Which Fillers are Best to Treat Under the Eyes?

Posted January 10, 2022
Fillers for under eye circles

Sunken eyes or hollow looking eyes can cause a person to look older or to appear tired all the time. You could've had a full night of rest, but the thin layer of skin beneath the eyes makes the restricted blood flow very visible - robbing your face of looking refreshed or youthful. 

Thank goodness for dermal fillers under the eyes to help restore thickness to the skin. The injections help fill the hollowness beneath the eyes and camouflage the dark circles under the skin's surface.

Dermal fillers are specially formulated injections that add instant fullness and structure back into the skin. But not all dermal fillers can address issues around the eye areas. There are specific filler formulations best suited to treat sunken or hollow eyes. 

We share which filler formulation is best for under the eyes and how long the results last, so you won't have to explain that you aren't tired or as old as you appear to look. 

Let's find out how to bring youthfulness back to your eyes and face. 

What are Sunken or Hollowing Under Eyes?

Sunken or hollowing eyes can derive from poor circulation from constricted blood flow resulting in purple and blue discoloration. The skin under your lower eyelids is more delicate than any other area on your face, making it very obvious for poor circulation under the eyes to be visible.

Here are the leading factors that can cause the area underneath your eyes to look hollow, darken or have shadows.

  • Aging
  • Genetics
  • Sleep deprivation
  • Allergies
  • Dehydration
  • Smoking

How Can You Fix Sunken or Hollowing Under Eyes?

As the skin ages, it loses vital proteins like collagen that help maintain the skin’s structure or hyaluronic acid, which keeps the skin supple and plump. And unfortunately, the skin under the eyes runs a higher risk of getting even thinner because naturally, it's already thin.

Adding volume and thickness to the skin underneath the eyes can help camouflage the discoloration of the blood vessels and make the area look lifted instead of hollow. 

Which Dermal Fillers are Best to Treat Under the Eyes?

The best type of filler formulation for under the eyes should be made of hyaluronic acid (HA). Hyaluronic acid is a natural substance found in our bodies that helps lubricate joints and tissues and can hold up to 1000x its weight in water. It's an ideal substance to bring buoyancy back to the skin, especially underneath the eyes. 

The two most widely used and recommended HA dermal fillers for under eyes are Restylane and Juvéderm. 


Restylane is an FDA-approved hyaluronic acid gel-like dermal filler that adds volume underneath the skin's surface to appear plump and full. The HA formula helps draw water from surrounding areas to create fullness to the skin, while the gel-like substance creates an instant lift when injected. 


Juvéderm is also hyaluronic acid dermal filler with a gel-lick consistency that mimics connective tissue. Approved by FDA in 2006 to restore volume lost in the skin, Juvéderm restores fullness back into the skin in two ways. First, with smooth gel-like formula and then with the unique HA formula stimulating collagen production. Patients will continue to see improvements in the area as the new collagen growth develops over time. 

These dermal fillers are just two variations of hyaluronic acid injections. It's recommended to consult with a board-certified cosmetic doctor to align you with the correct HA filler that meets your individual needs and desired outcome.

What to Expect During an Under Eye Filler Procedure 

Filler injection under the eyes is a non-invasive outpatient procedure that typically takes less than an hour to complete. Patients can resume their normal activities after the treatment. Here is a general breakdown of what you can expect during the procedure for under eye fillers:

The face will be sanitized and cleaned from impurities, dirt, or makeup.Numbing cream or a local anesthetic is injected into the treated areas. The board-certified plastic surgeon will strategically place the injections with a cannula underneath the eyes.The doctor will gently massage the filler into the skin.A cold compression or ice pack is provided to help reduce any swelling or bruising.

What Type of Results Can I Expect with Fillers Underneath the Eyes?

Immediately after the procedure, the patient will notice the area underneath the eyes filled out and the skin lifted. The final results of the fillers will appear 2-3 weeks after the procedure.

How Long Do Fillers Last Under the Eyes?

In general, HA filler results can last six months to two years. It depends on the formulation and thickness of the filler. All dermal fillers are not permanent, and with hyaluronic acid injections, your body will eventually break down the HA formula naturally and will absorb into the body.

It is best to follow the recommended maintenance timeline of the filler’s efficacy to maintain the revitalized look underneath the eyes.

Final Takeaway - Under Eye Fillers

You will no longer have to look "forever tired" or defend your actual age after treating your hollow or sunken eyes with dermal filler injections. The hyaluronic acid formulas found in Restylane or Juvéderm can help lift and fill out the set-in look of your eyes, allowing you to look refreshed and fully awake. 

To find a board-certified cosmetic surgeon to help with sunken eyes look, use our “Find a Doctor” navigation tool for a medical professional experienced with using dermal fillers for under the eyes.

- VM


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