Under Eye Filler

Tear trough filler is safe when performed by an experienced injector who understands the anatomy of the lower eyelid. The right product (a soft, low-G' hyaluronic acid), the right technique (cannula), and conservative dosing are all essential. VRA uses Teosyal fillers formulated for this area, placed under medical oversight as required in Ontario.

Tear trough volume restoration typically lasts 12 to 18 months, which is longer than lip or cheek placement. The under-eye area has very low muscle activity, so the product breaks down more slowly than in dynamic zones like the mouth. Longevity also depends on the specific Teosyal Redensity 2 volume used, your metabolism, and how your tissue integrates the product. Conservative dosing is used at the first appointment, with a complimentary 2-week follow-up to assess whether a small touch-up is needed, and maintenance is usually discussed around the 12-month mark.

Hyaluronic acid volume restoration is most effective for dark circles caused by hollow tear troughs creating shadows. If your dark circles are primarily pigmentation-based, filler will have limited effect. A VRA injector assesses the cause during your consultation and, if filler is not the right answer, will tell you honestly and recommend a more suitable path.

Most patients need between 0.5 and 1 syringe of Teosyal Redensity 2 to treat both tear troughs at the initial appointment. Conservative dosing is the standard because the under-eye area is unforgiving and over-correction is harder to fix than under-correction. A VRA injector typically places a measured amount during the first session, then reassesses at the complimentary 2-week follow-up once swelling has resolved, layering in a small additional volume if needed. The exact volume depends on your tear trough depth, skin thickness, and whether cheek support is being addressed at the same visit.

Yes. All hyaluronic acid filler, including tear trough volume restoration, can be dissolved with hyaluronidase. This provides full reversibility if the result is not what you wanted or if any issue arises.

The Tyndall effect is a bluish discolouration that can occur if hyaluronic acid is placed too superficially under the thin under-eye skin. VRA uses products formulated specifically for the tear trough, a blunt-tipped cannula, and careful depth control to minimize this risk.

Ideal candidates have volume loss in the tear trough with relatively thin, non-puffy under-eye skin. Patients with significant festoons (malar bags), very thin skin, or significant excess lower lid skin may not be ideal candidates for volume restoration. A VRA injector assesses this thoroughly at your consultation and will tell you honestly whether filler is the right fit.

Non-injectable options include energy-based skin tightening, polynucleotide skin boosters, targeted skincare with retinoids and peptides, and addressing lifestyle factors like sleep, hydration, and allergy-related congestion. None of these replace true volume restoration when the tear trough is structurally hollow, but they can improve skin quality, reduce crepiness, and soften shadow appearance. A VRA injector assesses whether your hollowness is volume-driven, pigment-driven, or skin-quality-driven, and at the Pickering clinic alternatives may include Sylfirm X RF microneedling for skin texture, or a referral if surgical correction is more appropriate.