Under Eye Filler

Under Eye Filler Raleigh, NC | Tear Trough Filler in Raleigh

Sunken and dark under eyes are one of the earliest complaints patients have about their face. Sometimes this is due to aging, genetics, or a combination of factors. Topical treatments such as under eye creams and masks can help the skin, but they do not address hollowness or volume loss. This is where dermal fillers can benefit. The Jindal Institute for Youthful Aging performs the best under eye filler Raleigh offers.

The Ins & Outs Of Under Eye Filler

Under eye filler—also called tear trough filler—injects hyaluronic acid filler underneath the eyes to correct hollowing, volume loss, and thinning skin. The skin underneath the eye is some of the thinnest skin on the face which makes it particularly susceptible when the body slows down collagen production in the mid-twenties. Additionally, some people are simply born with fairly hollow eyes or under eyes. Depending on the patient’s anatomy, fillers may be an option.

Dermal fillers are not the only injectable Dr. Jindal can use for under eye enhancement. Another one is plasma which helps your body generate new collagen and naturally fill in the hollows over time and with multiple sessions. Finally, fat transfer is another technique.

Dr. Jindal will harvest fat from elsewhere on the face or body and inject it under the eyes. Since this fat comes from the patient’s body it looks and feels natural and has a low rate of rejection or allergic reaction.

Under eye, or tear trough, filler is very difficult to properly do. Filler must be placed in the proper plane so that you have a natural, long lasting result that doesn’t later become puffy, swollen, or discolored due to attracting water. As Dr. Jindal is an oculoplastic surgeon, he is highly skilled in the anatomy of the under eye area and places safety as his #1 priority.


Tear trough fillers come with many benefits for patients experiencing any degree of hollowing under the eyes. Some of the advantages and benefits of under eye fillers include:
  • Correction of hollowed under eyes
  • Younger look
  • More awake facial appearance
  • Can help alleviate some under eye darkness and dark circles
  • Helps balance facial features
  • Increases collagen production (plasma)
  • Near instant results
  • Natural results
  • Reversible treatment (hyaluronic acid fillers only)
  • Minimal pain
  • Quick treatment
  • Can last several months
  • Temporary
  • Customized to fit each patient

Safety & Risks

Under eye filler—including enhancement with plasma or fat—are fairly low risk procedures. Of course, some patients carry more risk than others and Dr. Jindal will evaluate this during your consultation. However, since these procedures are less invasive than traditional surgery, the average person is more likely to be a candidate for filler or injection procedures.

In the wrong hands, under eye fillers can have major consequences due to their proximity to the eyes. This can cause blindness in the worst scenarios. However, this occurs primarily with unqualified or unskilled providers and among the thousands of filler injections every year, it is estimated that only 190 cases took place over several years. Also, fat transfer to the under eyes accounted for nearly half of these cases while hyaluronic acid filler accounted for just under a quarter.

Overall, major adverse reactions are exceptionally rare. Dr. Jindal offers various under eye injections and techniques to cater the procedure to you. For example, plasma injections under the eyes carry little to no risk of blindness because it will simply absorb into the bloodstream if injected into an artery.

Under Eye Filler vs. Plasma vs. Fat

The three most common and practical options for under eye injections are hyaluronic acid fillers, plasma, and fat. While all can provide great results, some patients may prefer one over another, or due to specific circumstances, Dr. Jindal may determine one is safer or more viable. The table below highlights some of the major differences and indications between the under eye enhancement options.

Dermal Fillers



  • Reversible
  • Made of hyaluronic acid
  • Non-surgical
  • Instant results
  • Follow-up sessions usually not needed beyond refreshing the filler
  • Minimal collagen response at injection site
  • Multiple types of filler to choose from
  • Standard risk
  • Temporary results that tend to last around six months to a year
  • Can achieve more dramatic results
  • Treatments do not have to be continued which can act as reversal
  • Patient’s blood plasma
  • Non-surgical
  • Results take time to settle
  • Three sessions recommended to start out
  • Promotes a longer lasting and more powerful collagen response
  • Least risk
  • Semi-permanent results in most cases
  • Subtler results
  • Not reversible
  • Patient’s body fat
  • Surgical component required to harvest fat
  • Instant results
  • Touch-up sessions sometimes needed for best results
  • Collagen response similar to dermal fillers
  • Most risk of the three options
  • Can be permanent
  • Can achieve more dramatic results


Tear Trough Injections In Raleigh

The first step when administering under eye filler injections is to disinfect the area. Dr. Jindal may also apply numbing cream based on your preferences. Once comfortable and the filler prepared, Dr. Jindal will carefully inject it into the under eye area. There may be multiple injection points and Dr. Jindal can use either a traditional needle or blunt cannula.

After injecting the filler into the eye hollows, Dr. Jindal may gently massage it to both soothe the skin and help the filler settle into the ideal position. Following this, you will receive aftercare instructions and a timeline of when to expect your final results. Generally, all side effects will subside and the filler settles in about two weeks.

Some aftercare instructions may include elevating your head when sleeping and laying on your back. Additionally, you will want to avoid touching the area and wait to apply to products and skincare until at least the next day. Some sunscreen or light cleansing may be okay, but discuss the products you use with your provider.

Retinols and procedures such as chemical peels may need to wait a few weeks. Dr. Jindal may want to follow up with you after two weeks and you are always welcome to contact the office with questions at any point.

Combination Treatments

Under eye fillers are frequently combined with:
  • Cheek filler – for a balanced, natural result 
  • Morpheus8 RF Microneedling – for improving skin texture and tightening
  • Accutite Lower Lid Tightening – a nonsurgical blepharoplasty option to tighten skin and decrease the appearance of under eye “bags”
  • Lower blepharoplasty – surgery for the lower lids to remove “under eye bags” can often be combined with under eye and cheek filler to get a natural, balanced result

Before & After

Case 01

Frequently Asked Questions

Yes, unless extremely severe or regularly causing infections, you can get under eye fillers even if you have chronic dry eyes. Generally, there is no major effect on dry eyes from any of the three types of tear trough filler.

The side effects are generally mild and go away within one to two weeks, if not sooner. If you did have a fat transfer procedure, Dr. Jindal may want you to have a few days of downtime. Otherwise, you may experience side effects such as:

  • Redness
  • Swelling
  • Bruising
  • Itchiness
  • Minor pain around the treated area
  • Pinpoint bleeding (immediately after procedure)
  • Lumps and bumps

When it comes to dermal filler treatments, the goal is either to treat aging by filling in wrinkles or hollows or to augment the facial feature. The under eyes fall somewhat in between these two goals. Hyaluronic acid fillers are designed to draw in water to add extra plumping. For areas like the lips and cheeks, this is often welcome.

However, this extra plumping can lead to puffy looking under eyes which generally is not the desired result. Out of the hyaluronic acid options, Juvederm draws in the most water which means that it is not suitable for under eye injections. Restylane takes in much less water and is softer making it ideal for the under eye area.

Normally, yes. Fat transfer under the eyes can be permanent if the fat successfully creates a blood supply. At this point, the fat will act like the rest of the fat on your body. This does mean that with weight loss, this fat could be lost. However, if you maintain a stable weight, this is unlikely to happen for several years.

Dermal fillers—even when lasting as long as possible in the tear trough—usually need refreshing at least once a year. With regular touch-ups though, it may feel like the results are permanent.

Dermal fillers do brighten up the eyes by reducing the shadows that settle on the hollows of the eyes naturally. However, many people do develop darker pigmentation under their eyes that fillers cannot treat. There are options for treating this hyperpigmentation. Some possible treatments include:

  • Morpheus8
  • Laser treatments
  • Chemical peels
  • Plasma treatments

In addition to these in-office procedures, using certain topical products can help reduce hyperpigmentation such as Vitamin C serums. Dr. Jindal can work with you to create a plan that addresses under eye hyperpigmentation.

The Best Under Eye Fillers In Raleigh, North Carolina

Enhancing the face with surgical or non-surgical treatments requires a skilled and experienced provider. Dr. Jindal is an oculoplastic and facial cosmetic surgeon who focuses purely on eyelid and facial surgeries. Having experience on both the medical and cosmetic side of facial surgeries and treatments, Dr. Jindal is uniquely qualified when it comes to dermal filler injections. The Jindal Insitute for Youthful Aging offers the best under eye filler Raleigh provides.

Along with his technical skill, Dr. Jindal prefers to take a holistic approach when treating his patients. Instead of jumping to the most invasive procedures, he will discuss all the possibilities, including lifestyle changes or at-home treatments when applicable.

To learn more and schedule a consultation, call us at (919) 929-6006. You can also reach out online via Price Simulator or contact form.