Dark circles under eyes


Fine filler to refresh under the eyes

Recovery Time

2 weeks


6-9 months

Bags under eyes – Causes and symptoms

Dark circles under eyes, also known as bags under eyes are commonly caused by tear-trough deformity. The tear trough deformity is a depression under the eyes which is often mistakenly perceived as just skin discolouration. In reality, the dark colour of the circles is often greatly exaggerated by a pronounced tear trough under the eye. The tear trough will deflect light, thereby creating a shadow and an apparent increase of dark circles under-eye and discolouration.

The nature of the tear trough deformity is very complex and often has multiple factors at play, such as genetics, ageing skin, and the unique anatomy of the area under the eye. Until recently, plastic surgeons have had limited options in improving tear trough deformity. Surgical options involved major surgical interventions with long downtimes and potential side effects.

These were the main reasons why most patients had to settle for living with dark circles under the eyes, giving them a chronically tired appearance. Recent advancements in minimally invasive aesthetic procedures have made it possible to significantly reduce dark under-eye circles caused by the tear trough deformity.

What is under-eye filler?

As stated by Dr. Michele Farber of Schweiger Dermatology Group, “Under-eye fillers are a very common solution. Anyone with dark circles, hollowing, or a chronically tired look will benefit from careful plumping with under-eye fillers.” Hyaluronic acid, also called hyaluronan, is a naturally occurring substance in the skin, connective tissues and the eyes. Identified by its clear and gooey appearance, it retains water in the tissues to keep them well lubricated and moist. It also has multiple skin benefits, like rejuvenating dry skin and reducing fine lines and wrinkles. As an under-eye filler, Hyaluronic acid is injected in the targeted area. This accelerates the formation of thicker fat pads under the skin, giving a well-rested and brighter appearance.

Although many other inject able substances may be used as under-eye filler, Hyaluronic acid has an edge over others since it works in the body’s natural processes. It blends into the surrounding area and creates a natural effect under the eyes.

Under eye filler / Tear trough fillers to treat under eye hollows

In the hands of an experienced appearance medicine professional, and with the use of the highest quality dermal fillers, the procedure takes only several minutes, with little to no downtime, and the results are a significant reduction in dark circles under eyes. Within minutes you will look younger, more relaxed and energized. Stacey has performed numerous such procedures. Her choice of filler for dark circles treatment is Esthelis or Redensity 2, which also contain ingredients to brighten and whiten area under the eyes.

If you are one of the millions of people who are bothered by their dark circles under the eye, please call us at 022 3837 968 to schedule a consultation with Stacey Power RN.

Why do you need under-eye filler?

With age, the skin under the eyes becomes paler and thinner. It gradually loses shape and volume. Under-eye hollows, also known as tear troughs, are identified by dark circles, deep indentations and a tired appearance around the under-eye area. The root cause of this change is the lack of proper fat tissues. As the body becomes older, its ability to generate collagen and elastin decreases. This causes the area under the eye to lose its volume and shape, resulting in baggy eyes. Another reason for under-eye hollows is bone loss. As scary as it sounds, the phenomenon is actually quite common. Around the periorbital areas, also known as eye sockets, bone loss has a noticeable effect. Over the age of 35, the number of bone-regenerating cells in the face depletes at a significant rate. Gradually, the bone at the eyes’ perimeter starts widening, resulting in eye hollows and flattened cheeks. With time, wrinkles and folds appear as our tissues become too large for the underlying bones.

What is the procedure of under-eye filler?

Here’s a general breakdown of the procedure:

  1. The targeted area will be marked and sterilized with a cleansing fluid.
  2. Numbing cream will be applied to the area. It will be absorbed by the skin in a few minutes.
  3. An injection will be used to pierce the skin. The filler will be unloaded into the area through this needle.
  4. Multiple injections may be required under each eye. In the case of linear threading, the appearance medicine specialist will inject a tunnel of filler into the targeted area, while slowly withdrawing the needle.
  5. The filler will be smoothed into place.

While the majority of the patients do not report any kind of pain experienced during the process, there’s always a psychological fear of inserting needles that close to your eye. Some might feel a slight prick and/or mild discomfort. 

Since this is a completely harmless and non-surgical process, the entire procedure takes only 5 to 20 minutes. However, for such a fast procedure, the effects last for 9-12 months, which makes it an extremely appealing treatment!

Recovery Period for Under Eye Treatment:

The recovery period, although not intricate, should be completed with caution with the following protocol:

  • Post-procedure, ice packs must be applied to the treated area.
  • Temporary redness, bruising or swelling can be observed. These side effects disappear soon and an ice pack is prescribed to avoid them.
  • A few follow-up appointments are preferred to assess the area and determine further need of additional fillers. If needed, more injections will be recommended – future injections over a period of weeks or months may also be recommended.

Under-Eye Filler FAQs

Who is a good candidate for under-eye filler?

Aging causes under-eye hollows. But is everybody a good candidate for under-eye filler?

  • Under-eye filler works best for people with tear troughs due to genetic reasons as opposed to lifestyle factors.
  • Smokers should be cautious as smoking can disturb the healing process in the body.
  • Under-eye fillers are not advised for pregnant and breastfeeding women due to incomplete testing done in the field.

Is the procedure painful?

Since lidocaine is used to numb the treatment area, minimal pain is felt during the procedure.

How long is the procedure?

It takes an average of 15-20 minutes.

How long will the results last?

About 6-9 months.

What are the most common side-effects of dark circle treatment?

Mild, local redness and swelling are common in this particular area. Minor, temporary bruising is possible whenever needles are used in any skin procedure.

How long do the redness and swelling last?

Usually from 2 to 7 days.

Belotero® is hyaluronic acid dermal filler. It is used to improve the look of facial fold and wrinkles and restore volume, including contouring, shaping and volumising of the lips. Always read the label and consult your Healthcare Professional for more information. This medical device must be administered by a Healthcare Professional.  You should tell your practitioner and avoid treatment with BELOTERO® if you: have had an allergic reaction to any of the ingredients; if you tend to develop keloids or heavy scars; have any bleeding disorders, poor wound healing, inflamed or infected skin, or general infection; are under the age of 18; are pregnant or breastfeeding. Please inform your practitioner of any diseases you have or have had. These include in particular cardiovascular diseases, autoimmune diseases, diabetes, epilepsy, liver or kidney problems, skin infections or severe allergies. If you take medication or vitamins, have had previous cosmetic procedures, or have been treated with other implants, please inform your practitioner.  Copyright © 2019. Pharmacy Retailing NZ Limited t/a Health Care Logistics (HCL). 58 Richard Pearse Drive, Mangere, Auckland 2022 All rights reserved. Belotero ® and Merz Aesthetics are registered trademarks of Merz Pharma GMbH & Co. KGaA

TEOSYAL RHA® 1, TEOSYAL  RHA® 2, TEOSYAL RHA® 3, TEOSYAL RHA® 4, TEOSYAL® PURESENSE REDENSITY 1, TEOSYAL® PURESENSE REDENSITY 2, TEOSYAL PURESENSE KISS ®, and TEOSYAL® PURESENSE ULTRA DEEP are trademark of the firm TEOXANE SA. These products are gel that contains hyaluronic acid, and 0.3% by weight of lidocaine hydrochloride (local anesthetic can induce a positive reaction to anti-doping tests). In the case of known hypersensitivity to lidocaine and/or amide local anaesthetic agents, we recommend not use lidocaine-containing products and please refer to products without lidocaine. They are class III medical device and are regulated health product bearing the CE marking (CE2797) under this regulation.

Local manifestations: inflammatory reactions (erythema, oedema, pain at the point of injection), haematomas, itching, temporary loss of sensitivity around the injected area, dyschromia, abscesses, indurations, nodules (possibly granulomas).

General manifestations: immediate hypersensitivity up to anaphylactic shock, migration of the implant.

Rare but serious adverse events associated with the intravascular injection of soft tissue fillers in the face have been reported and include temporary or permanent vision impairment or blindness, skin necrosis and stroke.

Please consult your physician or pharmacist for more information.
Please refer to instructions for use