After years of asking dermatologists how to treat my my tired-looking under eyes, I realized the most effective option would be undereye filler. That’s because undereye filler, also known as “tear-trough filler,” would actually level things out and diffuse the dark shadows, something which eye creams, specifically those promising to fix dark circles and puffy bags (which are often hereditary!) could not.
Still, I was nervous. Even though I’ve gone under the knife and have no issue getting Botox, the mere thought of a needle that close to my eyeball freaked me out. Would I be able to feel something under my skin each time I touched the area? Could I survive without fainting?
Finding a reputable doctor (and getting tired of smoothing the area in Facetune every time I uploaded a photo) eventually won me over. Although the final results were subtle, they made a noticeable difference that’s already convinced me to go back again when the effects wear off. That said, it’s not an ideal treatment for just anyone, nor is it a job for just any injector. If you’re considering booking your own appointment, here’s what you need to know before you get undereye filler, according to expert injectors.
Understand when undereye filler works—and when it doesn’t.
According to Dara Liotta, M.D., a New York double-board-certified plastic surgeon, most people who come to her office for tear-trough filler have the same complaint I did: I always look tired because of the indented shadows under my eyes, no matter how much sleep I get or how much concealer I tap on. Volume loss under your eyes is what filler works best for, says Liotta, but it can also be used in some cases to treat puffy bags (known as pseudoherniation of orbital fat).
What filler won’t help with is pigmentation. If your dark circles are actually caused by darker pigment in your skin, filler will only accentuate them. Not sure how to tell? Hold a mirror and look up so that bright overhead lighting hits you directly. If the shadow disappears, your dark circle is caused by a hollow. If the color is still there, it’s pigment.
Do your research and see a reputable injector for the job.
“I can not emphasize enough the importance of seeing a well qualified, board-certified physician, or physicians office, who does this procedure frequently,” Tracy Evans, MD, board-certified dermatologist, Mohs Surgeon, and medical director of Pacific Skin and Cosmetic Dermatology tells Glamour, noting that the injecting the undereye area has more risks compared with other areas of the face.