Under Eye Filler
Brighten Tired Eyes. Smooth Hollows. Restore Confidence.
Under eye filler—also known as tear trough correction—is a highly specialized injectable treatment used to address hollowness, shadowing, and tired-looking eyes caused by volume loss. At Spectrum Skin Clinic, we take a physician-led, conservative approach to under eye correction, carefully selecting only true candidates for this high-precision treatment.
Whether caused by genetics, age-related fat pad descent, or severe weight loss, under eye hollowing can cast shadows and make patients appear fatigued or older than they feel. Our protocols focus on subtle structural correction, while respecting anatomy and long-term safety.
Brighten Tired Eyes. Smooth Hollows. Restore Confidence.
Under eye filler—also known as tear trough correction—is a highly specialized injectable treatment used to address hollowness, shadowing, and tired-looking eyes caused by volume loss. At Spectrum Skin Clinic, we take a physician-led, conservative approach to under eye correction, carefully selecting only true candidates for this high-precision treatment.
Whether caused by genetics, age-related fat pad descent, or severe weight loss, under eye hollowing can cast shadows and make patients appear fatigued or older than they feel. Our protocols focus on subtle structural correction, while respecting anatomy and long-term safety.
What Is Under Eye Filler and How Does It Work?
Using a microcannula, we place hyaluronic acid (HA)-based filler deep along the orbital rim or tear trough. This lifts and smooths the area, reducing shadows and improving the transition between the lower eyelid and cheek.
At Spectrum Skin Clinic, we use Restylane Eyelight, Restylane-L, and Belotero Balance—each selected for its smooth consistency, low swelling potential, and ability to integrate seamlessly in thin tissue. For patients needing regenerative support or longer-lasting benefits, we also offer a PRFM Blend, combining hyaluronic acid with Platelet-Rich Fibrin Matrix (PRFM) to both volumize and restore tissue quality.
What Is Under Eye Filler and How Does It Work?
Using a microcannula, we place hyaluronic acid (HA)-based filler deep along the orbital rim or tear trough. This lifts and smooths the area, reducing shadows and improving the transition between the lower eyelid and cheek.
At Spectrum Skin Clinic, we use Restylane Eyelight, Restylane-L, and Belotero Balance—each selected for its smooth consistency, low swelling potential, and ability to integrate seamlessly in thin tissue. For patients needing regenerative support or longer-lasting benefits, we also offer a PRFM Blend, combining hyaluronic acid with Platelet-Rich Fibrin Matrix (PRFM) to both volumize and restore tissue quality.
What Concerns Can Under Eye Filler Treat?
- Deep tear troughs or volume-related hollows
- Shadowing beneath the eyes that creates a tired look
- Mild under eye pigmentation worsened by anatomical depth
- Facial imbalance or under eye asymmetry
- Structural changes after weight loss or GLP-1 use (e.g. Ozempic face)
What Concerns Can Under Eye Filler Treat?
- Deep tear troughs or volume-related hollows
- Shadowing beneath the eyes that creates a tired look
- Mild under eye pigmentation worsened by anatomical depth
- Facial imbalance or under eye asymmetry
- Structural changes after weight loss or GLP-1 use (e.g. Ozempic face)
Clarifying the Controversy Around Under Eye Fillers
While some providers avoid using HA fillers under the eyes due to fear of swelling or puffiness, this decision should be based on individual anatomy—not broad generalizations. In patients with true hollowing, especially after rapid weight loss, Ozempic use, or natural fat pad loss, carefully placed under eye filler remains a clinically appropriate and effective solution.
Our physician-led evaluations ensure that only suitable candidates receive treatment, avoiding overtreatment or product migration.
Clarifying the Controversy Around Under Eye Fillers
While some providers avoid using HA fillers under the eyes due to fear of swelling or puffiness, this decision should be based on individual anatomy—not broad generalizations. In patients with true hollowing, especially after rapid weight loss, Ozempic use, or natural fat pad loss, carefully placed under eye filler remains a clinically appropriate and effective solution.
Our physician-led evaluations ensure that only suitable candidates receive treatment, avoiding overtreatment or product migration.
What to Expect During Treatment
Topical numbing is applied, followed by a microcannula-based injection technique to minimize trauma and improve precision. A single session takes 30–45 minutes, including consultation and planning.
What to Expect During Treatment
Topical numbing is applied, followed by a microcannula-based injection technique to minimize trauma and improve precision. A single session takes 30–45 minutes, including consultation and planning.
Recovery and Results
- Mild swelling may occur for 48–72 hours
- Bruising is less likely with cannula, but still possible
- You may return to normal activities the next day
- Results are visible immediately, with optimal outcomes by 1–2 weeks
- A follow-up may be scheduled after 14 days to assess symmetry or need for refinement
Recovery and Results
- Mild swelling may occur for 48–72 hours
- Bruising is less likely with cannula, but still possible
- You may return to normal activities the next day
- Results are visible immediately, with optimal outcomes by 1–2 weeks
- A follow-up may be scheduled after 14 days to assess symmetry or need for refinement
How Long Does It Last?
- Hyaluronic acid fillers: 9–12 months
- PRFM Blend: 6–9 months with added regenerative benefits
- Re-treatment is typically lighter and spaced further apart
How Long Does It Last?
- Hyaluronic acid fillers: 9–12 months
- PRFM Blend: 6–9 months with added regenerative benefits
- Re-treatment is typically lighter and spaced further apart
Under Eye Filler Before and After
This Under Eye Filler before-and-after image from Spectrum Skin Clinic illustrates a refined result achieved through expertly placed dermal filler in the tear trough area.
Before (Left Image):
Noticeable hollowing and volume loss under the eye contribute to a tired, shadowed appearance. There’s a visible trough where the eyelid meets the cheek, often accentuated with age, weight loss, or genetic predisposition. Skin texture appears slightly crepey, which further highlights the volume deficit.
After (Right Image):
The tear trough is visibly smoothed and more integrated with the midface. Volume restoration reduces shadowing and brightens the under-eye area without looking overfilled. The result is natural and refreshed, with improved contour and a healthier skin appearance. The under-eye blends seamlessly into the cheek without the sharp demarcation seen in the “before.”
This transformation reflects careful product selection (such as Restylane Eyelight, Belotero Balance, or a PRFM blend) and skilled placement—often via microcannula or fine needle—to avoid puffiness and maintain skin integrity. It’s a prime example of restoring youthfulness without altering facial identity.
Under Eye Filler Before and After
This Under Eye Filler before-and-after image from Spectrum Skin Clinic illustrates a refined result achieved through expertly placed dermal filler in the tear trough area.
Before (Left Image):
Noticeable hollowing and volume loss under the eye contribute to a tired, shadowed appearance. There’s a visible trough where the eyelid meets the cheek, often accentuated with age, weight loss, or genetic predisposition. Skin texture appears slightly crepey, which further highlights the volume deficit.
After (Right Image):
The tear trough is visibly smoothed and more integrated with the midface. Volume restoration reduces shadowing and brightens the under-eye area without looking overfilled. The result is natural and refreshed, with improved contour and a healthier skin appearance. The under-eye blends seamlessly into the cheek without the sharp demarcation seen in the “before.”
This transformation reflects careful product selection (such as Restylane Eyelight, Belotero Balance, or a PRFM blend) and skilled placement—often via microcannula or fine needle—to avoid puffiness and maintain skin integrity. It’s a prime example of restoring youthfulness without altering facial identity.
Filler Products We Use
We use only low-viscosity, moldable hyaluronic acid gels proven safe for the under eye area:
- Restylane Eyelight – specifically formulated for tear trough correction
- Restylane-L – reliable, smooth, and well-established
- Belotero Balance – ideal for very thin skin; integrates without Tyndall risk
- PRFM Blend (HA + PRFM) – for patients needing both volume and tissue regeneration
Filler Products We Use
We use only low-viscosity, moldable hyaluronic acid gels proven safe for the under eye area:
- Restylane Eyelight – specifically formulated for tear trough correction
- Restylane-L – reliable, smooth, and well-established
- Belotero Balance – ideal for very thin skin; integrates without Tyndall risk
- PRFM Blend (HA + PRFM) – for patients needing both volume and tissue regeneration
Volumization After Filler Dissolve
This Volumization After Filler Dissolve image demonstrates under-eye restoration following incorrect or migrated filler that was first dissolved.
Before (Top Image):
The eye shows signs of filler migration or aging-related volume changes. There’s visible under-eye puffiness with irregular texture—likely due to poorly placed HA filler or filler breakdown over time. The skin appears uneven, and there’s a loss of natural contour between the eyelid and cheek.
After (Bottom Image):
Post-dissolve, the area has been carefully re-volumized using a controlled, conservative approach—likely with PRFM + HA blend, Restylane Eyelight, or Belotero Balance. The tear trough now has a smoother gradient into the midface, without bulging or distortion. There’s noticeable brightening under the eye, with improved skin tension and reduced creasing. This balanced restoration enhances the natural look of the eye without overcorrection.
This case highlights Spectrum Skin Clinic’s expertise in corrective filler treatment: dissolving overfilled or misplaced product and then thoughtfully rebuilding volume under ultrasound guidance to ensure precision and safety.
Volumization After Filler Dissolve
This Volumization After Filler Dissolve image demonstrates under-eye restoration following incorrect or migrated filler that was first dissolved.
Before (Top Image):
The eye shows signs of filler migration or aging-related volume changes. There’s visible under-eye puffiness with irregular texture—likely due to poorly placed HA filler or filler breakdown over time. The skin appears uneven, and there’s a loss of natural contour between the eyelid and cheek.
After (Bottom Image):
Post-dissolve, the area has been carefully re-volumized using a controlled, conservative approach—likely with PRFM + HA blend, Restylane Eyelight, or Belotero Balance. The tear trough now has a smoother gradient into the midface, without bulging or distortion. There’s noticeable brightening under the eye, with improved skin tension and reduced creasing. This balanced restoration enhances the natural look of the eye without overcorrection.
This case highlights Spectrum Skin Clinic’s expertise in corrective filler treatment: dissolving overfilled or misplaced product and then thoughtfully rebuilding volume under ultrasound guidance to ensure precision and safety.
Alternatives to Filler (Non-Volumizing)
For patients not suited for HA filler—or who prefer regenerative, non-filler options—we offer:
- PRFM injections alone – improves skin tone and dark circles but does not volumize
- Rejuran (PDRN) – enhances barrier function and reduces pigment over time
- Sublative RF (Candela) – safe resurfacing for texture and firmness in the lower lid
These options are excellent for pigmentation, texture, or creepiness—but do not restore lost volume.
Alternatives to Filler (Non-Volumizing)
For patients not suited for HA filler—or who prefer regenerative, non-filler options—we offer:
- PRFM injections alone – improves skin tone and dark circles but does not volumize
- Rejuran (PDRN) – enhances barrier function and reduces pigment over time
- Sublative RF (Candela) – safe resurfacing for texture and firmness in the lower lid
These options are excellent for pigmentation, texture, or creepiness—but do not restore lost volume.
Combination Therapies
Under eye filler may be combined with:
- Cheek/midface filler for structural support
- Botox or Xeomin for crow’s feet or eyelid pull
- SkinVive or Rejuran for hydration and texture improvement
- Peels, HydraFacial, or RF for tone and brightness
Combination Therapies
Under eye filler may be combined with:
- Cheek/midface filler for structural support
- Botox or Xeomin for crow’s feet or eyelid pull
- SkinVive or Rejuran for hydration and texture improvement
- Peels, HydraFacial, or RF for tone and brightness
Who Performs the Procedure?
All under eye filler treatments at Spectrum Skin Clinic are performed by Dr. Sabeen Munib or a physician-led injector, trained in ocular anatomy and vascular safety. We use conservative dosing, proper cannula techniques, and detailed risk assessment to avoid complications such as Tyndall effect, swelling, or vascular compression
Who Performs the Procedure?
All under eye filler treatments at Spectrum Skin Clinic are performed by Dr. Sabeen Munib or a physician-led injector, trained in ocular anatomy and vascular safety. We use conservative dosing, proper cannula techniques, and detailed risk assessment to avoid complications such as Tyndall effect, swelling, or vascular compression
