Under-eye fillers (tear trough fillers) typically last 9 to 12 months, but results can vary from 6 months to over a year, depending on the filler type, individual metabolism, lifestyle (sun exposure, smoking), and placement. Results often last longer with subsequent treatments as the body builds up a base, with maintenance sessions usually recommended yearly for continuous results.
The fat pads that structure the under-eye area may diminish as we age, leading to a sunken appearance. Dermal fillers, particularly those made from hyaluronic acid like Juvederm® and Restylane®, can effectively replenish lost volume, resulting in a smoother and more youthful contour.
Generally, you can expect Restylane under eye fillers to last approximately 8-10 months, and Juvederm under eye fillers also typically maintain their results for about 8-10 months.
Initially, there might be some swelling or redness from the needle, which will gradually subside within 2-3 days. After this, the filler will settle, and the full results will become clearly visible within 1-2 weeks.
Facial fillers, if not used appropriately, can have all kinds of effects that are undesirable, and one of them can be looking distorted or even older. Like any other tool, if it's used properly by someone who understands how to get the best outcomes, using facial fillers should make you look better— not older.
One of the most serious under eye fillers is the possibility of vascular occlusion. If the filler is accidentally injected into a blood vessel, it can block blood flow and cause severe complications, including skin necrosis (tissue death) and even blindness.
However, it's generally recommended that you start using dermal fillers in your mid to late 20s. The production of collagen starts to slow down around the age of 26. The results of this will not be immediately noticeable but will occur slowly.
Glabella and Forehead
The glabella, the area between the eyebrows, and the forehead are some of the most dangerous areas for dermal filler injections. The blood vessels in this region are interconnected and lie close to the skin's surface, increasing the risk of complications.
While a dermal filler treatment is highly effective in getting rid of under eye bags, its results are still temporary so patients need to receive another eye filler treatment every few months.
Lumps or bumps: Small lumps or bumps may appear as the filler settles. These are usually temporary and will smooth out on their own. Asymmetry: Your results might look uneven at first due to swelling or minor lumps. This will resolve naturally, or your practitioner can adjust them during a follow-up visit.
Under Eye Filler Post-Care Instructions
Overall patient satisfaction rate was 84.4%, with overall long-term patient satisfaction (6+ months later) of 76.7%. The overall complication rate across the entire patient cohort was 44.3% with corresponding rates for the different subgroups as: HA, 50.75%; CaHa, 19.95%; AFKG, 11.43%; and collagen-based filler, 90%.
Best For: Botox is ideal for treating dynamic wrinkles, which appear due to facial expressions, such as forehead lines, crow's feet, and frown lines. Dermal fillers, on the other hand, are best for static wrinkles and areas that have lost volume, such as the cheeks, lips, and under-eye hollows.
Most patients feel little to no pain or discomfort. As the cannula is inserted, you may feel a slight pinch, but any pain or discomfort should be brief.
Botched jobs run the gamut from using too much filler (effectively taking the eyes from “sunken” to “puffy”) to the tyndall effect when eyes appear more grey or darker then when you started. Even more importantly, the eye area is a filler danger zone.
Poor tear trough filler candidates
“Patients with excess skin, poor skin quality, deep fat herniation through the orbicularis oculi, and fluid retention around the eye are all poor candidates for tear trough filler,” she confirms.
There are five key risks of under eye filler injections.
While there is no set age at which one should stop using cosmetic injectables, it's essential to consider individual factors such as skin condition, lifestyle, and personal preferences.
While 0.5 ml is a smaller dose, it still provides noticeable enhancement. The results are subtle but effective, making the lips appear naturally plumper and more defined. Many people refer to it as the “lip gloss effect” because it enhances the lips' shape and hydration without making them look drastically different.
Risk of Eye Injury From Filler Injection:
Because of the intricate web of small arteries around the eye area, an improper injection can lead to the blockage of a blood vessel that supplies blood to the eye. When the blood is prevented from reaching the eye, vision loss and even blindness can result.
These treatments typically cost $600-$900 and require an experienced injector. Jawline and chin contouring creates definition and balance. These areas typically cost $750-$1,200 per syringe, with most patients needing 2-3 syringes for significant definition.
Areas such as lips and nasolabial folds tend to be the most painful because those areas have more nerves running through them. Cheeks, tear troughs, chin and jaw line tend to be less uncomfortable. Some redness, swelling and discomfort can be expected after receiving fillers.
“Pillow face” occurs when too much filler is injected into areas like the cheeks, nasolabial folds (the lines from your nose to the corners of your mouth), lips, and under-eye area. This repeated overfilling can result in a bloated, round appearance that looks far from natural.
Is 50 Too Old for Fillers? People in their 50s and beyond often consider cosmetic injectables, like dermal fillers, for skin rejuvenation and addressing signs of aging. There's no upper age limit for fillers; they're effective at any age if aging signs warrant it.
“This reflects a broader shift towards proactive skin health,” De Souza says. “People are taking charge of their skincare journey with long-term regeneration and vitality in mind.” Perhaps it's not that Gen Z don't want Botox, it's that they actually don't need it.