Northwest Face & Body



per vial

Procedure Time

30 mins

Recovery Time

1 Day

Tear Trough Filler

Dark under eyes and bags are among some of the biggest complaints patients have about their facial appearance. Various surgical and non-surgical procedures may improve the appearance of hollow or dark under eyes. Patients often try various creams and skincare to treat their concerns. When it comes to popular cosmetic procedures to treat the under eyes, fillers are one of the most effective. Called under eye fillers or tear trough fillers, this dermal filler procedure can treat the tired, dark look of the under eyes. Northwest Face & Body provides the best tear trough fillers Bellevue and Kirkland offers.

What Is Tear Trough Filler?

Tear trough fillers are a dermal filler procedure that injects hyaluronic acid fillers under the eyes. This can treat a variety of concerns with the area and improve overall facial appearance. The exact type of filler, technique, and amount used will depend on your anatomy and treatment.

As far as other procedures that can improve the appearance of the under eyes including facial fat transfer and even facelifts. Occasionally, cheek fillers can enhance the tear troughs. You can discuss the exact treatment that will benefit you during a consultation with Dr. Ludwig Allegra or a qualified injector.

Causes Of Hollow Under Eyes

Dark, hollow under eyes have many causes. The most common of these include genetics which can make a patient predisposed to dark under eyes. Otherwise, various medical conditions and aging cause volume loss over time. Among the causes of dark and hollow tear troughs include:

  • Allergies
  • Genetic factors
  • Periorbital hyperpigmentation
  • Sun damage
  • Aging
  • Smoking
  • Thyroid malfunction or conditions
  • Glaucoma
  • Chronic dry eyes

The look of hollow or darkened under eyes does not inherently indicate a health problem or pose any risks. However, depending on the causes, the appearance may resolve if certain conditions are properly treated. If the appearance is chronic, under eye fillers can address this.


Tear trough filler carries many unique advantages to patients with dark under eyes. Additionally, as a non-surgical procedure, many patients find the benefits of under eye fillers largely outweigh those of more invasive treatment options. The benefits and advantages of under eye fillers include:

  • Quick, non-invasive procedure
  • Little to no pain
  • Few risks
  • Safe treatment
  • Alleviates the permanent tired appearance
  • More youthful look
  • Plumper under eyes
  • Reversible results
  • Custom catered procedure
  • Improvement of overall facial appearance

Types Of Under Eye Fillers

There are many options for your under eye filler in Bellevue. Firstly, hyaluronic acid fillers are the best and safest option for under the eyes. The tear troughs are a notably sensitive area that requires an experienced and skilled injector. Additionally, more permanent fillers should not be used in the periorbital area. They are more likely to cause lumps and complications in the under eyes.

Generally, Restylane and Juvederm fillers are the primary hyaluronic acid options. Restylane L is the most common filler used under the eyes. This is because it is a thin, malleable filler that can provide natural looking results. It is possible to use thicker fillers in the under eye area. However, they do not provide the same consistency in results as Restylane L. Though, this will vary depending on your anatomy and goals.

Restylane vs. Juvederm

Patients coming in for dermal fillers often ask about the difference between Restylane and Juvederm. Both are manufacturers of hyaluronic acid gel fillers used for a variety of procedures including lip filler, cheek filler, and non-surgical rhinoplasty. The two manufacturers have slightly different formulas and goals for their fillers. However, both Restylane and Juvederm fillers are used in many of the same procedures.

Some patients may prefer one filler over the other based on the results they get and how long the fillers last for them. This will vary widely across patients. As far as which filler is right for your eye filler treatment, this is best discussed during a consultation.

Before And After Under Eye Filler Injections


Before your injectors perform tear trough filler, you will need to come to Northwest Face & Body for a consultation. During a consultation, your injector will want to know about the look you want to achieve. They will also discuss your medical history and lifestyle. Finally, your injector may physically examine the area. At this point, they will determine if you are a good candidate for under eye filler in Bellevue.

If you are a viable candidate, you can usually undergo the injections at the same time. Your injector will discuss the various filler options with you. They can then recommend which they think will best suit you and your goals.

Under Eye Filler Injections

To begin your tear trough injections, your injector will clean the area with an alcohol wipe. This clears away any debris and prevents infection. Based on your preference and your injections, your injector may apply a topical numbing gel. After you are numb and the filler prepared, your injector will proceed with injections.

Using either a needle or thin cannula, your injector will precisely inject the filler into the under eye area. Depending on your anatomy, they may make multiple injections across the area. Typically, tear trough injections use at least one to two syringes of filler.

The procedure usually takes around ten to thirty minutes. If it is your first under eye injection at Northwest Face & Body, you should plan for the consultation and injections to take around forty five minutes to an hour.

Tear Trough Filler Aftercare

Following under eye filler, you should avoid strenuous exercise and sun exposure for at least twenty four hours. This can promote possible swelling and bruising. Otherwise, patients are free to return to work and all their normal activities immediately.

Some patients may experience minor side effects like swelling, bruising, itchiness, and discoloration at the injection sites. This should go away within one to two weeks. Major risks or complications of tear trough filler are relatively rare. Usually, they are easily treated with in-office remedies or hyaluronidase.

Your injector may also provide some instructions for the days and weeks following your injections. They will likely advise you not to massage the area and avoid applying eye makeup for a few hours or days.

Frequently Asked Questions

Can You Use Sculptra Under The Eyes?

No, Sculptra is not recommended or approved for use under the eyes. This is largely because the skin in the under eyes is among the thinnest on the face. Due to this, Sculptra is more likely to form bumps or nodules under the skin. Normally, with a hyaluronic acid filler, these could be disguised or dissolved. This is not as easy with Sculptra.

Additionally, Sculptra is not easily reversible. Under the eyes is a sensitive area for filler and fillers must be dissolved in the rare event of a complication.

What Is The Tyndall Effect?

The Tyndall effect with under eye filler is where the filler was placed too superficially and appears slightly blue or silver. It may also look bumpy. As previously mentioned, the skin under the eyes is some of the thinnest on the face. Therefore, an experienced injector is vital. Luckily, the Tyndall effect is easily treated by dissolving the filler and reapplication.

How Often To Get Tear Trough Filler?

The amount of time between tear trough filler treatments will vary from patient to patient. On average, under eye filler lasts between six months and one year. Many factors impact how long filler lasts including if you smoke, how much you exercise, and biological components.

Does Under Eye Filler Bruise?

It can. Although, not all patients experience bruising following under eye filler injections. If you do, it should subside within one to two weeks. It is often okay to hide it using a concealer, though you should consult with your injector before applying it.

You can prevent bruising by avoiding exercise post-treatment. You should also not use any painkillers containing ibuprofen or aspirin a few days before and after your injections. They can prolong or worsen swelling and bruising.

Is It Painful?

Tear trough injections are not overly painful. Your injector may apply a topical anesthetic before treatment to keep you comfortable during the injections. Patients usually remain perfectly comfortable during filler treatments at Northwest Face & Body.

How Much Is Under Eye Filler?

The cost of under eye filler depends on the number of injections, the provider you choose, and other factors of treatment. To obtain an understanding of the starting price of under eye fillers, visit our price list and Price Simulator™.

The Best Under Eye Fillers In Bellevue And Kirkland

Northwest Face & Body’s conveniently located office serves patients from Bellevue, Kirkland, and the entire Eastside. Performing premier plastic surgery and non-surgical cosmetic procedures since 1983, our facility is state certified and offers a welcoming space for your filler injections.

Our injectors include some of the best plastic surgeons and cosmetic injectors in the area. All of our Registered Nurse and Physicians Assistant injectors trained extensively under our physicians and dermal filler manufacturers. They refined their techniques specifically for the fillers and treatments we offer.

To find out if you are a candidate for under eye filler and to schedule a consultation, call us at 425-576-1700. You can also connect with us online via chat, contact form, or our Price Simulator™ app.