If concealer keeps sliding into the shadow under your eye, that is what this treats. Most need 0.5 to 1 mL.
Book a consultationSee what is casting it
Under-eye filler is hyaluronic acid gel placed deep on the orbital rim, under the hollow. Most need 0.5 to 1 mL, and it holds 9 to 12 months. Juvéderm® Volbella® XC is FDA-approved for the improvement of infraorbital hollows in adults over 21; Restylane®-L has no FDA indication there, so that use is off-label.
You have been told you look tired. Under-eye filler is hyaluronic acid, a water-holding gel your body makes, placed deep on the orbital rim. It raises the floor of the tear trough; the shadow gets shallower. Pigment, laxity and fat pads are different findings.
What changes is how much shadow the hollow can hold. The gel sits under the orbicularis, directly on the bone of the orbital rim. Too shallow, it scatters light and reads blue-gray: the Tyndall effect.
| Option | What it is | Where it sits | Typical duration | Reversible | Main limitation |
|---|---|---|---|---|---|
| Juvéderm® Volbella® XC | Hyaluronic acid, low concentration, cohesive gel, with lidocaine | Deep, on the orbital rim | Commonly 9 to 12 months in this area | Yes, with hyaluronidase | Delayed-onset swelling is a labelled risk for this gel family, so a lid already prone to puffiness needs caution |
| Restylane®-L | Hyaluronic acid, firmer and more granular, with lidocaine | Deep, on the orbital rim | Commonly 9 to 12 months in this area | Yes, with hyaluronidase | Firmer gel, so superficial placement shows as a ridge or a blue-grey cast, and this area is off-label for it |
| Platelet-rich fibrin (PRF) | Your own blood, spun without additives | More superficial, into the hollow and the skin | Usually 3 to 6 months, staged over sessions | No, but it resorbs on its own | Changes skin quality more than contour, and no FDA-approved indication exists for this use |
| Lower blepharoplasty | Surgery to remove or reposition lower lid fat | Through the lid, by a surgeon | Years | No | Operative recovery, and it requires a referral out of this practice |
These options behave differently. Of the options listed, only Juvéderm® Volbella® XC carries an FDA indication for this area. Durations are ranges drawn from product labelling and clinical observation rather than a prediction of your result.
Juvéderm® Volbella® XC — FDA-approved for the improvement of infraorbital hollows in adults over 21, so this area is on-label for this product. It contains lidocaine. Delayed-onset swelling and nodules are labelled risks for hyaluronic acid gels in this family, so a history of morning puffiness is weighed before this gel is chosen.
Restylane®-L — FDA-approved for moderate to severe facial wrinkles and folds and for lip augmentation in patients over 21. It carries no US indication for the infraorbital hollow, so placement here is off-label. It contains lidocaine and is avoided in patients with a lidocaine sensitivity.
Hyaluronidase — FDA-approved as a dispersion and absorption agent rather than as a filler dissolver, so this use is off-label. It can also break down some of your own hyaluronic acid, which is why dissolving is a considered decision rather than a reflex.
Lid tone, skin thickness, fat position and cheek vector, examined and photographed. Nothing has to be decided today.
You know what is going into your face before you agree. The plan names the product, the volume, whether that product is labelled for the infraorbital hollow or used off-label there, and the risks in plain language, including vascular risk. Juvéderm® Volbella® XC is FDA-approved for the infraorbital hollow; Restylane®-L carries no US indication there and is used off-label in this area.
Topical anesthetic, then a blunt cannula, one entry point a side. Small increments, upright between passes.
Ask about follow-up timing, contact arrangements, and any additional charges before treatment.
Topical anesthetic sits 15 to 20 minutes, then five minutes a side. Bruising is common here, so plan the date around it.
A change the same day. Give it two weeks before you judge it: swelling resolves and the gel takes up water. The lower lid moves far less than a lip.
It helps with one kind of dark circle, and not with the others. It softens the shadow falling into a hollow at the orbital rim. Pigment, vessels showing through thin skin and darkness from rubbing are not volume problems, so partial improvement is usual.
Yes for one of the two gels used here, and off-label for the other. Juvéderm® Volbella® XC carries a US indication from the FDA for the improvement of infraorbital hollows in adults over 21, so in that product this area is on-label. Restylane®-L is FDA-approved for moderate to severe facial wrinkles and folds and for lip augmentation in patients over 21, so placing it in the tear trough is an off-label use: the gel itself is FDA-approved, but the FDA has not reviewed that particular placement. Off-label use is legal and common in medicine, and the product and its status are named before you consent.
This area takes a small amount. Most need 0.5 to 1 mL for both sides, and many need less than 0.5 mL. What the hollow accepts is placed; the rest waits for your two-week review.
Bruising is common here, usually 3 to 10 days. Lower lid skin is thin, with a dense network of small vessels, so even a careful cannula pass can mark it. Plan around anything you cannot be bruised for.
Yes, hyaluronic acid filler can be dissolved with hyaluronidase, an enzyme kept on site for every filler appointment. Most of the change shows within a day or two. It also removes some of your own hyaluronic acid, so dissolving is a considered decision.
It has a name: malar edema. Hyaluronic acid holds water where the lid drains slowly, so puffiness can appear months later. It is likelier with too much product, or product placed too superficially. Hyaluronidase improves most cases, though not every one.
Ask about follow-up timing, contact arrangements, and any additional charges before treatment.
Age is not the deciding variable. Some hollowing is genetic and shows in the twenties; some sixty-year-olds have none. The cause decides it: a rim deficit, laxity, fat pushing forward, or pigment. Only the first responds to gel.
The cost depends on your treatment plan. Call (614) 425-1633 for current pricing and ask what consultation, treatment, and follow-up charges apply.
Three to four weeks of room. Bruising clears in 3 to 10 days and swelling settles over two weeks. Inside two weeks there is no room to correct, so treatment is booked after the date.
Juvéderm® Volbella® XC carries a US indication for the improvement of infraorbital hollows in adults over 21. Restylane®-L does not, so placing it in the tear trough is an off-label use of an FDA-approved product. Off-label use is legal and common in medicine, and the status of the product chosen is stated at consultation before you consent.
This page is general information, not medical advice. Individual results vary, nothing here is a promise of a specific result, and treatment requires an in-person provider assessment. Under-eye filler is not offered where it is not indicated.
Juvéderm® and Volbella® are trademarks of Allergan Aesthetics, an AbbVie company. Restylane® is a trademark of Galderma. Rouge Aesthetics is not affiliated with or endorsed by either company.
Rouge Aesthetics · 101 Mill Street, Suite 210, Gahanna, OH 43230 · (614) 425-1633
Individual results vary. This website provides general information and does not replace an individual consultation.