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Under Eye Filler Recovery Time – Tips for a Smooth Recovery

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

Under eye filler recovery is typically quick and straightforward, with most patients experiencing minimal downtime. Immediate results are visible post-treatment, but full effects develop over 1-4 weeks as swelling subsides.

Minor side effects like bruising and swelling usually go away within 1-2 days to a week. Most individuals can resume normal activities immediately, with some precautions. Optimal results are generally visible after 4 weeks, and the effects of under eye fillers typically last 9-12 months before a touch-up is needed. Following aftercare instructions carefully helps ensure the best possible outcome and minimizes recovery time.

Recovery Timeline and Results

The recovery process for under eye fillers is generally smooth, with most patients experiencing minimal disruption to their daily routines. Understanding the timeline and what to expect can help individuals plan accordingly and achieve optimal results.

Immediate Results and Improvements

Following under eye filler treatment, patients typically notice immediate improvements in the appearance of their tear troughs. The area under the eyes appears fuller, smoother, and more rejuvenated right after the procedure. This instant enhancement is due to the volumizing effect of the filler material, usually hyaluronic acid-based products like Restylane. However, it’s important to note that these initial results are not final, as some temporary side effects may be present. Patients often experience mild swelling around the injection sites, which can temporarily exaggerate the effects of the filler. Some may also notice small white patches if local anesthetic was used during the procedure. As the anesthetic wears off, slight tenderness and itching might occur as part of the normal healing process. Despite these minor side effects, most individuals find that they can immediately appreciate a significant improvement in the under-eye area’s appearance, with a reduction in hollowness and dark circles.

Gradual Resolution of Side Effects

Swelling Subsiding Within 1-2 Days: Swelling is a common and expected side effect of under eye filler treatments. For most patients, this swelling is mild and begins to subside within the first 24-48 hours after the procedure. The delicate nature of the under-eye area makes it prone to fluid retention, but this typically goes away quickly. To aid in reducing swelling, patients are often advised to apply cold compresses gently to the treated area, being careful not to apply pressure that could displace the filler. Sleeping with the head slightly elevated for the first couple of nights can also help minimize swelling. It’s important to note that while most swelling goes away within 1-2 days, some patients may experience minor residual swelling for up to a week, particularly if they are prone to fluid retention or have sensitive skin.

Bruising Fading Within 1-2 Days to a Week: Bruising is another common side effect of under eye filler treatments, although its severity can vary significantly among patients. Most individuals experience only minor bruising, often described as small ‘pen-tip’ sized marks. These minor bruises typically fade within 1-2 days and can often be easily concealed with makeup. However, in some cases, more pronounced bruising may occur, which can take up to a week or slightly longer to fully resolve. The likelihood and extent of bruising can be influenced by factors such as the patient’s propensity to bruise, the specific technique used by the practitioner, and adherence to pre and post-treatment instructions. To minimize bruising, patients are often advised to avoid blood-thinning medications and supplements before the procedure, and to apply cold compresses after treatment. While bruising can be a temporary cosmetic concern, it does not affect the final results of the filler treatment and will resolve naturally over time.

Final Results

Optimal Results Visible After 4 Weeks: While under eye filler treatments provide immediate improvements, the full and optimal results typically become visible around 4 weeks after the procedure. This timeframe allows for the complete resolution of swelling and bruising, as well as the integration of the filler with the surrounding tissues. During this period, the hyaluronic acid in the filler attracts moisture, which helps to further smooth out the under eye area and create a more natural appearance. Patients often notice a gradual improvement in the treated area, with dark circles becoming less noticeable and the overall eye region appearing more refreshed and youthful. It’s important for patients to be patient during this time and avoid judging the final results too early in the recovery process.

Longevity of Results (9-12 Months): The duration of under eye filler results can vary from person to person, but typically lasts between 9 to 12 months. This longevity is due to the slow metabolism of hyaluronic acid fillers in the under eye area, where there is less movement compared to other facial regions. Factors that can influence the duration of results include the individual’s metabolism, lifestyle habits, and the specific type of filler used. Some patients may find their results last even longer, while others might notice a gradual return of under eye hollows or dark circles as the filler naturally breaks down. To maintain optimal results, many practitioners recommend scheduling follow-up treatments every 9 to 12 months, allowing for subtle adjustments and maintenance of the rejuvenated appearance.

Managing Potential Complications

While under eye filler treatments are generally safe, it’s important to be aware of potential complications and how to manage them effectively. Proper aftercare and following practitioner instructions can significantly reduce the risk of adverse effects.

Prolonged Bruising

Rare Occurrences of Bruising Lasting More Than a Week: While most bruising from under eye filler treatments resolves within a few days, in rare cases, some patients may experience prolonged bruising that lasts more than a week. This extended bruising is often due to individual factors such as sensitive skin, blood vessel fragility, or the use of blood-thinning medications. In these instances, the bruising may appear more pronounced and cover a larger area under the eye. Although concerning for patients, it’s important to note that prolonged bruising does not typically affect the final results of the treatment. However, if bruising persists for an unusually long time or is accompanied by pain or other symptoms, patients should contact their practitioner for a follow-up assessment to ensure proper healing.

Strategies for Minimizing Bruising Risk: To reduce the risk of bruising during under eye filler treatments, several strategies can be employed. Prior to the procedure, patients are often advised to avoid blood-thinning medications and supplements, such as aspirin, ibuprofen, vitamin E, and fish oil, for at least a week. Applying cold compresses to the treated area immediately after the procedure can help constrict blood vessels and minimize bruising. Some practitioners may use cannulas instead of needles for filler application, which can reduce the risk of bruising by minimizing blood vessel damage. Additionally, arnica montana, a homeopathic remedy, may be recommended in topical or oral form to help speed up bruise healing. Patients should also avoid alcohol consumption and strenuous exercise for 24-48 hours post-treatment, as these can increase blood flow and make bruising worse.

Persistent Swelling

Uncommon Cases of Swelling Lasting Up to a Week: While most patients experience only mild swelling that subsides within a day or two after under eye filler treatment, there are uncommon cases where swelling can persist for up to a week. This prolonged swelling is often attributed to the delicate nature of the under eye area and individual patient factors. Some individuals may be more prone to fluid retention or have a heightened sensitivity to the filler material. In these cases, the swelling might appear more pronounced and take longer to resolve fully. Patients experiencing persistent swelling should not be alarmed, as it typically does not indicate a complication. However, if swelling is accompanied by pain, redness, or other unusual symptoms, it’s crucial to contact the treating practitioner for an assessment.

Importance of Following Aftercare Instructions: Sticking to aftercare instructions is crucial for minimizing complications and ensuring optimal results from under eye filler treatments. Practitioners typically provide a detailed list of dos and don’ts following the procedure. These instructions often include avoiding touching or massaging the treated area for a specified period to prevent displacement of the filler. Patients are usually advised to sleep with their head elevated for the first few nights to reduce swelling. Avoiding strenuous exercise, excessive heat exposure, and alcohol consumption for 24-48 hours post-treatment can also help minimize swelling and bruising. Additionally, following recommendations for gentle cold compress application and any prescribed topical treatments can significantly aid in the recovery process and help achieve the best possible outcomes.

Pain Management

Minimal Pain Experienced by Most Patients: Under eye filler treatments are generally well-tolerated by most patients, with minimal pain experienced during and after the procedure. The use of ultra-fine needles or cannulas, combined with the application of topical anesthetic creams, significantly reduces discomfort during the injection process. Many patients report feeling only a slight pressure or pinching sensation during the treatment. Post-procedure, any pain is typically mild and short-lived. Some individuals may experience a slight tenderness in the treated area, which usually subsides within a few hours to a day. The minimal pain associated with under eye fillers contributes to the treatment’s popularity as a quick, convenient option for facial rejuvenation with little downtime.

Over-the-Counter Pain Medication and Cold Compresses for Discomfort: For patients who do experience discomfort following under eye filler treatment, over-the-counter pain medications and cold compresses are often sufficient for management. Acetaminophen is typically recommended for pain relief, as it does not increase the risk of bruising like some other pain relievers. Cold compresses can be applied gently to the treated area for 10-15 minutes at a time, several times a day, to help reduce swelling and reduce any discomfort. It’s important to wrap the cold compress in a soft cloth to protect the delicate skin and avoid direct contact with ice. Some practitioners may also recommend arnica gel or cream to help with bruising and soreness. Patients should follow their practitioner’s specific instructions regarding the use of pain relief methods and contact their provider if discomfort persists or worsens.

Frequently Asked Questions

How soon can I return to work after under eye filler treatment?

You can return to work immediately after under eye filler treatment, as there is no downtime required. However, you might experience mild swelling or bruising, which can usually be covered with makeup.

Can I wear makeup immediately after the procedure?

It is generally advised to wait at least 24 hours before applying makeup to the under eye area. This helps minimize the risk of infection and allows the injection sites to begin healing properly.

Is it normal to experience lumps or unevenness after under eye fillers?

Yes, it is normal to notice some lumps or unevenness immediately after the procedure. These usually resolve on their own within a few days to a week as the filler integrates with the surrounding tissue.

How can I minimize the risk of bruising after under eye filler injections?

To minimize the risk of bruising, avoid blood-thinning medications and supplements for at least a week before your treatment. Apply cold compresses gently to the treated area and avoid strenuous exercise for 24-48 hours post-procedure.

Are there any long-term side effects associated with under eye fillers?

Long-term side effects of under eye fillers are rare but can include prolonged swelling, lumps, or asymmetry. These can often be corrected by an experienced practitioner, so consult your provider if you experience any unusual symptoms.

Can I sleep on my side or stomach after getting under eye fillers?

It is recommended to sleep on your back with your head elevated for the first few nights after the procedure. This helps minimize swelling and reduces the risk of displacing the filler.

Conclusion

Under eye filler treatments offer an effective way to rejuvenate the appearance of tired or hollow eyes with minimal downtime. Immediate results are visible, but the full effects develop over 1-4 weeks. Long-term maintenance involves periodic touch-ups, proper skincare, and following aftercare instructions to ensure optimal outcomes and longevity. Although complications are rare, being informed and sticking to professional guidelines can help manage any side effects effectively. This treatment provides a convenient and lasting solution for those looking to enhance their under eye area, making it a popular choice for facial rejuvenation.

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References:

Urdiales-Gálvez, F., & Farollch-Prats, L. (2021). Management of Tear Trough with Hyaluronic Acid Fillers: A Clinical-Practice Dual Approach.

https://www.dovepress.com/management-of-tear-trough-with-hyaluronic-acid-fillers-a-clinical-prac-peer-reviewed-fulltext-article-CCID

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.