Dark circles and hollows under the eyes are a common cosmetic concern for many people. Whether caused by genetics, aging, or lifestyle, they can create a tired, aged, or even unhealthy appearance, even when you’re feeling perfectly fine. While concealers and eye creams offer temporary fixes, more and more people are turning to tear trough filler as a long-lasting solution to refresh and rejuvenate the under-eye area.

We’ll explain what tear trough fillers are, how they work, and what to expect from the treatment, so you can decide if it’s the right choice for your aesthetic goals.

What Is the Tear Trough?

The tear trough is the area between your lower eyelid and the upper cheek. In youthful skin, this area is usually smooth, with no noticeable shadow or indentation. However, over time — or due to genetics — you may develop a hollow or sunken appearance here, creating a dark circle or under-eye shadow.

Contributing factors include:

Volume loss in the cheeks and under-eyes

Thinning skin

Fat displacement with age

Pigmentation or poor circulation

Genetics and lifestyle (e.g., lack of sleep, dehydration)

What Is Tear Trough Filler?

Tear trough filler is a non-surgical cosmetic treatment that uses dermal fillers — most commonly hyaluronic acid-based fillers — to restore volume beneath the eyes. By filling in the hollow space, the treatment reduces the shadowing and gives the area a smoother, more youthful look.

Common brands used include:

Restylane®

Juvederm Volbella®

Belotero Balance®

These fillers are specifically chosen for their light texture and ability to integrate seamlessly with delicate under-eye skin.

How Tear Trough Filler Works

Here’s a step-by-step breakdown of how the procedure works:

1. Consultation

A qualified injector (typically a dermatologist, plastic surgeon, or experienced aesthetic provider) will evaluate your anatomy, skin type, and cosmetic goals. Not everyone is a candidate — people with very thin skin, puffiness from fat pads, or significant pigmentation may not see optimal results with filler alone.

2. Preparation

The under-eye area is cleansed and disinfected.

A topical numbing cream or ice pack may be applied to reduce discomfort.

In some cases, a cannula (a blunt-tipped instrument) may be used instead of a needle to minimize bruising and improve precision.

3. Injection

The filler is carefully injected into the tear trough area, typically just above the orbital bone.

The provider massages and shapes the filler for even distribution and a natural appearance.

4. Aftercare

Ice may be applied to reduce swelling.

Minor bruising, swelling, or tenderness may occur for a few days.

What Results Can You Expect?

Tear fillers can significantly improve the appearance of:

Dark under-eye circles caused by hollowness

Sunken eyes

A tired or aged look

Timeline:

Immediate improvement is usually visible right after the injection.

Final results become more apparent within 1–2 weeks as swelling subsides and the filler settles.

Longevity:

Results typically last 9–18 months, depending on the filler used and your metabolism.

Benefits of Tear Trough Filler

✅ Instant results with no downtime
✅ Non-surgical alternative to eye bag removal
✅ Subtle, natural rejuvenation of the under-eye area
✅ Quick procedure (typically under 30 minutes)
✅ Can be combined with cheek filler for enhanced support and smoother results

Risks and Side Effects

Although generally safe when performed by a qualified professional, trough filler comes with potential side effects and risks:

Common Temporary Effects:

Swelling

Bruising

Redness

Tenderness

Less Common Risks:

Lumpiness or uneven texture

Tyndall effect (a bluish tint if filler is injected too superficially)

Overcorrection or undercorrection

Migration of filler

Vascular complications (rare but serious — can occur if filler is accidentally injected into a blood vessel)

To minimize risks, always choose a certified, experienced injector familiar with the complex anatomy of the under-eye region.

Who Is a Good Candidate?

You may be a good candidate for trough filler if:

You have hollowing under the eyes, not just pigmentation

You’re in generally good health

You have realistic expectations

You’re not pregnant or breastfeeding

You may not be a good candidate if:

You have severe under-eye bags or puffiness

You have significant skin laxity

Your dark circles are caused by pigmentation rather than shadowing

In such cases, alternatives like laser treatments, PRP (platelet-rich plasma), or surgical options might be more effective.

How Much Does Tear Trough Filler Cost?

The cost of trough filler varies by location, practitioner expertise, and the product used, but average prices range from:

$600 to $1,200 per syringe

Most people need 1–2 syringes for full correction, and maintenance treatments are typically done every 12 to 18 months.

Tips for a Safe and Successful Treatment

Choose a skilled injector: The under-eye area is delicate and complex. Experience matters.

Ask for hyaluronic acid-based filler: These can be dissolved with hyaluronidase if needed.

Be honest during your consultation: Discuss your full medical history, including previous cosmetic procedures.

Follow aftercare instructions: Avoid alcohol, heavy exercise, and blood-thinning medications for 24–48 hours.

Final Thoughts

Tear trough filler is a powerful, non-surgical solution for under-eye hollowness and dark circles, delivering immediate and natural-looking results when done correctly. While it's not for everyone, many patients find it to be a life-changing treatment that restores their confidence and brightens their overall appearance.

As with any cosmetic procedure, research and provider experience are key. Take the time to consult with a trusted professional to determine whether tear trough is the right option for you — and enjoy the refreshed, well-rested look that follows.