Tear trough fillers are a non-surgical injectable treatment that addresses hollowing and shadows under the eyes by strategically placing hyaluronic acid dermal fillers in the tear trough region. This specialized technique softens the transition between the lower eyelid and cheek, reducing the appearance of dark circles and creating a more rested, rejuvenated look without surgery or downtime.
At The Collins Center, Dr. Beth Collins combines her double board certification with meticulous artistic vision to precisely place fillers in this delicate area, creating subtle, natural-looking results that refresh your appearance while preserving your unique facial character.
Treatable Areas
- Tear trough depression (the hollow between lower eyelid and cheek)
- Under-eye shadows and dark circles caused by volume loss
- Lower eyelid hollowing and concavity
- Orbital rim definition and support
- Transition zone between lower eyelid and cheek
- Fine lines beneath the eyes
- Early signs of mid-face volume loss
- Slight asymmetry between left and right tear troughs
How Tear Trough Fillers Work
During your tear trough filler treatment, Dr. Collins first applies a topical numbing cream to ensure your comfort throughout the procedure. Using either a blunt-tipped cannula or ultra-fine needle technique (depending on your unique anatomy), she strategically places small amounts of hyaluronic acid filler beneath the skin in the tear trough region, gently lifting the depressed area and creating a smoother transition between the lower eyelid and cheek.
This meticulous injection technique requires both surgical precision and artistic vision, as the under-eye area is exceptionally delicate and complex. Dr. Collins carefully assesses your facial structure before treatment and uses specialized injection techniques that minimize bruising and swelling.
After placement, she gently massages the area to ensure even distribution and natural-looking contours. The entire procedure typically takes 30-45 minutes, with results visible immediately and continuing to improve over the following days as any minor swelling subsides.
Results You’ll Love
- Immediate reduction in the appearance of under-eye hollows and shadows
- Diminished dark circles for a more refreshed, awake appearance
- Smoother transition between the lower eyelid and cheek
- More youthful, rested look without changing your natural expressions
- Minimal downtime with results lasting 9-12 months on average
- Subtle yet noticeable improvement that friends will attribute to good sleep, not cosmetic treatment
- Complementary effect on overall facial balance and harmony
- Reduced need for concealer and corrective makeup
Are You a Candidate for Tear Trough Fillers?
- You have noticeable hollowing or shadows under your eyes
- You appear tired even when well-rested due to under-eye concerns
- You’ve noticed your under-eye area becoming more hollow with age
- You want to address under-eye circles without surgery
- You’re looking for a solution that doesn’t require significant downtime
- Your under-eye skin has good elasticity (not excessively thin or crepey)
- You’re in good overall health without active infections in the treatment area
- You have realistic expectations about what non-surgical treatments can achieve
Why Choose The Collins Center
- Expert Injector – Recognition awarded only to the top 3% of injectors for providing an exceptional level of quality care
- Double board-certified plastic surgeon – Board certified in both general surgery and plastic surgery, with training from Emory University, one of the top plastic surgery programs in the country
- 25+ years of surgical expertise – With over two decades of dedicated surgical practice, Dr. Collins brings proven experience and refined technique to every procedure
- Physician-led care with medical oversight – Every aspect of your treatment is overseen by Dr. Collins, ensuring the highest standard of safety and results grounded in medical science
- Empathetic, patient-centered approach – As a woman who is active in her skin care regimen, Dr. Collins uniquely understands your concerns and hopes.
FAQs about Tear Trough Fillers
How long do tear trough fillers last?
Tear trough fillers typically last between 9 and 12 months, though this varies by individual. Some patients may enjoy results for up to 18 months, particularly after subsequent treatments. Factors affecting longevity include metabolism, lifestyle, and the specific filler product used.
Is the tear trough filler procedure painful?
Most patients experience minimal discomfort during treatment. We apply a topical numbing cream before your procedure, and the hyaluronic acid fillers we use contain lidocaine for additional comfort. Many patients describe feeling only slight pressure during injection rather than pain.
How soon will I see results from tear trough fillers?
You’ll see immediate improvement following your treatment, with results continuing to refine over the next 1-2 weeks as any swelling subsides. The full effect is typically visible within 2 weeks of treatment.
What is the recovery time after tear trough fillers?
One of the advantages of tear trough fillers is minimal downtime. Most patients return to normal activities immediately after treatment. Some patients may experience mild swelling, bruising, or redness that typically resolves within 3-7 days. Cold compresses can help minimize these effects.
Are tear trough fillers right for me if I have significant under-eye bags?
Tear trough fillers address hollowness and shadows, but they’re not the ideal solution for protruding under-eye bags caused by fat herniation. If you have significant bags, Dr. Collins may recommend a surgical approach like lower blepharoplasty instead of or in addition to fillers.
Can tear trough fillers eliminate all dark circles?
Tear trough fillers can significantly improve dark circles caused by shadows from hollowness, but they cannot completely address discoloration due to genetics, pigmentation issues, or very thin skin. During your consultation, Dr. Collins will assess your unique situation and set realistic expectations about what fillers can achieve for your specific concerns.
What happens if I don’t like the results?
One advantage of hyaluronic acid fillers is that they can be dissolved using an enzyme called hyaluronidase if you’re unhappy with the results. This provides a safety net that many patients find reassuring, though it’s rarely needed when fillers are administered by an experienced physician.


