As we age, our tear trough area is one of the first few areas that will start to lose it volume. A sunken tear trough will make one look tired, and also deepen dark eye circles and make them look worse.

Undereye fillers are used to help plump up loss of volume along our tear trough, and also to help reduce dark eye circles.

What causes dark eye circles and eye bags?

As we age, muscles around the eyes weaken and the skin around becomes loose. Fat pads around the eyes start drooping as the muscle and skin holding them up weakens and these accumulate to form eye bags and dark eye circles.

Dark eye circles are caused by 3 main reasons.

  • Congested or leaky capillaries
  • Pigmentation
  • Loss of volume under the eyes which creates a shadow.

What can be done for dark eye circles

With the right filler, undereye fillers can help replenish lost volume to reduce the appearance of dark eye circles, and also help lighten the discolouration under the eyes. 

Undereye fillers can also help plump up some fine lines under the eyes, but would be most effective when combined with Botox or a Neogen Plasma eye procedure. Laser can also be done to lighten pigmentation on the undereye area.

What can I expect from undereye fillers?

A more refreshed look, and a reduction in the dark eye circles can be achieved with undereye fillers.

It can also restore youthfulness to the face as the loss of volume around the eyes tend to make us look older.

How much filler will I need?

Unless there is severe loss of volume in the tear trough area, usually 1ml (1 syringe) of filler would be sufficient to fill up both sides of the under eyes.

Choice of Fillers for dark eye circles:

Teosyal Redensity 2 (RD2) Under eye Fillers

From Swiss-based Teoxane Laboratories, Teosyal Redensity II (RDII) is the most comprehensive filler for the undereye area. A mixture of crossed-linked and non cross-linked Hyaluronic Acid gives RDII the ability for both deep filling of volume loss or superficial filling of fine lines under the eyes.

  • Immediate dramatic results
  • Safe and mostly pain-free
  • Lasting results
  • More importantly, a filler uniquely designed for under eye area

Teosyal RDII is the only filler in the market that is specifically designed for the undereyes. It contains additional vitamins and ingredients to help reduce dark eye circles and improve skin texture. With Teosyal RDII, amino acids (8 different kinds), minerals, and most importantly Vitamin B6 and Glutathione have been engineered and formulated into the filler.

Vitamin B6 and Glutathion in RDII has been shown to make skin fairer and lighter. This lightens dark eye circles not only by adding volume, but by also lightening of the skin around the area.

Restylane Refyn and Juverderm Vobella are also other options for the undereye area. As the skin around the tear trough area is thinner, softer and smoother undereye fillers are preferred to avoid causing any lumps. 

Fillers to avoid for the under eye area:

Non-hyaluronic acid fillers such as Ellanse and Radiesse should be absolutely avoided for the tear trough areas. These fillers have a higher tendency to form lumps. In addition, these fillers cannot be dissolved and the effects are not reversible.


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Frequently Asked Questions about Fillers

How long do fillers last?

Fillers typically last for 12 months. Different type of fillers are designed for different areas of the face and have different longevity due to the filler material. 

Does it completely dissolve away?

Most fillers will dissolve away and gets broken down by the body into water.

However, there are cases that we have seen before with fillers that last much longer that it was intended to. For these cases, the filler had to be dissolved by injecting a dissolver call hyalase which breaks down the filler into water.

Is it painful?

Most filler injections are not painful with numbing cream applied. There are some areas which are more sensitive, such as the lips, and can be more uncomfortable.

The skill and hands of a doctor also directly contributes to the amount of discomfort. An experienced and gentle doctor can mean much lesser discomfort during the procedure.

Are there any side effects for fillers?

Like all medical procedures, there are always potential side effects during injectable procedures.

The more common side effects associated with injections are bruising and swelling. Bruising and swelling happens when a larger blood vessel under the skin gets injured during an injection. If present, bruising and swelling typically goes away after 4-7 days. 

The most serious side effect associated with filler injections is vessel occlusion. Vessel occlusion is when the filler is directly injected into an important blood vessel and blocks blood flow, potentially resulting in skin necrosis and even blindness. 

Some patients have heard about fillers causing blindness, in particular nose fillers. In actual fact, fillers performed at any part of the face can potentially lead to blindness. Blindness happens when the filler material travels up the blood vessel and blocks the blood flow to the optic nerve in the eye. Blindness is more often associated with nose fillers due to the blood vessels supplying the eye being close to the nose. Skin necrosis, which is the dying of skin cells, happens when the blood vessels supplying the area of skin affected gets occluded and blocked.

The risks of skin necrosis and blindness can be greatly reduced with a clear knowledge of the blood vessels in the face. Therefore, it is very important to go to an experienced doctor for filler injections. More than 90% of filler complications happen at illegal salons or beauty parlours which are not authorised to perform such procedures. 

How do doctors reduce the risk of occlusion?

1. Use the appropriate equipment and filler for each area. The type of needle and needle size makes a difference in reducing the risk of vessel damage and occlusion.

2. Specific techniques such as performing a drawback to ensure that the needle is not in a vessel, slow precise injections, and the depth of injections all help ensure that the filler is not being injected into a vessel.

3. Most importantly, a good knowledge of the facial anatomy will allow the doctor to identify the areas where the major blood vessels are. Knowing which area to avoid and which areas are generally safe helps to greatly reduce the risk of injecting the filler into a vessel.

What should I avoid after doing fillers?

Avoid strenuous exercise and alcohol for at least 24 hours.
Avoid any facial massage for at least 2 weeks.