A Cosmetic Dermatologist Shares Her Expert Advice On Under Eye Fillers


Interested in under-eye fillers? Here are some things you should know from a board certified dermatologist. 

You know what they say: “the eyes are the windows to the soul!” More and more people are looking for ways to turn back the hands of time and obtain a refreshed and rejuvenated look. For the right candidate, under-eye fillers can make a world of difference. 


Question: How do I know if I am a good candidate for under-eye fillers?

Answer: As we age, we lose fat and volume under the eye. This “hollowing” can make us appear tired or give a “sunken in” appearance. Under eye filler or fillers placed in the tear trough can help restore volume to the under eye area. Be wary of bags under the eyes because not all bags are created equal! There are many causes of under-eye bags including genetics, lack of sleep, allergies, fluid retention or swelling due to other medical conditions, as well as hyperpigmentation that gives the illusion of under-eye bags. You will need a consultation with an experienced provider to determine whether or not you are a good candidate for under-eye filler.

Under Eye Filler

Question: Are there many side effects of tear trough fillers?

Answer: Filler injections can cause temporary pain, swelling, bruising, and redness. Prior to the procedure, your injector may advise you to discontinue alcohol, non-prescription blood thinners, and over the counter supplements that may increase your risk of bruising. Rarely, filler injected under the eye can cause damage to surrounding skin by injury to the blood supply, and can even cause blindness (although rare). It’s important to know the qualifications of your injector, so seeking the expertise of a board-certified dermatologist or cosmetic surgeon is highly recommended.

Question: How long do the results of tear trough filler last?

Answer: How long a filler lasts depends on the type of filler used and where. Most providers choose hyaluronic acid (HA) fillers under the eyes as HA is a naturally occurring substance in our bodies and its effects can be reversed.  Most HA fillers are labelled to last anywhere from 6 months to 1 year; however, the results of under-eye fillers sometimes last longer. 

Under Eye Filler

Question: What should I expect post-treatment of the under eye area with filler?

Answer: You will see your results of your under-eye filler right away, although there will be more improvement in the weeks that follow as the filler “settles”. You can usually resume normal activity immediately after dermal filler with a few caveats. I usually advise patients to avoid strenuous exercise for 24 hours and to refrain from rubbing or massaging the treated area. 


About Dr. Nianda Reid

Nianda Reid, M.D., M.B.A is a board- certified dermatologist who specializes in medical, surgical and cosmetic dermatology. Dr. Reid is a graduate of the University of Rochester School of Medicine and Dentistry, and obtained a dual degree M.D./M.B.A. in Health Care Management from the University of Rochester Simon School of Business. Dr. Reid received her Dermatology training at Brown University where she served as Chief Resident. Dr. Reid is a Diplomate of the American Board of Dermatology and a Fellow of the American Academy of Dermatology. She is a member of the American Society for Dermatologic Surgery, the Skin of Color Society, and the American Contact Dermatitis Society. When she is not taking care of patients, she also enjoys cooking, running and traveling with her family.

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