Dermal Fillers for Under-Eye Hollows — A Safe Solution for Tired Eyes
Dark shadows, hollows or that constant “tired” look under the eyes are one of the most common concerns my patients bring to Skin Savvy. Even with good sleep, hydration and skincare, under-eye hollows (also called tear trough deformity) can persist — making you look older or fatigued. The good news is that dermal fillers, when used judiciously by a trained dermatologist, offer a safe, effective and natural-looking solution.
Below I explain what under-eye fillers do, who is a good candidate, what to expect during and after treatment, risks, alternatives, and how we approach this treatment at Skin Savvy so you get predictable, beautiful results.
What are under-eye hollows and why do they happen?
Under-eye hollows form when the volume beneath the lower eyelid decreases or when the support structures (fat pads and skin elasticity) change with age. Contributing factors include:
Loss of facial fat and bone volume with age
Thinning skin and reduced collagen/elastin
Genetic anatomy — some people are born with deeper hollows
Lifestyle factors (weight loss, poor sleep, chronic stress)
Hollows create shadows that look like dark circles, even if pigmentation is minimal. Filling this area restores a smooth transition between the lower eyelid and cheek, brightening the face.
How do dermal fillers help?
We most commonly use hyaluronic acid (HA)-based fillers for the tear trough. HA is biocompatible, reversible (with hyaluronidase) and provides immediate volume and structural support. Proper placement:
Softens the lid-cheek junction
Smooths the shadowing and reduces the tired appearance
Restores youthful contour without surgery
At Skin Savvy I use product types and techniques tailored to this delicate zone — typically low-viscosity, cohesively soft HA fillers placed very precisely.
Who is a good candidate?
Ideal candidates are those who:
Have hollows or contours causing shadows under the eyes
Have good overall skin quality (no active infection or significant inflammation)
Understand realistic expectations — fillers improve hollows but do not treat true skin pigmentation or very loose skin
Are willing to follow pre- and post-procedure instructions
Not suitable (or require extra caution):
Patients with very thin, crepey skin and severe laxity (may need skin tightening or surgical options)
Active eye infections, certain autoimmune conditions, or pregnancy/breastfeeding (we avoid fillers)
Those expecting permanent results — HA fillers are temporary (lasting months to 18 months depending on product and metabolism)
Safety, side effects & rare complications
Under-eye filler is overall safe when performed by a dermatologist, but you should be aware of possible effects:
Common temporary effects
Mild swelling, redness, tenderness or bruising for a few days
Lumpiness that usually resolves in the first 1–2 weeks
Less common / important risks
Persistent swelling (especially in patients with lymphatic drainage issues or allergies)
Tyndall effect (bluish discoloration) — avoidable by correct depth and product choice
Vascular occlusion (very rare) — a blood vessel may be compromised; immediate recognition and treatment with hyaluronidase can prevent tissue damage
Infection (rare) — minimized with strict aseptic technique
Because the tear trough is anatomically complex and near important structures, choice of product + injection technique + experience matter. At Skin Savvy I follow strict protocols and have hyaluronidase on hand should reversal be needed.
Complementary treatments & alternatives
Sometimes fillers alone are not enough, and a combined approach gives the best result:
PRP (Platelet-Rich Plasma) — stimulates collagen and improves skin quality under the eyes; good when combined with fillers.
Skin boosters (micro HA) — for fine surface hydration and texture improvement.
Fractional lasers / radiofrequency — tighten skin and improve pigmentation/texture.
Lower eyelid blepharoplasty (surgical) — best for severe fat prolapse or very loose skin.
During consultation I explain if fillers alone will work or if combining treatments will give a longer-lasting, natural outcome.
Aftercare (my post-treatment advice)
Avoid strenuous exercise, alcohol, and facial massages for 24–48 hours.
Sleep with head elevated the first night to reduce swelling.
Use cold compresses for discomfort or swelling.
Protect the area from strong sunlight and use sunscreen.
Return for review at 2 weeks — I commonly fine-tune if needed.
Results you can expect
Most patients see an immediate improvement in hollowness and under-eye shadowing. Final results settle over 2–4 weeks as swelling reduces and filler integrates. The goal is subtle rejuvenation — a fresher, well-rested look, never an overfilled or “done” appearance.
Why choose Skin Savvy?
At Skin Savvy we combine a careful anatomical assessment with conservative, safety-first techniques. My priority is a natural outcome and patient safety — which means realistic expectations, using the right product, and follow-up care. If you’ve been hiding behind concealer or tired of looking fatigued despite rest, under-eye filler could be a life-changing, minimally invasive option.
Conclusion
Under-eye hollows can make you look tired even when you’re full of energy. With the right dermal filler treatment, you can safely restore volume, smoothness, and brightness to your under-eye area — without surgery or downtime.
At Skin Savvy, I believe in enhancing your natural beauty, not changing it. Every filler treatment is customized to your facial anatomy and goals, ensuring subtle, graceful, and long-lasting results.
If your eyes look tired even after a good night’s sleep, it might be time to consider a professional solution. Visit Skin Savvy, Varanasi, and let’s bring back that fresh, youthful glow — safely and naturally.
For more information please connect with us:
Hospital’s Name: Skin Savvy by Dr Garima Varanasi
Address: Malviya kunj, SHARABH HOSPITAL, B31/13 D-P, Saket Nagar Colony, Lanka, Varanasi, Uttar Pradesh 221005
Contact Number: +91-8808872742
Email Id: contact@skinsavvybydrgarima.com
Working Days & Hours: Mon – Sat(11am–7 pm) , Sunday(12pm–4 pm)