Under-eye filler is a popular cosmetic procedure used to combat visible signs of aging and fatigue under the eyes. This guide provides a detailed explanation of under-eye filler, its types, conditions, and the most important tips and information. (1)


What is under-eye filler?

Under-eye filler provides an effective and safe solution to hollows and wrinkles under the eyes, which restores vitality and youth to your appearance, by injecting hyaluronic acid, which is the natural skin-filling substance, and provides natural results if performed by a specialized doctor. (1)


Is under-eye filler suitable for you?

Under eye fillers can be a great option for people with: (2)

  • Under eye hollows: It is caused by genetics or aging, and not temporary causes such as dehydration and lack of sleep.
  • Fine lines and wrinkles under the eye.





For dark circles: Under-eye filler is not helpful in treating or removing them, but filling the cavity under the eye reduces the shadow cast on dark circles, which helps make them less noticeable.




However, it is not suitable for everyone. Here are some factors to consider: (1)(3)


  • The under eye area is sensitive: Therefore, it is necessary to choose a specialist and trustworthy doctor.
  • Realistic expectations Filler can significantly improve the under-eye area, but it will not completely erase all signs of aging.
  • Health contraindications for fillers: It is forbidden to do Under-eye filler procedure if you are pregnant, allergic to the filler components, or have an active skin infection near the injection area.
  • Previous eye surgery: If you had recent eye surgery, you may need to wait a while before injecting the filler.


What are the best types of under-eye filler?

The best type of fillers under the eyes and the most widely used is Hyaluronic acid filler, which is a substance naturally found in the body, Therefore, it can give natural results without any concerns, especially since it is easy to modify it when needed. (2)





At Al-Ahli Hospital’s Plastic Surgery Department, we use only the highest quality fillers, applied by expert specialists with advanced experience. Your doctor will guide you in selecting the most suitable option based on your personal goals and desired results—ensuring safe, natural-looking enhancements.



How is under-eye filler performed?

A filler is performed under the eye with or without local anesthetic. If you prefer to use anesthesia to reduce pain and discomfort during the injection, the doctor will distribute a local anesthetic cream under the eye, and you will wait for approximately 30-40 minutes for it to take effect, then he will inject the filler into specific areas under the eye until he obtains the desired result. (2)


How long is the session?

Filler injection is a quick procedure, taking a few minutes (about a quarter of an hour), but if you ask to use local anesthetic cream, it will take 30-40 minutes longer until the anesthesia takes effect, as we mentioned. (2)


When do the results of under-eye filler appear?

The results of under-eye filler are immediately noticeable, with continued improvement over one to two weeks as any remaining swelling disappears. (1)


How long do under-eye filler results last?

The continuity of the filler result varies from one person to another depending on factors such as: the type of filler, the amount of filler injected, the place of injection, and the nature of the body. In general, it ranges from 6-18 months, after which you need a touch-up session to re-inject after that. (1)


Instructions post under eye filler

Follow the following instructions after the under-eye filler procedure: (4)

  • Drink sufficient amounts of water in the first days after the filler to get the best result.
  • Apply cold compresses to the under-eye area for 48 hours.
  • Do not rub or massage the area under the eyes for 48 hours after the injection unless your doctor tells you to do so.
  • Do not apply makeup or any moisturizer to the area under the eyes for 4 hours after the filler injection.
  • Avoid strenuous exercise, saunas, swimming, and hot baths for a few days.
  • Keep your head slightly higher than your body when sleeping for the first two nights to help reduce swelling. You can use an extra pillow for this.
  • Avoid sleeping on your face.
  • Avoid direct exposure to sunlight, and use sunscreen when going out.


Side effects of under-eye filler

Under-eye filler is generally safe, and its side effects are mild and temporary. By following your doctor’s instructions after treatment, you can reduce the risk of their occurrence and enjoy beautiful, natural results. (4)

Here are some possible side effects:

  • Swelling and bruising around the injection site: It begins to fade within one to three days, and can be relieved with cold compresses.


  • Injection site lumps: Which, if it occurs, usually disappears gradually within days.


  • Sunken or bluish eyes: In rare cases, injection close to the surface of the skin may cause sunken eyes (Enophthalmos) or a slight bluish color under the eyes, known as the “Tyndall effect.” A doctor can easily correct this by injecting hyaluronidase, an enzyme that helps dissolve hyaluronic acid.


  • Asymmetry: It is important that the doctor chooses the appropriate amount of filler and distributes it evenly to obtain consistent results.






Contact your doctor immediately if you develop any unusual or severe symptoms such as: (5)

  • Severe redness or swelling.
  • Infection.
  • Constant pain.
  • Difficulty seeing.



References