The eyes are the first thing that people look at when assessing someone’s attractiveness and emotional status. Research on human psychology consistently demonstrates that the eyes weigh the most in the way we perceive beauty and recognize emotions. Hence, the presence of tear trough deformities directly influences the perception of both basic emotions, such as tiredness, sadness and physical allure. Dark undereyes are never fun to deal with. As if it’s not enough to endlessly inspect those shadowy pockets under your eyes in the mirror, you also often have to deal with people asking if you’re sick or tired. Some people struggle with under eye circles their whole lives, while others only begin to show signs of them while aging. Why is that?

Infraorbital darkness and increased hollow depth can occur for a variety of reasons. While we often take dark circles to mean somebody is fatigued and exhausted, it’s not always simply related to lifestyle. Many people have dark circles built into their genetics –– the structure of your skull and eye sockets, the prominence and abundance of your periorbital soft tissue and veins, and the ligamentous architecture of your face.

Aging is also an unavoidable factor. As you go up in age, the ligaments that support the fat in your facial and orbital region weaken, and the subcutaneous fat itself droops and atrophies –– this results in an overall hollow eye effect, giving you unflattering periocular shadows. 

Loss of collagen, fatty tissue, and elastin over the years causes your face to lose its buoyant, elastic appearance. Thin or damaged skin also makes the pigment in this area darker, as the orbicularis muscle and blood vessels beneath it can look especially prominent. Hormonal changes, skin inflammation, sun exposure, and certain medications can also lead to hyperpigmentation.

There are, however, some lifestyle causes as well. Smoking, drinking, and not getting enough sleep can cause an exhausted periocular appearance –– these are notorious culprits when it comes to premature signs of aging.

Under Eyes, cheeks, smile lines, lips, chin - before and after photo
lip filler before and after photo


If you fret on and off about the deep indentations under your eyes, you certainly aren’t alone. Although dark circles are a regular complaint, it’s easy to feel like you’re particularly affected –– and to wonder if everybody looks at you and sees you as much more tired and older than you are. It’s commonly accepted that periorbital aesthetics –– meaning the appearance of the area surrounding your eyes –– serves as a major indication of your age and alertness. Most people accept the idea, whether subconsciously or not, that somebody with dark, deep under eyes looks more mature, tired, exhausted or even sickly. 

Considering this, it’s no surprise that a lot of people opt for easily accessible, speedily applied fillers to treat the hollow tear trough area. Treating facial imperfections with fillers has become increasingly common. Filler injections are incredibly popular in the US and especially in New York; in fact, in 2013, they were the most frequently performed minimally invasive procedure with over 2 million treatments that year. Many of these were to improve the appearance of the under eye and cheek area.

Under eye filler is an easy way to correct dark circles without the downtime or risks associated with more complex surgery, and hence is why many New Yorkers opt to get it done without being distracted from their professional responsibilities. Because these fillers consist of hyaluronic acid, which is inherently found in the body –– it’s also well tolerated. HA fillers can also be dissolved if a patient wishes using hyaluronidase –– meaning that the high reward of a fresh face comes with minimal risk!


Under eye or tear trough area is a complex region just below your lower eyelids and the upper cheeks. It is classically defined as the depression formed in the medial eyelid lateral to the lacrimal crest and limited in its inferior aspect by inferior orbital rim. 

The structures that contribute to the formation of the tear trough include descent and prolapse of inferior palpebral fat pad, preseptal fat, suborbicularis oculi fat (SOOF) as well as laxity of orbitomalar and zygomatic cutaneous ligaments. 

Clinical studies have concluded that best candidates for tear trough injections with hyaluronic acid fillers include those with excess fat in inferior palpebral fat pads with septal laxity, receding of the inferior bony orbital rim and hyper projection of the intrinsic suborbicularis oculi fat (SOOF) caused by displacement of tissue with age. Additionally, excess malar fat volume and thickness defect of skin or subcutaneous muscle tissue are also qualifying criteria for under eye treatment with dermal fillers. 

Dr. Schwarzburg, the medical director of Skinly Aesthetics in NYC, explains that treating under eye trough deformity entails both adding volume and correcting the position of deep fat compartments, depending on the etiology of the anatomical deficit. Patients presenting with excess fat in inferior palpebral fat pads and septal laxity benefit from tissue repositioning through HA fillers. 


A hollow suborbital region isn’t exactly the problem for everyone – insecurities around the eyes can be due to a whole host of reasons. If you’re concerned about sagging skin, for example, you may have looked into surgery, aka blepharoplasty, over fillers. 

Blepharoplasty does not have the same results or intent as under eye filler. Blepharoplasty is an invasive surgical procedure in which an abundance of skin around the eyes is resected; this can be done on the upper eyelid to correct a droopy eye, or on the lower eyelid to lessen the appearance of heavy bags. While this can create the desired look for some, it may not be worth it given the extensive downtime and risks that come with cosmetic surgery.

Under eye filler, in contrast, is not for eliminating sagging skin, but rather about creating volume and smooth facial contour by filling out those hollow tear trough areas. It is a minimally invasive procedure using only needles without incisions, and does not involve anesthesia or recovery periods. According to Dr. Schwarzburg, one of the leading cosmetic dermatologists in NYC, the side effects and complications associated with undereye filler are also less severe. Hyaluronic acid fillers are temporary, while blepharoplasty is permanent and irreversible.

under eye filler injection


Many of us garner a lot of frustration trying to treat our under eye circles. Unfortunately, no amount of expensive eye creams or heavily caked on concealer can disguise that depressed under eye look. In fact, concealers sometimes exacerbate the darkness because of the way light is reflected from the skin. Dr. Schwarzburg explains that a lot of his patients in New York try to eat healthy, cut back on bad habits, get 8 hours of sleep and yet see no changes. When you feel like these methods aren’t cutting it, under eye filler can help fill out those hollow circles for a fresh, rejuvenated look.

Dermal fillers for the under eyes have the ability to restore the loss of fat volume and skin elasticity in the periorbital region that is the root cause of dark circles. The fillers used for periorbital rejuvenation are universally hyaluronic acid-based because of the unique properties that they possess including excellent biocompatibility, natural tissue integration and volume replacement. Scientifically modulated to absorb interstitial water, hyaluronic acid particles increase in size and volume when deposited in the subcutaneous layers around the eyes. As such they have unmatched ability to restore elasticity as well as fullness under the eyes. All this lends itself to healthier, more youthful looking skin, and a more alert look. Dermal under eye fillers also trigger the body’s natural production of collagen, resulting in plumper, thicker-looking skin.


Under eye fillers are exclusively hyaluronic acid based on its unique biological properties. Hyaluronic acid is a hygroscopic substance naturally found in the body as part of the cushioning in the cartilage around the joints, and has an incredible volumizing effect by expanding in size when submerged into an aqueous environment. You may have seen it listed as an ingredient in many moisturizers, eye creams, and lotions because of its ability to draw moisture into the skin, creating a smooth and healthy appearance.

Tear trough fillers like Restylane, Juvederm, and RHA fillers work through hyaluronic acid polysaccharides that absorb water molecules under the skin to create volume-boosting effect and lifting the periorbital skin from the inside that visually makes the deep hollows disappear from the outside. Hyaluronic acid also triggers collagen creation, a structural protein that helps maintain strength and elasticity in the skin. 


Just because you have a sunken eye appearance, doesn’t mean you’re sick or have an unhealthy lifestyle. And yet, people still assume you do –– if this situation sounds at all familiar to you, you might just be the perfect candidate for under eye fillers. Whether you’ve always dealt with dark eye shadows or have started noticing new skin laxity and hollowness with age, you can restore your eye area to a smooth, plump, beautiful appearance.

The ideal candidate is defined as that with tear trough deformity limited to the region of the lacrimal depression with mild palpebral bag and no fluid retention

Having mild fat pad prolapse also makes a great candidate for this treatment. Anterior projection of the fat pad contributes and exacerbates the perception of the depth of the tear trough deformity, and this can be successfully concealed with proper application of HA filler.


Some patients have contraindications that prevent them from being good candidates for this procedure. If you have hypersensitive skin or allergies to the ingredients of the filler, septal fat herniation, a skin condition or an active infection in the area, you should forego under eye fillers.

Orbicularis oculi muscle hypertrophy, which is diffuse muscle thickening along the entire length of the lower eyelid can not be treated with under eye fillers, but instead is treated with Botox. If your primary concern is infraorbital darkness, but on a physical exam you have severe skin hyperpigmentation, it’s possible that filler also isn’t right for you. Hyperpigmentation is usually treated with special creams or lasers.

Dr. Schwarzburg notes that patients frequently mistake profound myocutaneous laxity for classic tear through depression; however, those are different entities. The skin should be firm and of adequate thickness to be suitable for dermal filler placement. Marked skin laxity usually leads to excess product use and if fluid retention develops secondary to dermal filler injections it will become even more obvious.   

Those who are pregnant or have a bleeding disorder can’t get under eye filler. At his NYC based cosmetic dermatology clinic Dr. Schwarzburg reminds his patients about the importance of managing expectations and knowing that results will not be permanent and that it takes a few days for swelling to go down. 


So you’ve made up your mind and want to pursue under eye fillers to correct those pesky dark circles. Now what? Apart from scheduling your appointment at Skinly Aesthetics in NYC, not much is required of you in terms of preparation. If you are on any blood-thinning meds (for example: Advil, Aspirin) as well as herbal supplements such as Ginkgo Biloba and vitamin E, be sure to stop taking these a week before your session to help minimize potential periorbital bruising. Make sure that you abstain from strenuous activities right before the treatment as your vessels will be dilated and enlarged and hence the risk of bleeding and bruising will increase. 


If you have sunken, shadowy under eyes and are finally ready to do something about it, Skinly Aesthetics in New York should be your first stop. To make sure you get the best results, we start off with a consultation. Before your injection session begins, it’s vital that you discuss your aesthetic goals, as well as your health history, with Dr. Schwarzburg. 

Once this discussion is out of the way, we can proceed with the treatment. To ensure your comfort and avoid skin irritation, a local lidocaine cream is applied to the cleaned and sanitized suborbital skin region before the injections begin. 

After no more than 30 minutes, Dr. Schwarzburg will wrap up the procedure with a cooling pack to help any irritation. And that’s it — you are one step closer to soft, even, full under eyes.


To achieve beautiful and aesthetically pleasing results the appropriately selected hyaluronic acid filler must be placed below the orbicularis oculi muscle and preferentially onto the periosteum. It permits the filler to securely “glue itself” to the area and be less mobile, reducing the chances of displacement. Infra-muscular (below the muscle) injection also holds the filler securely in place by providing enough tension and support to avoid filler migration. Inadvertent deposition of the filler above the orbicularis oculi universally leads to diffuse infraorbital swelling and lumping with disastrous aesthetic results which require immediate attention and must be speedily dissolved with Hylenex.

Under eye filler treatment


It is essential to know how to correctly locate and identify the vascular anatomy for injections as it is very complex and challenging. The hyaluronic acid filler injections themselves are administered via an extra thin hollow needle. Sometimes an atraumatic, blunt cannula is used in filler injections, especially when it comes to the suborbital region. However, Dr. Schwarzburg prefers a fine needle for a highly precise and smooth process. The exact point of needle insertion is the intersection of the horizontal line from the nasojugal fold and the vertical line from the lateral canthus of the eye.

Critical attention must also be paid to the vascular territories and especially to the angular artery, since it lies in close proximity to the injection territory. The course of both the angular artery and vein must be followed to avoid intravascular injection and severe complications associated with it.


One big advantage that treating under eye circles with filler in NYC has over surgery is the ease and speed of the procedure. You don’t have to put aside a whole day, or, in most cases, even a full hour for the injections. Your under eye filler session should take around 30-45 minutes –– this doesn’t include other fillers or treatments you might also be receiving, of course.


After you get your under eye filler, you technically don’t have to take any time off at all. Because of the slight swelling or bruising that may occur, you may want to stay out of the limelight for about 48 hours; during this time, you should also stay away from alcohol, extremely hot temperatures, and heavy exercise. Hot temperatures and physical activity will increase dilation of the vessels, which can interfere with the newly deposited eye filler. 

As for aftercare, it’s usually not recommended to massage or manipulate the injected area after getting fillers. Because we’re talking about your under eye area – which is highly sensitive – you should only very lightly and tenderly apply makeup if needed and completely avoid putting excessive force into that zone. Keeping the pressure off of the suborbital region after getting HA fillers is critical to allow the product to properly settle and to avoid migration or displacement. If you notice any slight discomfort, swelling, or bruising, you can treat this with a cooling pack and then a warm compress.


The idea of putting anything near your eyes – let alone a sharp needle – can cause a lot of us to flinch in discomfort. However, under eye filler treatments are usually well tolerated. Contrary to many beliefs infraorbital area is not highly innervated or highly sensitive to pain. A few superficial branches of infraorbital nerve, which is itself a branch of the maxillary nerve, cover the inferior eyelid region, but are not particularly sensitive when it comes to injections. 

For his patients in NYC, Dr. Schwarzburg doesn’t routinely apply lidocaine containing creams because the ingredients cause skin erythema and edema, which both obscure the anatomical landscape and make injections harder to perform. Whatever slight pain or discomfort you may feel is diluted through a lidocaine numbing agent included in most fillers. It can also be soothed after your procedure with a warm or cold compress. If you’re very worried about pain, you can ask for a topical numbing cream; however, Dr. Schwarzburg prefers to avoid this due to its swelling tendencies.


The results of your tear duct filler are immediate, though they may be disguised by swelling and bruising for the first few days. The filler itself will have settled within 3 days and the full results can be observed once swelling and bruising have subsided, which can be anywhere from 2 days to 2 weeks. 

You may have heard that some filler treatments sometimes require patience. Collagen-boosting fillers that cover a large area, like the buttocks, for example, can take a few months to reveal their true results. Luckily, hyaluronic acid based under-eye fillers work a lot faster. You will be able to see your fresher, more attractive under eye region in as little as 1 day – for others, it may take up to 2 weeks for their final outcome to show, given that it may take swelling and bruising a bit longer to subside.

Restylane under eye filler


Before your filler injections, the tear trough area will likely look lifeless, dark, tired, even sad. The eyes are usually the focal point of the face, so being surrounded by deep indentations and shadows can cast a gloomy disposition on you regardless of how you may feel. That’s where HA-based fillers can come in and turn things around.

Fillers will help pad out the fat in the zygomatic hollow, the setpal confluence hollow, and the orbital rim hollow –– in plainer terms, these refer to the areas under the eye that lend to a deflated appearance when suffering volume loss. This results in a more flattering facial contour, making you look younger, your skin smoother, and your eyes more full of life.


Everybody has a different body and metabolism; that means that your face may respond differently to filler, giving it more or less longevity. The amount and type of filler and the location of the injection also plays a role in how this plays out. Obviously, if you get more of the sheer amount of the filler it will take longer to get absorbed by the body. But it’s not as simple as that because the tear trough region is very delicate and thin and putting more filler can actually make the initial problem look worse. 

That’s why it’s important to select a physician like Dr. Schwarzburg in New York with enormous amount of experience to perform this highly sophisticated procedure. Additionally, the chemical composition of the filler determines its longevity. Specifically, a filler with more concentrated and highly cross-linked molecules will generally last longer than a filler with smaller concentration and lower degree of crosslinking. Having high metabolism will fasten the process of hyaluronic acid breakdown leading to shorter lasting tear trough filler results.

Generally, however, you can expect the effects of the undereye filler to start wearing off after 9 to 12 months. If you love the results of your brighter under eyes, you can come in for a follow-up for a longer-lasting fix.


One of the features of hyaluronic based under eye fillers that make them popular is that you can get them reversed if you so choose or if it’s medically needed. If the injections were done with hyaluronic acid-based filler, they can be dissolved through the injection of a special enzyme called hyaluronidase. If you have a botched under eye filler treatment with poor results from a different clinic, Dr. Schwarzburg can help correct it by dissolving the old fillers with Hylenex, and, if you wish, performing the procedure correctly for a beautiful finish at his NYC based private practice.

Hylenex is completely safe and only exerts its effects on hyaluronic acid particles found in the filler; it has no impact on your own tissues, like fat, muscles or nerves and will not melt them.

Are Facial Fillers helping with dark under eye circles


No matter how eager you are to correct your facial hollowness, you’re surely also concerned about any risks that may come with it. After all, when you’re plagued by an insecurity like dark circles for years, any solution that promises effective and long lasting results can seem too good to be true. Luckily, hyaluronic acid fillers for the periocular region come with a lot less risks and side effects than more invasive, surgical procedures. 

Common, Short Term Side Effects

Dealing with dark circles under your eyes is stressful enough – you probably want a treatment that won’t make you feel any worse. Fortunately, the side effects that commonly occur with tear trough filler are relatively mild. Some swelling and bruising is to be expected; it will usually go away on its own and can be alleviated with a warm or cool compress. The same can be said for slight pain or discomfort. Erythema, or reddening, can happen at the injection site. In some cases, when the injection technique is not performed properly or the face is not well suited for this treatment, asymmetry can be an unfortunate side effect; a well-trained and experienced physician, however, should be able to help you get symmetrical results.

Infrequent Side Effects

Some more severe side effects are on the rare side, but should still be considered as a possibility. 

Those with darker skin types sometimes develop postinflammatory hyperpigmentation (PIH), which is an intense response of your immune system resulting in deposition of melanocytes in your skin. It usually presents as dark brown discoloration that doesn’t go away after the filler has fully settled. PIH is treated with special hydroquinone containing depigmentation creams or lasers. 

Similarly, the Tyndall effect is the result of superficial placement of the dermal filler which gets reflected off the skin’s surface resulting in bluish blotching around the eyes, but this is usually due to improper injection close to the surface and can be avoided with proper care. Tyndall complication is treated with Hylenex injection with immediate and complete resolution of the problem.

Too much filler, known as overcorrection can result in extreme puffiness under the eyes; this is also a risk with patients who have many allergies or a salt heavy diet. Additionally, too much of the under eye filler can put too much pressure on the surrounding web of sensitive lymphatic vessels leading to vascular congestion and appearing as severe swelling of puffiness. This side effect is also successfully treated with hyaluronidase enzyme. 

Finally, nodules, or granulomas, can pop up when a filler compound causes an allergic reaction and the body seals it off with a thin membrane. These can be treated with massages or dissolving the filler.


The most common hyaluronic acid-based dermal fillers are called Juvederm, Restylane or RHA. They all have different biochemical properties, and there is no one filler that fits every single patient. Check out the next section for information on these two types of fillers, why they are popular for under eyes, and what the differences are between them.


There are different types of fillers that are best used for different features of the face and body. When it comes to the delicate under eye area, we at Skinly take great care to select the best filler for you. Dr. Schwarzburg generally recommends RHA or Restylane fillers to avoid bluish discoloration –– an infrequent side effect known as the “Tyndall effect,” which is sometimes associated with the misplacement of Juvederm. Here is a rundown of the most popular types of fillers for the subocular region.


Manufactured by Allergan, the same company behind Botox and Kybella, Juvederm is a popular HA-based filler that has been approved by the FDA. You may have heard it associated more with lip fillers, but its application to boost volume under the eyes is also fairly common. When the tear trough area is being targeted, Juvederm Voluma is often used. Dr. Schwarzburg explains that Juvederm Voluma is an excellent tear trough filler for those patients with very thick skin and severe volume loss. Juvederm Voluma is extensively cross-linked and has a high concentration of hyaluronic acid providing a significant increase in volume and swelling to treat a very hollow deficit. If placed correctly below the SMAS layer the extreme swelling that is associated with Juvederm Voluma filler is actually beneficial and provides the necessary degree of correction.   


Restylane is a type of hyaluronic acid filler that has various versions suitable for the indentations and creases below the eyes. Restylane Silk, Restylane Refyne, Restylane Defyne, and Restylane Lyft are some of those –– only Restylane Lyft is not always suitable for the under eyes because of its thickness. Apart from that, Restylane is a great option for under eye filler; the type of filler you go with depends on your individual needs, which your doctor will go over with you.


RHA is currently one of the few products specifically formulated to treat the eye contour. This gel’s formula combines cross-linked (70%) and non-cross-linked HA (30%) with a balanced concentration of 15mg/ml resulting in a rheological profile that is most suitable for filling the delicate under the eye area. Because of its low hygroscopic behavior it retains very little water. It was also clinically shown to reduce the likelihood of post injection inflammation.


Fine lines, uneven pigmentation, and a lack of volume in the face can lead to a lack of confidence for many of us; particularly in harsh lighting, we become hyper aware of the unflattering shadows cast on our face. Because of this, there are several cosmetic treatments that are appealing when you deal with dark circles. Apart from hyaluronic acid-based tear trough fillers, here are some other minimally invasive treatments to help revitalize your face.

Upper Cheek Filler

For some, under eye filler alone is plenty sufficient in solving their dark circle problem. Others want to take facial contouring a step further for the ultimate glow-up. In this case, you may want to consider cheek filler – this can bring more volume into the infraorbital region for a blooming look.

Fraxel Laser Treatments

Laser resurfacing is a popular technique that is used to improve the appearance of the undereye region. By targeting the under eye tissue in a controlled manner via laser technology, new, rejuvenated skin layers can come to the surface that feature increased collagen and less pigmentation for brighter, wrinkle-free under eyes. Fraxel lasers are also applied to the neck and decolletage area.

Botox Injections

While neurotoxins like Botox and Dysport do not create a plumper suborbital region like fillers do, it can help treat and prevent wrinkles and Crow’s feet surrounding the eye. This will lead to an overall more youthful appearance, and smoother skin with minimal folds.

Secret RF Microneedling

You may have heard of microneedling in the context of treating acne stars of hyperpigmentation in the face. The same technology that can help resurface acne-scarred skin can also firm up and smooth out the skin under the eyes. Microneedling creates minimal, controlled damage to the skin so that it can heal better than ever, evening out textured skin and fine lines. Secret RF microneedling takes the concept a step further by introducing radiofrequency energy –– this boosts the production of collagen and elastin in the skin.


Botox does not restore volume like filler does, per se, but that doesn’t mean it can’t have resplendent effects for your under eyes. After all, hollowness is not the only affliction people have concerns about. Crow’s feet and aging lines all around the eye socket can cause an older, even disgruntled appearance. Botox helps ease the muscles around the eyes, resulting in less textured and more even skin. A botox eyebrow lift can also perk up the eye area for a healthier look.


At home care is often just as important in maintaining your under eye area as cosmetic procedures. If you’re looking for dramatic results, you’re unlikely to find them in even more expensive creams and lotions – however, cultivating the smoothness and elasticity of your skin often comes down to hydration, which can be supported with the use of the proper products –– especially on older folks with a higher propensity for dry skin. Make sure to avoid products with harsh ingredients or fragrances, as the periorbital region is highly sensitive.


Hyaluronic acid is the primary ingredient in most fillers used in the tear trough region. Hyaluronic acid boosts the moisture content and volume in the skin by increasing its level of hydration; hydrated skin is vital to the body’s healing and rejuvenation process. 


At Dr. Schwarzburg’s cosmetic surgery clnic in New York, a typical patient requires 1 to 3 syringes of rejuvenating filler, but it primarily depends on what look they are ultimately going for. Dr. Schwarzburg can help you decide how much filler is right for you based on your wishes and desired under eye volume. It’s also important to keep in mind that overcorrection can lead to asymmetry or pillow-face look, so to avoid that and keep things looking smooth and natural, Dr. Schwarzburg recommends a modest approach of just 1mL, or one syringe. On your scheduled follow-up appointment, you can then reassess and see if more filler is needed for the ultimate facial confidence boost.


If you can’t seem to get rid of that hollow look under your eyes no matter how much foundation or concealer you pat on, it’s likely that a lack of fatty tissue and volume under your eyes is the culprit. In this case, filler can help raise the lack of volume, thereby correcting the dark circles. However, for some, it isn’t a structural problem, but a discoloration one. In the case of hyperpigmentation, other treatments like laser resurfacing or microneedling may be more beneficial, as volume isn’t the actual problem.


When dark under eyes have been an insecurity your whole life, you’ve probably gone through bottles of moisturizer and thrown money at high-end make-up products to conceal them. While under eye filler treatments can be expensive, many find that it’s worth the investment in your physical appearance and confidence.

A single syringe carries 1ml of filler each. One of these can cost between $800 and $1500 –– depending on how many syringes you use, this can tally up to a cost of $4500. These prices vary based on the location of your provider, the longevity and type of filler used, and the technical level and experience of your physician. Board-certified doctors can come with a heavier price tag than nurses, as they have significantly more training in their belt and can ensure a better result.


Insurance typically does not cover cosmetic procedures. Since under eye fillers fall under the category of a cosmetic procedure, it is unlikely they will be covered by your insurance.


Apart from the side effects listed in the section above, you have little to worry about in terms of adverse effects. Under eye fillers are generally considered very low-risk, especially in comparison with cosmetic surgery. On very rare occasions, infections or blindness have occurred, but the chance of this happening is extremely low. Making sure you’re working with a board-certified cosmetic physician with extensive knowledge in their field is vital to help avoid any risks.


It can be disappointing to pour your hopes for a better appearance into one possible solution, only for it not to pan out. To make sure you have a realistic outcome in mind, talk to your doctor about your situation and what you hope to gain through fillers. There are some periocular concerns that aren’t best addressed through fillers – for example, sagging eyelids, excess fat or festoons, and dramatic eye bags are best fixed through other methods, like surgery. As mentioned previously, hyperpigmentation is also not solved through fillers –– you may want to pursue Fraxel lasering instead if that is your case. 


Let’s go over a quick breakdown of the pros and cons of this treatment to help you decide if it’s the right way to restore the appearance of your under eyes!


If you have hollowness under the eyes, you may be frustrated with your appearance and you want instant results –– most of us have understood this feeling at one point or another. You may be ready to go under the knife to get the look you want, but it’s important to remember that the “reward” of immediate aesthetic results comes with a good amount of risk. Fillers are a low-risk, minimally invasive alternative to surgery that can nevertheless garner fantastic results. You can shirk many risks, adverse effects, the necessity of anesthesia, and bothersome downtime by going the non-surgical route. Fillers restore the volume under your eyes while boosting moisture and collagen content. All this ends up giving you a healthier and more youthful appearance. If you want to go back to the way things were, remember that fillers are temporary and reversible. It’s also a quick and relatively breezy procedure.


Nothing is perfect, and fillers are no exception. While considered low-risk, filler injections in the under eyes do come with some possible side effects which you should review carefully if you wish to move forward. Some of these include bruising or, in rare instances, lumps such as nodules or granulomas –– these can be dissolved and also avoided in the hands of an experienced injector. They also do not yield permanent results, something that turns a few people off, especially when their procedure is on the pricier side. Fillers may not be best suited for all under eye concerns, such as bags or hyperpigmentation.


Any kind of facial insecurity can cause a person a lot of anguish and frustration –– when it comes to an area as important as eyes, it often feels like it’s at the forefront of every social interaction. If you’re sick of dealing with an exhausted appearance, you can get rid of the dark shadows and fine lines under your eyes and through hyaluronic-acid based dermal fillers. These create volume, elasticity, and plumpness below the eyes for an overall improved aesthetic. When performed by a skilled board-certified medical professional, you can undergo this transformation in 20 to 30 minutes, with no downside, and a low risk of adverse effects.


There’s no reason to wait to address your tear trough concerns –– Skinly Aesthetics on the Upper East Side of Manhattan is waiting to help you through all your facial cosmetic needs. Dr. Schwarzburg, the owner and operator of this well-reviewed establishment in NYC, has many years of on-hands experience that allows him to bring the aesthetic dreams of his patients to life. To book your consultation for under eye filler, or to ask additional questions, feel free to reach out to us at (212) 774-4264 or email