Under-Eye (Tear Trough) Fillers

Under-Eye (Tear Trough) Fillers

Hollow, shadowed under-eyes can make you look tired even after a good night’s sleep. Under-eye fillers, also called tear trough fillers, soften the hollow between the lower eyelid and the cheek with a small amount of soft hyaluronic acid filler. Shadows are reduced and the whole eye area looks fresher and more rested.

The under-eye is one of the most delicate areas of the face, so technique and experience matter. At Cutera Aesthetics, tear trough fillers are performed only by our qualified doctors.

Not every dark circle is caused by hollowness. At your free consultation we will tell you honestly whether fillers are the right option, or whether another treatment will work better for you.

Concerns & Desired Results
  • Hollow, sunken under-eyes
    A smoother transition from the lower eyelid to the cheek.
  • Dark shadows
    Softer shadows and a brighter eye area.
  • A tired appearance
    A fresher, well-rested look.
  • Deep tear-trough lines
    Smoothed, less visible lines.

How under-eye fillers work

A soft, fine hyaluronic acid filler is placed deep along the tear trough, the groove that runs from the inner corner of the eye towards the cheek. Filling this hollow means less light is trapped in it, so shadows soften and the area looks smoother. Doctors often use a blunt-tipped cannula here, which can reduce bruising.

Are under-eye fillers right for you?

Good candidates have hollowness or a visible groove under the eyes with reasonably good skin quality. Fillers are less suitable if:

  • Your dark circles are mainly caused by pigmentation (skin colour) rather than hollowness
  • You have large, puffy under-eye bags or significant fluid retention
  • The skin under the eyes is very thin and crepey

In these cases, your doctor may recommend dark circle treatments, a skin booster such as salmon DNA (polynucleotides), or a combination. Under-eye fillers are not suitable during pregnancy or breastfeeding, or with an active infection in the area.

Your treatment, step by step

  1. Free consultation: your doctor works out what is causing your dark circles and whether filler will help.
  2. Numbing: a numbing cream is applied for comfort.
  3. Treatment: a small amount of filler is placed along each tear trough, usually taking around 30 minutes.
  4. Check: your doctor reviews symmetry and the result with you before you leave.

Results and how long they last

The improvement is visible straight away and settles fully over about two weeks as any swelling goes down. Under-eye fillers often last around nine to twelve months, and sometimes longer, because there is little movement in this area.

Recovery and aftercare

Mild swelling and bruising are more common under the eyes than in other areas, and usually fade within a week.

  • Use a cold compress, wrapped in a cloth, to reduce swelling
  • Sleep with your head slightly raised on the first night
  • Avoid rubbing your eyes and pressing on the area
  • Skip strenuous exercise, saunas and alcohol for 24–48 hours

Is it safe?

Hyaluronic acid fillers are widely used and well tolerated, and because they can be dissolved with an enzyme called hyaluronidase, the result is reversible. As with any filler, rare but serious complications, such as a filler blocking a blood vessel, can occur. That is why fillers should only be injected by a qualified doctor who knows facial anatomy and can act immediately if needed. At Cutera Aesthetics, every filler treatment is performed by our doctors.

Why choose Cutera Aesthetics

  • Doctor-led: your under-eye fillers treatment is assessed, planned and performed by our qualified doctors.
  • Free consultation: an honest assessment and a clear plan before you commit to anything.
  • A plan made for you: your treatment is tailored to your goals, your skin and your health.
  • 12 clinics in 7 cities: Karachi, Lahore, Islamabad, Rawalpindi, Faisalabad, Hyderabad and Sialkot. Find your nearest clinic.

Ready to start? Call or WhatsApp us to book your free consultation, or visit your nearest branch.

Celeb’s #1 Choice

Frequently Asked Questions

They work well when dark circles are caused by hollowness or a deep tear trough. If your dark circles come from pigmentation, other treatments will work better, and your doctor will tell you which applies to you.

Usually around nine to twelve months, and sometimes longer, as the under-eye area moves very little.

Numbing cream and the anaesthetic in the filler keep it comfortable. Most people feel only light pressure.

Some bruising or swelling is possible, as the skin here is thin. It usually fades within a week, and a cannula technique can help reduce it.

In the hands of an experienced doctor using the right product, they are a well-established treatment. The area is delicate, which is why we only offer it with our qualified doctors.

Yes. Hyaluronic acid fillers can be dissolved with hyaluronidase if needed.

The cost depends on the amount of filler needed. You will get a clear quote at your free consultation.

Available at our clinics across Pakistan

Visit your nearest Cutera Aesthetics medical spa for this treatment.

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