Under Eye Filler: The Best Treatments for Under Eye Bags, Dark Circles & Hollowing

Posted by Dr Theva in Blog, Face Care, Skin, Under-Eye Area.

“How do I get rid of my under eye bags and dark circles?” is one of the most common questions I receive from patients at my anti-ageing clinic here in Melbourne. 

Those pesky dark circles and puffy under eye bags are one of the most frustrating skin conditions for my patients, and no matter how many under eye creams they try, they just don’t seem to go away.

Even if you’ve spent your life treating your skin vigilantly by applying sunscreen, getting plenty of rest and drinking water regularly you are still going to show signs of ageing sooner or later – and the 1st place we notice this is usually under the eyes. 

However, there are several surgical and non-surgical treatment options to minimise the appearance of under eye bags and dark circles.


The skin around the eyes is generally thinner than the rest of your face. Therefore, it’s more prone to showing signs of ageing like puffy under eyes, sagging skin, wrinkles, hollowness and dark circles.  

As we grow older, tissues around the eye gradually weaken and sag. This loss of skin tone allows fat to shift forward into the lower eyelids, making them look puffy and swollen. The gradual loss of support in the mid-cheek also pulls down on the lower eyelids, causing tear trough hollowing. The hollowing worsens the appearance of shadowing and puffiness.  

Some underlying health issues can also cause eye bags. It’s important to check with a health professional to ensure your eye bags aren’t related to a larger issue such as thyroid dysfunction.

Several factors cause or worsen the effect of eye bags and dark circles, including:

  • Fluid retention (especially in the morning or after a salty meal)
  • Lack of quality sleep
  • Stress
  • Allergies
  • Smoking
  • Genetics (It’s hereditary & can run in families)

While having bags, shadows and hollowing under your eyes may not look especially attractive, it is usually harmless. However, if you are finding that it’s affecting your confidence and makes you look older then you feel then there are several treatment options available to refresh and rejuvenate the under eye area.


Contrary to popular belief, there is no magic cream for treating under eye bags and dark circles around the eyes. Treatments are based on the cause, and it’s not always 1 size fits all. 

Your desired result will determine the treatment required. 


The treatment uses a laser to remove surface layers of wrinkly skin under the eyes and stimulate new collagen growth, resulting in firmer skin.

The treatment is often used to improve the wrinkles around the eyes and dark circles. But it does not improve the hollowing in the tear trough area and is not generally used to treat under eye bags. 

Risks for laser resurfacing treatment under the eyes include infection, unwanted change in skin colour and mild swelling and redness.  


Microneedling is a collagen-stimulating treatment. Tiny pinpricks from the treatment cause slight injury to the skin. The skin responds by making new collagen-rich tissue.

The purpose of treatment is to generate new collagen and skin tissue for smoother, firmer, more toned skin. This treatment is most commonly used for improving fine lines, wrinkles and dark circles under the eyes. It is not usually used for under eye bags or tear through hollowing.

As with most cosmetic treatments, Microneedling isn’t without risks. The most common side effects include bleeding, bruising, infection & skin peeling. 



Lower eyelid surgery, also known as lower eyelid blepharoplasty, can smooth out and tighten the skin under the lower eyelids. The procedure is usually an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance.

Blepharoplasty is a permanent solution for under eye bags and tear through hollowing. But, the surgery is invasive and complete recovery from eyelid surgery takes six weeks or more.

To avoid potential complications, be sure to choose a board-certified plastic surgeon with extensive experience in the procedure.


Under Eye Filler Melbourne

If you would rather an effective non-surgical under eye treatment, under eye filler is for you. This is by far my preferred treatment for the under eye area.

Fillers won’t reduce puffiness under the eyes, but they can improve the appearance. Dermal fillers are usually used to fill in the hollows below the fat pad so that the lower eyelid blends into the cheek. Besides improving the appearance of mild eye bags, fillers can also lighten shadows caused by tear through hollowing. 

Hollowing is best treated by precisely injecting certain hyaluronic acid-based dermal fillers into the tear through region to restore volume. It’s important to note that if the dark shadowing under your eyes is caused by pigment or by vascular issues, under-eye fillers are NOT going to help. Other treatments, such as laser/IPL and skin needling, might be a better option.

Results are immediate, but they’re also temporary, lasting up to a year. A major upside to using hyaluronic acid fillers is that they can be dissolved with an enzyme (hyaluronidase) if you don’t like the results or have a complication. 

It’s important to note that under eye fillers will not remove the bags under your eyes completely. However, it will significantly improve their appearance. 


There is no wonder eye cream which will remove under eye bags, puffiness and dark circles permanently. But if used in conjunction with the above treatments can significantly improve the appearance of the under eye area. 

If you are in the market for an eye cream, here are some ingredients to keep an eye out for.

For puffiness and bags under the eyes, look for a cream that can provide hydration. Tetrapeptide-5 and heparin sulfate are ingredients that are known to reduce puffiness and contain hydrating agents to moisturise the skin.

For dark circles, hyaluronic acid, coffee seed extract, tea extract, and Vitamin K are some of the key ingredients to look out for.

One of my favourite products to recommend for dark circles under the eyes is R(II) eyes by Teoxane. 

I can personally vouch for its success as I have been recommending this eye cream in my practice and have witnessed fantastic results.

 My clients love this product. Their dark circles are disappearing within four weeks, making their eyes look brighter, and their facial appearance revitalised and refreshed.

Want to find the right under eye treatment for you? 

Begin by booking your free, no-obligation consultation valued at $250 with me today.

During your free, no-obligation comprehensive consultation, I get to know you and discuss your desired outcomes, your ultimate experience, and your concerns, so we get it right the first time. We discuss timelines, expectations, best treatments, and payment plans.

Most importantly, I will explain why they are the best options and go over the results you can expect to allow you to feel comfortable and confident you are making the right decision.

For more information on Dr. Theva’s dermal fillers & under eye treatments and happy clients, please click here.