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Tear trough fillers are a type of cosmetic procedure. A gel-like substance, usually hyaluronic acid, is injected into the skin under your eyes. The purpose is to fill in hollows and reduce the appearance of dark circles. This procedure can make the under-eye area look smoother, plumper, and less tired.
read more about tear trough fillers ...The "tear trough" is the groove that runs from the inner corner of your eye down toward your cheek. As you age, you naturally lose fat and collagen in your face. This volume loss can cause the tear trough area to become deeper and more hollow. This creates a shadow that many people see as a dark circle or a tired look.
<p>The treatment is a quick, in-office procedure. A doctor will first clean the area and may apply a numbing cream. They will then use a very fine needle or a small, blunt-tipped tube called a cannula to carefully inject the dermal filler into the tear trough area. The doctor will gently massage the area to make sure the filler is smooth.</p>
There is very little downtime. You may have some swelling, redness, or bruising at the injection site for a few days, but you can usually return to your normal activities right away. You can often see the results immediately. The filler slowly and naturally dissolves over time, so the results are not permanent.
Fillers are a non-surgical option. For people with a large amount of loose skin or fat bags under the eyes, a surgical procedure called a blepharoplasty (eyelid lift) might be a better or more permanent solution. A doctor can help you decide which option is right for you.
Modern injectors often use a cannula instead of a sharp needle for this delicate area. A cannula is a thin tube with a blunt, rounded tip. Because the tip is not sharp, it slides past blood vessels rather than cutting them. This significantly reduces the risk of bruising and makes the procedure much safer and more comfortable for the patient.
You may feel a small pinch from the needle, but it is not a very painful procedure. Most fillers also contain a mild anesthetic, which helps numb the area as it is being injected.
The results are temporary. Most hyaluronic acid fillers last between 9 months and 2 years in this area before your body naturally absorbs them. You will need to repeat the treatment to maintain the look.
When performed by a qualified and experienced doctor, like a dermatologist or plastic surgeon, it is a very safe procedure. The skin under the eye is very delicate, so it is important to go to someone who has special training in this area.
You should see a board-certified dermatologist, oculoplastic surgeon, or plastic surgeon for a consultation if you are bothered by the appearance of under-eye hollows. They can examine your face and tell you if you are a good candidate for tear trough fillers. They can also discuss other options that may work for you.
1. Tear Trough Fillers: What You Need to Know. American Society of Plastic Surgeons. https://www.plasticsurgery.org/cosmetic-procedures/tear-trough-filler. January 20, 2025.
2. Hyaluronic Acid Fillers for Tear Troughs: Benefits and Risks. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/17907-tear-trough-filler. March 12, 2024.
3. Tear Trough Filler Injections: Cost, Results & Risks. American Academy of Dermatology. https://www.aad.org/cosmetic/tear-trough-fillers. December 3, 2023.
4. Dermal Fillers: Types and Uses. American Academy of Dermatology. https://www.aad.org/public/cosmetic/dermal-fillers. November 6, 2025.
5. Aesthetic Guidelines for Injection of Fillers in the Periorbital Area. American Society for Aesthetic Plastic Surgery. https://www.surgery.org/consumers/procedures/aesthetic-injections-periorbital. January 10, 2025.