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Woman with visible dark circles udner eyes

Can Dermal Fillers Under Eyes Really Help Tired, Hollow Eyes?

The under-eye area is one of the most common concerns for patients at PHI Clinic. Hollowing, shadows, dark circles, and puffiness can make you appear tired even when you feel well-rested. For many, concealer and skincare offer limited improvement, leading to the question: can dermal fillers under the eyes really help tired, hollow eyes?

 

With precise placement and the right approach, tear trough fillers can restore gentle volume, smooth the transition from eyelid to cheek, and refresh your appearance without surgery. Here, our practitioners explain what to expect, how effective this non-surgical cosmetic treatment can be, and why expertise matters.

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How do dermal fillers under eyes work?

The hollow beneath the eyes, often called the tear trough, forms as fat pads shift, collagen production slows, elastin fibres weaken, and skin becomes thinner with age. Genetics can also play a role, meaning some people notice under-eye bags or dark eye circles earlier in life.

 

Injectable treatments such as tear trough fillers use hyaluronic acid, a substance naturally found in the skin, to restore volume in this delicate groove. By lifting the hollow and supporting the skin around and under the eyes, fillers reduce the shadow effect that contributes to tired-looking eyes. The result is a smoother, more rested appearance, often described by patients as looking “brighter” or “less fatigued.”

What results can you expect?

On average, results from tear trough fillers last nine to twelve months. This area is less active than the lips or smile lines, which means filler remains stable for longer, supporting skin quality and structure over time.

 

Longevity depends on factors such as:

  • Metabolism: Faster metabolisms may break filler down sooner.
  • Product choice: We only use premium, clinically tested hyaluronic acid fillers designed specifically for delicate areas like the skin around your eyes.
  • Technique: Placement at the correct depth supports both safety and longevity.

 

Most patients return around the one-year mark for a review and may choose a maintenance top-up to preserve results.

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Are fillers under the eyes safe?

 

The skin around and under the eyes is one of the most delicate areas to treat. It is thin, with complex anatomy, and the potential for complications is higher than in other areas. For this reason, safety and precision are essential.

 

At PHI Clinic, all under-eye filler treatments are performed exclusively by our practitioners with advanced training in injectables and facial anatomy. By tailoring the amount of filler used and placing it at the correct injection points, our practitioners minimise risks such as swelling, puffiness, or the Tyndall effect, where filler appears bluish beneath the skin.

Who is suitable for treatment?

 

Dermal fillers under the eyes are most effective for patients whose main concern is hollowing, shadowing, or early volume loss. However, not all tired-looking eyes are caused by this alone. Dark circles may be due to pigmentation, very thin skin, or visible blood vessels. Prominent eye bags or significant puffiness may require an alternative approach.

 

During your consultation at PHI Clinic, your doctor will assess your individual anatomy and create a bespoke treatment plan. In some cases, complementary treatments such as skin boosters, cheek filler, or laser resurfacing may be recommended to improve skin quality and support long-term rejuvenation.

Factors that influence results

Just as with other injectable treatments, individual factors play a role in how effective and long-lasting your results will be. These include:

  • Lifestyle factors: Smoking, sun exposure, and lack of sleep can all worsen dark circles and under-eye hollows.
  • Skin health: Hydrated, well-cared-for skin often supports better outcomes.
  • Consistency: Regular maintenance treatments help sustain results year after year.

Combining good skincare practices with professional care helps maintain the refreshed look achieved with tear trough fillers.

What happens when fillers wear off?

The effects of tear trough filler fade gradually as the product is metabolised by the body. Patients typically notice a soft return of hollowing or dark circles, rather than a sudden change. Many prefer to schedule a review at the nine to twelve month point, while others wait until results have fully worn off before repeating treatment.

 

The benefit of hyaluronic acid fillers is that they are reversible. Should you ever wish to adjust or dissolve your filler, this can be done safely in-clinic by our medical team.

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Why we care at PHI Clinic

The success of tear trough fillers depends as much on the injector’s skill as the product itself. Incorrect placement or excessive volume can lead to uneven results, puffiness, or disruption to the natural lip-cheek transition under the eye.

 

At PHI Clinic, all aesthetic treatments are carried out by our practitioners who combine medical expertise with an artistic eye for balance. This ensures outcomes are subtle, natural, and aligned with your overall facial harmony.

 

So, can dermal fillers under eyes really help?

 

For patients with hollowness beneath the eyes, dermal fillers can provide significant improvement. By softening shadows, reducing the appearance of tiredness, and supporting collagen production in the skin around your eyes, they create a fresher, more rejuvenated look. Results typically last close to a year and can be maintained with regular treatment.

Take the next step towards smoother, revitalised under-eyes

If you are considering tear trough filler and would like to know whether it is right for you, the first step is an in-depth consultation at PHI Clinic. Our practitioners will assess your concerns, evaluate your anatomy, and create a tailored treatment plan designed to restore natural-looking brightness.

 

Book your consultation today at PHI Clinic, Harley Street, and take the first step towards reducing dark circles, improving skin quality, and achieving long-lasting facial rejuvenation with expert-led care.

phi clinic london harley street

Location
 

PHI Clinic
102 Harley Street,
London,
W1G 7JB,
United Kingdom

Tel: 02070345999

Opening Hours
 

Monday & Tuesday - 9:30am to 6:00pm
Wednesday & Thursday - 9:30am to 8:00pm
Friday - 9:30am to 5:00pm
Saturday - 11:30am to 12:30pm
Sunday - Closed
 

Opening times can change, if your appointment is outside of these times please contact the clinic for confirmation.