{"product_id":"under-eye-filler","title":"Under-Eye Filler for Tear Troughs","description":"\u003cp\u003e\u003cstrong\u003eLook rested, not tired.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eUnder-eye filler, also called tear trough filler, is a soft hyaluronic acid gel placed in the hollow between the lower lid and cheek. It smooths the shadow that makes you look tired, even when you've slept well.\u003c\/strong\u003e I most often use Restylane Eyelight.\u003c\/p\u003e\n\u003cp\u003eThink of catching your reflection in an elevator and looking as rested as you feel, reaching for less concealer, and hearing \"you look great\" instead of \"are you tired?\" That's the goal: you, refreshed.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003eMy approach: why I often start with the midface\u003c\/h2\u003e\n\u003cp\u003eUnder-eye hollows are often about the cheek, not only the eye. As the midface loses support, the lid-cheek junction deepens. So I usually restore the midface first. In many cases, that alone brightens the under-eye area so much that very little or no tear-trough filler is needed afterward.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eWhat I want you to know up front\u003c\/strong\u003e\n- I most often use Restylane Eyelight, a filler made for this area.\n- Many people need less under-eye filler than they expect once the midface is supported.\n- I plan two sessions, not a single touch-up, because that gives the most natural result.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003eWhat does under-eye filler treat?\u003c\/h2\u003e\n\u003cp\u003eHollows and shadows under the eyes, often from genetics or changes over time. It's best for a groove or hollow, and less helpful for puffiness or bags. If another option would serve you better, like \u003ca href=\"https:\/\/drdorisday.com\/products\/fotona-eyelase\"\u003eFotona Eyelase\u003c\/a\u003e or skincare, I'll tell you. It suits people of every skin tone, and I tailor product and placement to your face.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003eWhy the under-eye area needs extra care\u003c\/h2\u003e\n\u003cp\u003eThe skin under your eyes is some of the thinnest on your body, and right under the tear trough there's little or no fat to cushion it. Just behind a thin membrane called the septum sit three small fat pads, and a tight band of tissue, the tear trough ligament, anchors the skin to the bone along the inner part of the rim. That ligament is what creates the groove. Tiny blood vessels run through this area too.\u003c\/p\u003e\n\u003cfigure style=\"margin:22px 0;\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0874\/9678\/6204\/files\/under-eye-anatomy-v14.png?v=1793574578\" alt=\"Simple drawing of under-eye anatomy showing the eye fat pads, tear trough and cheek fat.\" width=\"688\" height=\"784\" loading=\"lazy\" style=\"max-width:100%;height:auto;display:block;margin:0 auto;\"\u003e\u003c\/figure\u003e\n\u003cp\u003eAll of this means placement matters. Filler placed too close to the surface can show through as a bluish tint (called the Tyndall effect) or as small lumps. Too much, or in the wrong layer, can look puffy, because this area tends to hold onto fluid. And knowing where the vessels run guides where and how deep I work.\u003c\/p\u003e\n\u003cp\u003eThat's why I'm deliberate here. I use Restylane Eyelight, a soft filler made for this area, and most often place it with a blunt-tipped cannula, which glides along the right layer with fewer entry points; sometimes a fine needle is the better choice for a specific spot. I usually plan two sessions about 6 to 8 weeks apart, so the first can settle before I refine. And because I often restore the midface first, many people need very little or no filler in the tear trough itself.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003eHow I place under-eye filler: cannula or needle\u003c\/h2\u003e\n\u003cp\u003eMost often I use a cannula, a fine, blunt-tipped tool that lets me place the gel smoothly with fewer entry points. Sometimes a needle is the more precise choice for a specific spot, and I'll use whichever gives you the best result.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003eHow many sessions will I need?\u003c\/h2\u003e\n\u003cp\u003eUsually two, about 6 to 8 weeks apart. This isn't a touch-up. Building in two steps lets the first session settle so the second can refine it, for the most natural result. Some swelling or bruising can happen for a few days, so plan ahead before a big event.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003ePairing filler with skin treatments\u003c\/h2\u003e\n\u003cp\u003eFiller restores volume in the tear trough, but it doesn't change the skin itself. The skin under the eye is thin, and over time it can look crepey, with fine lines and uneven texture. \u003ca href=\"https:\/\/drdorisday.com\/products\/tixel\"\u003eTixel\u003c\/a\u003e and the \u003ca href=\"https:\/\/drdorisday.com\/products\/ultraclear-laser\"\u003eUltraClear laser\u003c\/a\u003e are excellent for that skin: they improve crepiness, fine lines and texture under the eye. My team often combines them with under-eye filler, so you get both the volume and smoother skin.\u003c\/p\u003e\n\u003ch2 style=\"font-size:22px;margin:22px 0 8px;\"\u003eHow long does it last?\u003c\/h2\u003e\n\u003cp\u003eRestylane Eyelight is designed to last up to 18 months. In my experience, results often last well beyond that.\u003c\/p\u003e\n\u003cp\u003eSee all \u003ca href=\"https:\/\/drdorisday.com\/products\/fillers\"\u003efiller treatments\u003c\/a\u003e, the \u003ca href=\"https:\/\/drdorisday.com\/products\/rha-collection\"\u003eRHA® Collection\u003c\/a\u003e for the midface, or pair it with \u003ca href=\"https:\/\/drdorisday.com\/products\/moxi\"\u003eMoxi\u003c\/a\u003e for skin quality.\u003c\/p\u003e\n\u003cp style=\"margin:24px 0;\"\u003e\u003ca href=\"https:\/\/dorisdaymd.com\/pages\/contact-us\" class=\"button\" style=\"display:inline-block;padding:14px 28px;background:#6b2d5c;color:#fff;text-decoration:none;letter-spacing:.05em;font-weight:600;\"\u003eBOOK A CONSULTATION\u003c\/a\u003e\u003c\/p\u003e\n\u003cp style=\"font-size:14px;\"\u003e\u003cem\u003eMedically reviewed by Doris Day, MD\u003c\/em\u003e\u003c\/p\u003e\n\u003cscript type=\"application\/ld+json\"\u003e{\"@context\": \"https:\/\/schema.org\", \"@graph\": [{\"@type\": \"MedicalWebPage\", \"@id\": \"https:\/\/drdorisday.com\/products\/under-eye-filler#webpage\", \"url\": \"https:\/\/drdorisday.com\/products\/under-eye-filler\", \"name\": \"Under-Eye Filler for Tear Troughs\", \"description\": \"Look rested, not tired. NYC dermatologist Dr. Doris Day explains under-eye filler with Restylane Eyelight and why she often starts with the midface.\", \"about\": {\"@type\": \"MedicalProcedure\", \"name\": \"Tear trough filler with Restylane Eyelight (hyaluronic acid)\"}, \"audience\": \"Patient\", \"reviewedBy\": {\"@type\": \"Person\", \"name\": \"Doris Day, MD\", \"jobTitle\": \"Board-certified dermatologist\"}}, {\"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"What is tear trough filler?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"It's a soft hyaluronic acid filler placed in the hollow under the eye to smooth shadows that make you look tired. I most often use Restylane Eyelight.\"}}, {\"@type\": \"Question\", \"name\": \"Do I need filler under my eyes, or in my cheeks?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Often the cheeks come first. Restoring the midface can brighten the under-eye area so much that very little or no tear-trough filler is needed.\"}}, {\"@type\": \"Question\", \"name\": \"How many under-eye filler sessions will I need?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Usually two, about 6 to 8 weeks apart. It's not a touch-up; the second session refines the first for the most natural result.\"}}, {\"@type\": \"Question\", \"name\": \"How long does under-eye filler last?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Restylane Eyelight is designed to last up to 18 months. In my experience, results often last well beyond that.\"}}, {\"@type\": \"Question\", \"name\": \"Who places the under-eye filler?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"I do, mostly with a cannula and sometimes with a needle. I'm a master injector, injecting for over 25 years.\"}}, {\"@type\": \"Question\", \"name\": \"Can I combine under-eye filler with Tixel or laser?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. Filler restores volume in the tear trough, while Tixel or the UltraClear laser improve the thin, crepey skin, fine lines and texture under the eye. My team often combines them, and we'll plan the timing with you.\"}}, {\"@type\": \"Question\", \"name\": \"Is under-eye filler right for every skin tone?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. I tailor the product and placement to your face, and it suits people of every skin tone.\"}}]}, {\"@type\": \"BreadcrumbList\", \"itemListElement\": [{\"@type\": \"ListItem\", \"position\": 1, \"name\": \"Home\", \"item\": \"https:\/\/drdorisday.com\/\"}, {\"@type\": \"ListItem\", \"position\": 2, \"name\": \"Treatments\", \"item\": \"https:\/\/drdorisday.com\/collections\/all-treatments\"}, {\"@type\": \"ListItem\", \"position\": 3, \"name\": \"Under-Eye Filler for Tear Troughs\", \"item\": \"https:\/\/drdorisday.com\/products\/under-eye-filler\"}]}]}\u003c\/script\u003e\n","brand":"Doris Day MD","offers":[{"title":"Default Title","offer_id":54811372781852,"sku":null,"price":0.0,"currency_code":"USD","in_stock":true}],"url":"https:\/\/drdorisday.com\/products\/under-eye-filler","provider":"Doris Day MD practice","version":"1.0","type":"link"}