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The Types of Under-Eye Concern

• Structural hollowing — true tear trough depression where the eye socket has lost volume.
• Crepey texture — fine delicate skin quality change in the periorbital area.
• Pigmented circles — caused by thin skin revealing vessels, pigmentation, or shadows from hollowing.
• Fine periorbital lines — surface lines in the delicate skin around the eye.

Treatments That Help

Polynucleotides — Plinest

For crepey texture and skin quality improvement — excellent lower-risk option for this delicate area.

• Plinest

Jalupro Young Eye

Specialist amino acid complex specifically formulated for the periorbital area.

• All skin boosters

Cheek filler — indirect improvement

Mid-face support often improves under-eye shadowing without placing anything under the eye itself.

• Cheek filler

NeoGen PSR

For crepey eyelid and under-eye skin — one of very few technologies able to safely treat this area.

• NeoGen PSR

Tear trough filler — when assessment confirms it is appropriate

Can produce meaningful improvement in genuine structural hollowing but patient selection is critical. The Tyndall effect and prolonged swelling make this a treatment requiring significant anatomical expertise.

• Tear trough information

Your Treatment Pathway

Consultation — thorough anatomical assessment→Determine type: structural versus texture versus pigmentation→Polynucleotides or cheek support as appropriate first step→Review — is tear trough filler now indicated?→Maintenance

Frequently Asked Questions

Is tear trough filler safe?

In the right patient placed by an experienced practitioner with thorough anatomical knowledge, yes. It is not appropriate for all under-eye concerns and is more complex and higher-risk than filler in most other areas.

Why does under-eye filler sometimes look blue?

The Tyndall effect occurs when HA filler is placed too superficially in the thin under-eye skin — the gel scatters light and creates a bluish appearance. This is one of the most common complications of tear trough filler.

Can polynucleotides replace tear trough filler?

For crepey texture and skin quality, often yes — polynucleotides are a better and lower-risk option. For structural hollowing, polynucleotides improve tissue quality but do not provide the volume correction that filler does.

Will treating my cheeks improve my under-eyes?

Often yes. Mid-face volume loss creates shadow below the orbital rim. Restoring mid-face support lifts the under-eye area indirectly without placing anything in the high-risk tear trough itself.

How long does tear trough filler last?

Approximately 9-18 months. Under-eye filler can last longer than filler in more mobile areas because of relatively limited movement in this region.

Related Concerns

Skin concerns often overlap. You may also find these pages helpful:

• Crepey Skin — crepey texture around the eye is a specific sub-type
• Volume Loss — mid-face loss is a common driver of under-eye hollowing
• Dull or Dehydrated Skin — when dullness extends to the eye area
• Fine Lines — periorbital lines often accompany under-eye concerns

People Who Viewed This Page Also Looked At

• Crepey Skin
• Volume Loss
• Skin Laxity

Unsure Which Treatment Is Right?

Comparing options for the under-eye area?

• Volume or Skin Quality? Why looking tired is not always a filler question
• The science of dermal fillers
• What is NeoGen Plasma?

Further Reading – Dr Halliday’s Clinical Guides

• Volume or Skin Quality?
• The science of dermal fillers
• Skin boosters vs polynucleotides vs microneedling