Under Eye Hollows/ Dark Circles/ Bags

The area under the eye is a common cosmetic concern.  The eyes are a key area It’s often associated with looking tired. The under eye area often gives away our age.  As we mature our eyes look tired and may develop under eye bags and wrinkles around the corners. Many of us  reach for cucumbers or that ‘miracle eye cream’ to help refresh our eyes. But did you know you can achieve great longer-lasting results using Dermal Fillers, which is a non-surgical walk in walk out procedure.

Treating the under eye area therefore can result in a fresher more youthful look in one of the key areas that everyone tends to notice – our eyes.


Tear troughs are a groove extending from the inner eye corner,  downward and outwards and causing hollowing or dark shadows under the eyes, or in severe cases, the appearance of eye bags. They create a hollow at the junction between the lower eyelid and the cheek. Often tear troughs formation are genetic 

Bags under eyes — mild swelling or puffiness under the eyes — are common as you age. With aging, the tissues around your eyes, including some of the muscles supporting your eyelids, weaken. Normal fat that helps support the eyes can then move into the lower eyelids, causing the lids to appear puffy. Fluid also may accumulate in the space below your eyes, adding to the swelling.

Dermal fillers can help to smooth the transition between the lower eyelid and the cheeks, and make the appearance of tear troughs or eye bags less obvious.

As we age, there are 3 main reasons tear troughs form:

  • Skin – the skin looses its elasticity Loss of Skin elasticity
  • Volume loss – we lose our fat pads which usually  gives volume and support to the eye area.
  • Skull changes – the eye socket becomes larger  and the cheekbone reduces in  size with less cushioning around the eye.



Other contributing factors include genetics, pigmentation, lack of sleep and lifestyle. As we mature in years the malar fat pad which is adjacent to the nose and below the eye shrinks and drops and this causes fat reduction under the eye, causing darkening in the area and a loss of volume.

The darkness under the eyes  is often caused by shadowing of the underlying muscle and blood vessels which shows through the semi-translucent skin


The appearance of eye bags and tear troughs can be reduced through the injection of temporary dermal filler.

Tear troughs can be corrected by injecting dermal filler directly under the hollow between the lower eyelid and cheek. This lifts the tear trough up to the level of the lower eyelid and cheek, thus smoothing the appearance of the area. 

In the case of eye bags, often these are caused by the loss of volume in the mid-cheek. By replacing volume in the mid-cheek using dermal fillers, reduces this difference and therefore the appearance of eye bags.

Often  eye bags and tear troughs are present together and   therefore it is necessary to treat both problems by filling the mid-cheek as well as the tear trough directly.

It is important not to use too much filler in this area due to the risk of over inflation.Ideally we under correct the area with dermal filler to allow the dermal filler to slowly absorb water over the next two to four weeks. This gradually plumps up the area.

Dermal fillers can gently inflate the area under the eye to either soften the hollowing or lessen the darkness by thickening up the layers between the darker underlying muscle and the thin skin overlying the muscle.

In effect, it replaces the missing subcutaneous fat that has lessened over time with the retraction and thinning of the underlying fat pad. It also can smooth the sharp demarcation between the bulging bag under the eye and the adjoining skin, which softens the junction between the two areas. The exact amount of water absorption in this arrives difficult to predict and therefore we do try to advise all patients to underfill, as an improvement, not ‘perfection’ can only be expected.

All injections into the skin are at risk of bruising and swelling.

Overcorrection  of the under eye area can lead increased absorption of water into the dermal filler which can create in itself a swelling and exacerbate the bagginess.

The good news is that in the unlikely event of this occurring, we have an “antidote” that  can be injected into the area to dissolve the product within a matter of days.

A very rare  serious side effect is blindness when treating around the eye area.

Often people expect tear trough treatment to be very painful, because of the close proximity to the eye. Our expert injectors ensure your experience is as pain free as possible. They use injection techniques to making  tear trough treatment very much more comfortable. 

The procedure often only takes between  15  – 30 minutes to complete.

Why should I choose Jeunesse MedSpa® as my provider for under eye issues? 

Treating the tear troughs is an advanced non-surgical procedure and the experience of the clinician is key in order to prevent lumps, bumps and unwanted side effects. Our doctors  are specifically trained in how to carry out effective tear trough rejuvenation procedures.

We use dermal filler  to raise the hollow  just beneath your eye and level out the area, effectively   smoothing your skin and reducing the shadow, dark area, and impression of hollow eyes.

So whether you want to alleviate those dark circles, bags or hollows under your eyes using non-surgical dermal fillers, who better to trust than one of the most experienced providers of under eye dermal fillers in the Waikato, the doctors at Jeunesse MedSpa®… experience you can trust.


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