What Under-Eye Filler Treats
The tear trough is the groove that runs from the inner corner of the eye diagonally down across the top of the cheek. In some people it's there from childhood; in most, it deepens with age as the fat and bone beneath the eye recede. The groove casts a shadow, and the shadow reads as dark circles and fatigue. Filler placed along the groove lifts the surface so the shadow softens. It doesn't change pigmentation, so if your dark circles are primarily from skin color rather than shadow, filler will help less.
Why This Area Needs a Conservative Approach
The skin under the eye is the thinnest on the face, and the tissue beneath it holds fluid easily. Too much filler, or filler placed too shallow, causes puffiness or a bluish tint that can look worse than the hollow it was meant to fix. We use Restylane, a soft hyaluronic acid filler well suited to this area, in small amounts, placed deep against the bone. If a first treatment turns out conservative, more can be added at a follow-up. Dr. Bashian's surgical training in facial anatomy is a real advantage here.
Pricing
| Product | Non-Member | Member |
|---|---|---|
| Under-Eye Filler (per syringe) | $600 | $550 |
The amount varies from person to person and is set during your appointment. We'll confirm your total before we begin. See Membership Pricing
What to Expect at Home
Dr. Bashian or Rachel Fey, PA will assess the hollow in several lighting angles and check for any puffiness that would make filler a poor fit. The injections are placed deep, often with a blunt cannula rather than a needle, which reduces bruising. Some swelling is normal for a few days. Results are visible immediately and settle over two weeks. Under-eye filler tends to last longer than lip filler, often twelve months or more, because the area moves less. Individual results vary.
Who It's For and Who It Isn't
This treatment works well for people with a true hollow or groove under the eye and reasonably firm skin. It is not a good fit for people whose main concern is puffiness or bags, because adding volume beneath a bag makes it more visible. It's also not right for people with very loose under-eye skin, which may need a surgical approach instead. Dr. Bashian or Rachel Fey, PA will give you an honest assessment, and we'd rather tell you no than treat an area that won't respond well. We do not treat anyone who is pregnant or breastfeeding.
Risks and Side Effects
Swelling and bruising are common for the first few days. Puffiness that lasts longer, or a bluish tint through the thin skin, can occur if filler is placed too superficially, and can be corrected by dissolving. Very rarely, filler can enter a blood vessel near the eye, which is why this area demands an injector who knows the anatomy in detail and carries hyaluronidase. Individual results vary.
