Injectables

Under-Eye Filler

Filler placed in the tear trough to soften hollowing. The least forgiving area on the face, so candidacy matters more than technique.

★★★★★ on GoogleLicensed Medical AestheticianPlastic-surgery trainedReferred by local surgeonsEnglish & فارسی
From
$850per treatment
Downtime
3–7days, bruising likely
Results in
2–4weeks, settled
Comfort Numbing used
3 out of 5
Downtime Moderate
3 out of 5
Longevity Over a year
4 out of 5

What it is

The tear trough is the groove between the lower lid and the cheek. When the midface loses volume, that groove deepens and casts a shadow — which reads as tiredness no amount of sleep fixes.

A very small amount of filler placed deep can soften that shadow. The word doing the work there is small. This area punishes over-correction with puffiness and a bluish cast that can last a year.

Not everyone is a candidate, and we will say so. Sometimes the honest answer is that the midface needs support first, or that what you are seeing is pigment rather than shadow.

Good candidate

  • True hollowing that casts a shadow
  • Good skin quality under the eye
  • Midface volume still reasonable
  • Realistic about partial improvement

Not yet / not a fit

  • Puffiness or fluid retention
  • Loose, crepey lower-lid skin
  • Dark pigment rather than shadow
  • History of significant under-eye swelling

How it works

Diagram of under-eye hollowing
01

A groove casts a shadow

Volume loss creates a step between lid and cheek. What you see as darkness is often the shadow it throws.

Diagram showing deep filler placement
02

A small volume is placed deep

Filler goes onto bone beneath the muscle — not into the thin skin — to soften the transition.

Diagram showing softened under-eye transition
03

The step smooths out

The shadow lifts. Pigment, if present, remains — which is why we tell you which one you have.

What to expect

Step 1

Step 01

Consultation

Free, and genuinely a candidacy assessment. We will tell you if this is not right for you.

Step 2

Step 02

Numbing

Topical numbing before treatment.

Step 3

Step 03

Treatment

A cannula is usually used to reduce bruising risk. Very small volumes, placed deep.

Step 4

Step 04

Settling

Bruising is common. Full settling takes up to four weeks before we assess.

Questions

Why do some people end up with puffy under-eyes from filler?

Over-correction, product placed too superficially, or treating puffiness that was never hollowing. All three are avoidable by being strict about candidacy and using very little.

Will this fix my dark circles?

Only if they are shadow. If the darkness is pigment or visible vessels, filler will not change it — and we will tell you that at consultation rather than after you have paid.

How much bruising should I expect?

More than other areas. The skin is thin and vascular. Plan for up to a week and avoid blood thinners beforehand where medically safe.

Can it be dissolved if I do not like it?

Yes, hyaluronidase dissolves it. Under-eye filler is also the area where we most often recommend dissolving work done elsewhere.

How long does it last here?

Often longer than other areas — nine to eighteen months — because there is very little muscle movement to break it down.

Prices start at the listed amount and are subject to change. Consultation may be required. Results are not guaranteed, and multiple treatments may be needed.
Complimentary consultation

Bring your questions. All of them.

One patient at a time, by appointment. No packages, no pressure, and an honest answer even when it isn’t the one that books.

2106 C Gallows Rd, Vienna VAMon–Thu 9–5 · Fri 9–3 · Sat 10–3

Complimentary consultation · no pressureBook now(703) 862-3234