Under Eye (Tear Trough) Filler – Dark Eye Circles Treatment


Dr Y.B. Choong

Medical Aesthetics Doctor


It’s important to understand that there are several treatment options available in the market which may achieve similar results from the ones listed here. This article is also not meant to suggest that the treatments we offer are the only sole or best options.

As we age, the delicate under eye area often becomes the first to show noticeable signs of ageing. The muscles surrounding our eyes gradually weaken, and the skin in that area starts to lose its firmness. Additionally, the fat pads around the eyes begin to sag as the supporting muscles and skin lose their strength. Over time, these factors contribute to the formation of unattractive eye bags and dark circles under the eyes.

Fortunately, there are several medical treatments available to effectively counteract these effects. The use of under eye (tear trough) fillers helps replenish lost volume in this area and effectively reduces the appearance of dark circles. It can also fill in hollow areas and minimise the presence of wrinkles around the eyes.

What Are Dark Eye Circles?

Dark circles are dark brown to black discolourations that appear around the eyes due to an accumulation of melanin. Also known as periorbital dark circles or periorbital hyperpigmentation, these blemishes are more noticeable in people with fair skin because of the reddish-blue tint given off by the underlying veins in the eye area. They are not dangerous but can make a person feel less confident and self-conscious about their appearance.

What Causes Dark Eye Circles and Eye Bag?

Dark Eye Circles

As we age, the muscles around the eyes weaken and the skin surrounding them becomes lax. This can result in drooping fat pads around the eyes, creating eye bags and dark circles.

Dark circles under the eyes can be due to 4 main factors:

  • Congested or leaky capillaries
  • Pigmentation
  • Loss of volume under the eyes, creating a shadow
  • Lifestyle habits such as insufficient sleep and alcohol consumption

Dark Eye Circles can be also be caused by many other factors, including:

  • genetics – play a major role in how your body ages and is difficult to control
  • lifestyle choices
    • smoking – restricts blood vessels leading to paler skin
    • sun exposure – can break down collagen leading to the thin fragile skin around the eyes.
  • ageing
Eye Bags

On the other hand, eye bags form as a natural result of ageing and the decrease in collagen levels. As we grow older, the fatty deposits around the eyes tend to sag and protrude, resulting in the noticeable emergence of eye bags.

The great news is that these symptoms can be treated!

What Is Under Eye (Tear Trough) Filler?

Under-eye (tear trough) fillers, commonly used to address sunken eyes and eye bags, consist of soft gel-like substances primarily consist of hyaluronic acid. Hyaluronic acid is a natural compound found in the body’s connective tissues and skin.

Previously, surgical eye bag treatments were the sole options available for addressing sunken eyes and eliminating eye bags. Today, under-eye fillers are readily available, making them easily accessible to those seeking this cosmetic treatment. Popular brands of under eye fillers in Singapore include Restylane, Juvederm, and Belotero, all made from hyaluronic acid.

By choosing under eye fillers, individuals can achieve immediate and long-lasting results, effectively improving the appearance of sunken eyes while reducing the prominence of dark circles and eye bags. This non-invasive treatment eliminates the need for surgical interventions, providing a safer and more convenient option for those seeking cosmetic enhancements.

How Under Eye (Tear Trough) Filler Works?

Dark Eye Circles

Under eye dermal fillers improve the appearance of dark circles caused by sunken eyes. By adding volume and stretching the skin, they eliminate the hollow look and reduce dark shadows. Sunken eyes, also known as tear troughs, can result from various factors such as:

  • volume loss
  • lack of sleep
  • alcohol consumption
  • thin skin
  • collagen loss
  • genetic predisposition like nasal allergies may cause blood vessels around the under-eye area to dilate, resulting in a dark purplish appearance
Eye Bags

Under eye fillers can be injected around the bags to conceal them and make them less noticeable. Eye bags occur due to aging and collagen loss, causing the fat pads around the eyes to sag and droop outward, resulting in prominent bags.

How Can Dermal Fillers Improve Dark Eye Circles?

Under-eye fillers are one of the most popular cosmetic treatments used to improve the appearance of under-eye dark circles.

When it comes to treating under eye dark circles, dermal fillers can help add volume under the eyes to reduce shadows caused by sunken eyes. Hyaluronic acid molecules attract water to the treated area, further hydrating and plumping up the skin for a more refreshed look. Through the use of dermal fillers, the hollow area under the eyes can be filled in and shadows due to ageing or genetics can be softened. This can provide an overall brighter look and make the eyes appear more youthful and rested.

Under Eye Fillers Treatment Process

Once the appropriateness of under-eye dermal fillers as a treatment option has been determined through your doctor consultation, a numbing cream will be applied to the under-eye area for optimal comfort. The cream will take effect within 15-20 minutes.

Following that, the under-eye region will be treated with small and precise injections of dermal filler. These injections are carefully administered to target the tear trough area beneath the eye, effectively addressing hollowness and concealing eye bags.

The entire treatment process is relatively quick, typically taking around 20 minutes. Mild redness at the treatment area may occur but will subside within a few days. It is worth noting that makeup can be applied immediately after the treatment to conceal the injection points.

Under Eye Filler Side effects and aftercare

Injecting fillers into dark eye circles is generally considered safe with minimal side effects such as swelling or tenderness at the injection site. But these typically subside within a few days. 

Aftercare instructions must be followed carefully in order to avoid any complications such as bruising or infection. 

It is important to have realistic expectations about fillers and understand that they are not a permanent solution – under eye fillers will need to be repeated every few months or years.

What is the most effective treatment for under-eye shadows and eye bags that is suitable for me?

The suitability of treatment options depends on factors such as the formation of your eye shadow or eye bag. If you have sunken eyes or a deep tear trough with fine static lines, dermal fillers can be considered. These fillers, containing substances like hyaluronic acid, restore volume and rejuvenate the under-eye area, reducing the appearance of sunken eyes and fine lines. By adding volume, dermal fillers provide a more youthful and refreshed look, boosting confidence.

Alternatively, if you notice sagging and loss of firmness under your eyes, collagen-stimulating treatments like Thermage, Fotona SmoothEye Laser, or Thread Lift can rejuvenate and tighten the skin. These procedures stimulate collagen production, promoting natural healing and resulting in smoother, lifted skin. 

For a definitive answer, we highly recommend scheduling a consultation with our doctor. This will allow us to address your concerns and identify the most suitable treatment option tailored specifically for you.

Can be combined with lasers, Rejuran, skin boosters, Thermage or thread lift to maximise results?


The effects of under-eye fillers can vary depending on the type and depth of dark eye circles. Those with mild dark circles may only need one session while more severe cases may require multiple fillers treatments. Depending on the severity, fillers may be used in combination with other treatments such as lasers, Rejuran, skin boosters or thread lift to maximise results. Additionally, fillers can be combined with topical creams for enhanced improvement in skin tone and texture.

NEW at Cienna Aesthetics! Thermage FLX

Thermage is a skin treatment that can be used to address eye bags, loose skin and wrinkles around the eyes. It works by using radio frequency technology to heat up the deep layers of the skin, which helps boost collagen production and improve elasticity. 

As a result, it can help reduce the appearance of dark circles while also promoting firmer and more youthful-looking skin around the eyes. Treatment sessions typically last between 30 minutes to an hour, and you may need multiple treatments over time to achieve your desired results.


If you’re looking to improve dark circles around the eyes, fillers can be a great solution. An experienced aesthetic physician will assess your needs and develop a personalised treatment plan tailored to you. With fillers, you can enjoy long-term benefits with minimal risk and downtime. Talk to your doctor today about fillers for dark eye circles as an option for you.


There are other possible options available when it comes to some of these aesthetic treatments. The information and advice published on or made available through this website is for informational purposes and not intended to replace the professional advice of a trained health professional.

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