So how long does it actually last?
Most people find that under-eye filler lasts between nine to twelve months. In some cases, the effects may last longer, particularly if you have a slower metabolism or if the filler is placed very precisely. Because the under-eye region does not move as much as other areas of the face, such as around the mouth or forehead, the breakdown process tends to be slower.
What can affect how long it lasts?
Several factors can influence how long your results will hold:
- Metabolism: Faster metabolisms can break filler down more quickly.
- Filler type: Lightweight, flexible fillers are often chosen for this area, but they can dissolve faster than denser products.
- Injection technique: The right amount, placed at the correct depth, supports even settling and reduces the risk of side effects like puffiness or lumpiness.
- Lifestyle and skincare: Stress, sun exposure, and poor sleep can all affect how well filler holds. Skin that is well-hydrated and supported with good collagen production tends to retain results better.
- Lymphatic drainage: If your body has slower fluid movement, swelling or uneven settling can sometimes occur.
When is it time for a top-up?
While the effects are long-lasting, they’re not permanent. You might start to notice a softening of results, such as:
- Shadows or hollows creeping back in
- Eyes looking tired again, even with decent sleep
- That smooth, bright under-eye effect fading
- Spotting a difference in photos or videos
If any of this sounds familiar, it is worth booking in to chat through options with your practitioner.
What happens after treatment?
Treatment typically takes around 15 to 30 minutes, with very little downtime. You might have some swelling or mild bruising at the injection site, but this usually settles within a couple of days. Most people describe the sensation as light pressure. A topical anaesthetic may be used to keep the area comfortable.
You will usually see results immediately, although full effects develop over the next two weeks. Aftercare includes avoiding alcohol, heavy skincare products and intense exercise for 24 hours. Cold compresses can help ease swelling.
Can you make the results last longer?
Filler will always break down eventually, but you can help support the effect with good habits and a few smart treatments:
- Use eye creams with HA or peptides to boost skin hydration
- Wear SPF daily to protect the under-eye region from UV damage
- Stay well hydrated and support your skin barrier
- Consider treatments that stimulate collagen production, such as skin boosters or laser therapy
- Add cheek filler or fat injections if your midface needs extra lift and support
The smoother your skin and the better your overall skin health, the longer your results are likely to last.
Can tear trough filler be removed?
Yes. If your results are not quite right, hyaluronic acid fillers can be reversed using an enzyme called hyaluronidase. This safely breaks down the filler and is useful in cases of puffiness, uneven placement or if someone experiences allergic reactions.
It is essential that this is done by a trained medical professional who understands facial anatomy and patient safety. At Oracle Clinics, we always discuss this option during your consultation for peace of mind.
What about side effects?
Most side effects are mild and temporary, but there are rare risks to be aware of. Vascular occlusion, though uncommon, can occur if filler blocks a blood vessel and needs urgent attention. The Tyndall effect is another possible issue, where filler placed too close to the surface reflects light, creating a blue tint under the skin. Both can be avoided with proper injection technique and by choosing a skilled dermal filler injector.
Is it the right treatment for you?
Not everyone is suited to this treatment. It works best for those with mild to moderate under-eye hollowing. If you have large eye bags, loose skin, or advanced midface volume loss, other cosmetic procedures may be better suited.
Your consultation at Oracle Clinics is where this will be discussed fully. Nurse Ness Griffiths will assess your facial structure, skin quality, and medical history before any decision is made.
Ready to feel like you again?
If you are thinking about under-eye filler or feel like your results are beginning to fade, we’re here to guide you through it. At Oracle Clinics in Carlisle, we prioritise post-treatment care, patient safety, and subtle, natural-looking results.
Whether it’s your first visit or a check-in, we’ll make sure you leave feeling informed, supported and confident in your under-eye treatment.
