“The less movement, the longer it lasts.” But of course, everyone’s body metabolizes filler differently. “Because the area doesn’t get a lot of movement-unlike, for example, the mouth, which talks and eats and moves quite a bit-it’s one of the areas that holds on to filler the longest,” she explains. “Hyaluronic acid is an ideal filler material because it is safe and effective and can be dissolved easily with an enzyme called hyaluronidase.” Undereye filler can last anywhere from 6 to 18 months.Īccording to Kitsos, undereye filler lasts anywhere from six months to a year, or possibly even longer. Other types of fillers like poly-l-lactic acid (Sculptra) and calcium hydroxyl-apatite, or Radiesse, should never be injected in the undereye area,” registered cosmetic nurse Kristina Kitsos explains. “The only type of filler that should be injected under the eyes is a hyaluronic-acid-based filler. Most doctors use hyaluronic acid dermal filler for the tear trough, especially if it’s a patient’s first time you should ask during your consultation what they will use. Make sure you’re getting hyaluronic acid fillers. “Blindness is a rare side effect if the filler enters a blood vessel of the eye and occludes it,” she says, hence the importance of seeing a well-trained injector. Common side effects include bruising and swelling, and nodules and bumps under the eye can occur. “Be super certain that you fully understand the risks associated with filler injections around the eyes,” Jaimie DeRosa, MD, double-board-certified facial plastic surgeon at DeRosa Center for Facial Plastic Surgery and Facial Aesthetics in Boston, advises. On that note, all injections come with a risk, and it’s important to know what they are before going in.

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