02/13/2026
Why I Stopped Doing Under Eye Fillers and Why You Should Too
The under-eye area is one of the most delicate regions of the face. Over time, I started seeing patterns that made me change my approach. Red flags I frequently saw with tear trough filler include:
❌ Persistent swelling months (or years) later
❌ A bluish or gray tint under the eyes (Tyndall effect)
❌ Puffiness that looks worse in the morning
❌ Filler migration into the lower lid or cheek
❌ Distortion of the natural eyelid–cheek junction
Hyaluronic acid filler attracts water. In the under-eye area, that can mean chronic edema and heaviness instead of true rejuvenation. Many patients who come to see me for “bags” actually have retained filler.
The lower eyelid isn’t just a hollow to fill, it’s intricate surgical anatomy. When volume is needed, it should be restored precisely, in the right layer, and often repositioned rather than simply filled.
In properly selected patients, lower eyelid surgery with fat repositioning restores the natural contour by addressing the root cause, not masking it.
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📍 Oculofacial Surgical Arts – Del Mar, CA