, concerns, and aesthetic goals. A thorough consultation will help ensure that the chosen procedure aligns with the patient’s expectations and desired outcomes.

Frequently Asked Questions

How often do permanent under eye fillers require touch-ups?

Permanent under eye fillers typically require touch-ups less frequently than temporary fillers, often ranging from 5 to 15 years, depending on individual factors and the type of filler used.

What are the signs of a poorly done permanent under eye filler procedure?

Signs of a poorly done procedure include asymmetry, lumps, overfilling, and unnatural contours. Discoloration and prolonged swelling may also indicate complications.

How long do permanent under eye fillers last?

Permanent under eye fillers can last up to 15 years, but individual results may vary based on the body's response and the specific product used.

Can permanent under eye fillers be removed if necessary?

While more challenging than removing temporary fillers, certain permanent fillers can be surgically removed if necessary, but the process is more complex and may carry additional risks.

Are permanent under eye fillers suitable for treating dark circles?

Permanent under eye fillers can help reduce the appearance of dark circles caused by shadows from hollowing, but they may not be suitable for dark circles caused by hyperpigmentation.

What should I expect during the consultation for permanent under eye fillers?

During the consultation, expect a thorough evaluation of your under eye area, discussion of your aesthetic goals, and an explanation of the potential risks and benefits of the procedure.


Permanent under eye fillers offer a lasting solution to rejuvenate the eye area, providing significant benefits over temporary options. While they can effectively address hollowing and wrinkles, it's crucial to have realistic expectations and understand the potential risks. Selecting a highly skilled and experienced surgeon is very important to ensure safety and achieve the desired aesthetic outcome. With proper care and maintenance, permanent fillers can enhance one's appearance and confidence for many years.

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Jones D. H. (2009). Semipermanent and permanent injectable fillers.

Diwan, Z., Trikha, S., Etemad-Shahidi, S., Alli, Z., Rennie, C., & Penny, A. (2020). A Prospective Study on Safety, Complications and Satisfaction Analysis for Tear Trough Rejuvenation Using Hyaluronic Acid Dermal Fillers.,_complications_and.6.aspx

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.