
Dark circles, hollow eyes, or tired-looking under-eyes—we’ve all been there. If you’ve ever stared into the mirror wondering why you look so exhausted (even after eight hours of sleep), your tear trough area might be the culprit.
Dermal fillers are no strangers to targeted treatments for certain parts of the face, but you might feel a little worried about using it on a delicate area like your tear trough. The skin here is thinner, which means the filler needs to be lightweight and smooth to avoid lumpiness or unnatural results.
That said, which filler is the best one for the job?
About Your Tear Trough

First things first, what exactly is the tear trough? This area sits just beneath your lower eyelid, extending to the upper cheek. It’s where hollowing or dark shadows often appear, creating that “tired” look.
Tear trough concerns are common and can stem from various factors. Age plays a significant role, as we lose fat and collagen over time. Genetics can also be a big factor—some people are naturally more prone to under-eye hollows. Whatever the cause, the good news is that dermal fillers can help restore volume, smooth out shadows, and give you a brighter, more youthful appearance.
Hyaluronic acid (HA) fillers are the gold standard for tear troughs. They not only add volume but also help retain moisture, giving the area a hydrated and plump look. Plus, they’re reversible—so if the results aren’t quite what you expected, your practitioner can dissolve the filler.
Qualities to look for in a filler include longevity (you don’t want to be back for touch-ups every few months), minimal swelling, and a natural finish.
Top Dermal Fillers for Tear Troughs
Juvederm
Juvederm, with products like Volbella and Voluma, stands out for its subtle, natural results. It has a lower tendency to attract water, which reduces the risk of puffiness—ideal for the tear trough. Most patients enjoy results that last up to a year, making it a great long-term option.
Ellansé
Ellansé offers longer-lasting results, with effects potentially enduring for 2 to 4 years, thanks to the unique degradation process of its microspheres. It lifts not only the under eyes but also the skin around it because of its collagen restorative properties.
Restylane-L and Restylane Silk
If you’re looking for precision, Restylane is a top contender. Its lightweight formula is perfect for the under-eye area, offering a smooth finish with minimal swelling. Restylane-L typically lasts between 6 to 12 months, making it a popular choice for those new to tear trough fillers.
Related article: Choosing the Right Dermal Filler for Your Skin Type
How Do You Know If You Need Dermal Filler For Your Tear Trough?
Not everyone is an ideal candidate for this procedure. Here’s what makes someone a good match for tear trough fillers:
Visible Hollowing or Volume Loss
The ideal candidate has noticeable hollows under their eyes caused by volume loss. This creates shadows that can make the face appear tired or aged. Tear trough fillers work best for filling these hollows, restoring a smooth contour between the lower eyelid and cheek.
Mild to Moderate Dark Circles
If dark circles are caused by shadows created by hollowing rather than pigmentation, fillers can effectively reduce their appearance. For individuals with pigmentation-related dark circles, other treatments like laser therapy or topical creams might be more appropriate.
Healthy Skin and Tissue
Candidates with good skin elasticity and firmness tend to see better results. If the skin under the eyes is excessively loose or thin, fillers might not provide the desired improvement and could create a puffy or uneven appearance.
Minimal Under-Eye Fat Pads
Those with prominent under-eye bags or fat pads may not benefit from fillers. In such cases, a surgical procedure may be a better option to address the issue effectively.
Overall Good Health
Candidates should be in good general health, free from serious medical conditions, and not prone to allergic reactions from injectable products like hyaluronic acid.
No Active Infections or Skin Issues
It’s important for the under-eye area to be free from infections, rashes, or other skin conditions at the time of the procedure. This reduces the risk of complications.
Not Pregnant or Breastfeeding
Dermal fillers are generally not recommended for individuals who are pregnant or breastfeeding, as there is limited research on the safety of injectables during these periods.
How to Prepare for Your Treatment
Before diving into your filler journey, it’s essential to consult a qualified professional. They’ll assess your tear troughs, discuss your goals, and determine the best filler for your needs.
A few preparation tips can help you get the most out of your treatment. Avoid blood-thinning medications and supplements, like aspirin and fish oil, for at least a week beforehand. These can increase bruising and swelling. It’s also a good idea to stay hydrated and get a good night’s sleep before your appointment—after all, this treatment is all about looking refreshed!
What Happens During and After the Procedure?
The procedure itself is straightforward and typically takes less than an hour. Your practitioner will start by cleansing the area and applying a numbing cream to minimize discomfort. Using a fine needle or cannula, they’ll carefully inject the filler, ensuring precise placement.
You might notice some swelling or minor redness immediately after the procedure, but these effects usually subside within a few days. To speed up recovery, avoid strenuous activities and alcohol for the first 24 hours. Applying a cold compress can also help reduce swelling.
Are There Any Risks?
Like any cosmetic procedure, tear trough fillers come with potential risks. These include bruising, swelling, and, in rare cases, the Tyndall effect (a bluish tint under the skin). To minimize these risks, it’s crucial to choose a highly skilled and experienced injector. Your practitioner should be able to answer any questions you may have about visible side effects and care instructions.
FAQ on Dermal Fillers for tear troughs
Frequently Asked Questions
The longevity of tear trough fillers varies by product and individual factors, such as metabolism. Most fillers like Restylane and Juvederm last between 6 to 12 months, while newer options like RHA fillers can last up to 15 months.
Yes, when administered by a qualified and experienced professional, tear trough fillers are considered safe. However, as with any cosmetic procedure, there are potential risks such as bruising, swelling, or rare complications like the Tyndall effect.
Tear trough fillers work well for most people with hollowing or volume loss under the eyes. However, they may not be suitable for individuals with severe skin laxity, significant pigmentation, or certain medical conditions. Get a consultation with one of our doctors to learn about your suitability.
The procedure is generally well-tolerated. A numbing cream is often applied beforehand to reduce discomfort, and the injection process uses a fine needle or cannula for precision and minimal pain.
Yes, most tear trough fillers are made from hyaluronic acid, which can be dissolved with an enzyme called hyaluronidase if the results are unsatisfactory or if complications arise.
When injected correctly, fillers typically stay in place. However, improper technique or excessive filler can lead to migration, which is why it’s crucial to choose a qualified and LCP certified injector.
Dermal Fillers in Penang, Malaysia
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Tear trough fillers can be life-changing, transforming tired-looking eyes into bright, refreshed ones. There’s a filler to suit every need. Just remember to consult a professional, set realistic expectations, and prioritize safety above all else.
Your under-eyes deserve the best, and with the right filler, they’ll thank you for it. So why wait? A brighter, more confident you could be just an appointment away!