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Medical Aesthetics

Under-Eye Light Filler in Bursa

In briefUnder-eye light filler is the support of the under-eye hollow (tear trough), and of the shadow this hollow creates, with small amounts of low-density, fluid hyaluronic acid products; it is also commonly known as under-eye filler. The under-eye area is thin and delicate: it may not be suitable if there are marked bags, frequent puffiness or very thin skin. The effect is temporary and usually lasts 9–12 months. Suitability is determined at the private practice in Nilüfer, Bursa, by assessing the structure of the area.

What is under-eye light filler?

With age, the fat tissue and bone support under the eyes decrease; a hollow (tear trough) becomes more visible between the lower eyelid and the cheek. Because this hollow reflects light differently, it creates a shadow and a tired look under the eyes. Under-eye filler is the placement of a small amount of low-density, fluid hyaluronic acid, one of the softest dermal filler products, into this hollow.

The name "under-eye light filler" is used to describe the aim of the treatment: the goal is not to fill the under-eye area but to reduce the shadow created by the hollow so that the area reflects light more evenly. For this reason, the amount used is small and the product is soft and compatible with the tissue.

Not every cause of dark circles improves with filler. Dark skin color (pigmentation), vessels visible through thin skin, under-eye bags (fat herniation) and puffiness due to fluid retention are not targets of filler; in these situations filler can make the appearance even more noticeable. For this reason, the cause of the dark circles is identified first.

Who is it suitable for, and who should not have it?

It is considered for adults who have a marked hollow and shadow under the eyes, sufficient skin thickness and elasticity, no prominent under-eye bags and realistic expectations. Situations in which the procedure is not performed or is postponed:

  • Pregnancy and breastfeeding,
  • Prominent under-eye bags (fat herniation) or advanced skin sagging,
  • Marked morning puffiness or frequently recurring under-eye swelling (because filler retains water, it can increase puffiness),
  • Very thin and translucent skin,
  • An active infection, eczema or inflammation around the eyes,
  • Known allergy to hyaluronic acid or lidocaine,
  • Previous filler of unknown content under the eyes,
  • Uncontrolled autoimmune disease, a bleeding disorder, recent eye or eyelid surgery.

In these situations, other approaches or a referral to the relevant specialist for eyelid surgery may be discussed instead of filler.

How is it done?

The under-eye area is examined in daylight, from different angles and with changing facial expressions; a hollow, bags, puffiness and discoloration are distinguished from one another. The area is cleaned and a numbing cream is applied if needed. The product is placed very slowly and in small amounts with a blunt-tipped cannula or a very fine needle, in a deep plane close to the bone, taking the vessel structure into account. Superficial placement is avoided. The procedure usually takes 20–30 minutes.

It is preferred to start with a small amount and, if needed, to make a small touch-up 2–4 weeks later; too much product under the eyes increases the risk of puffiness and a swollen look.

When does the effect begin, and how long does it last?

The reduction in shadow is visible immediately after the procedure; however, the final appearance is evaluated once mild swelling and bruising have resolved, usually within 2 weeks. Because the under-eye area moves little, the effect usually lasts 9–12 months, and longer in some people. The duration varies with the product and the person's metabolism; the effect is temporary.

Possible side effects and risks

The under-eye area is thin and rich in vessels; bruising and swelling are more common than in other areas and usually resolve within 1 week. Less commonly, the following may occur:

  • Puffiness: because hyaluronic acid retains water, prolonged swelling may develop under the eyes, especially in people prone to puffiness and when too much product is used.
  • Tyndall effect: if the product is placed too close to the skin, it may show through thin skin as a bluish tint.
  • Migration of the product, irregularity, small lumps (nodules), asymmetry, infection or a delayed inflammatory reaction.

In most of these situations, the product can be dissolved with the enzyme hyaluronidase.

Vascular occlusion: The vessels around the eye are connected to the vessels supplying the eye. If the product enters a vessel or compresses it, impaired circulation and tissue damage in the skin and, although very rarely, loss of vision may develop. For this reason, the procedure is performed in a deep plane, slowly and with small amounts; hyaluronidase is kept on site. If blanching under the eye or on the cheek, a net-like purplish discoloration, increasing severe pain, blurred or lost vision or drooping of the eyelid occurs during or after the procedure, contact the practice without waiting; if you cannot reach us, go to the nearest emergency department immediately.

What to pay attention to after the procedure

  • Cold compresses can be applied intermittently on the first day; do not rub your eyes or press on the area.
  • Do not wear eye makeup for the first 24 hours; if you use contact lenses, avoid pressing on the area when putting them in or taking them out.
  • Sleeping on your back with your head slightly raised for the first nights may reduce swelling.
  • Stay away from saunas, Turkish baths, intense exercise and very hot environments for 48 hours; reducing salty foods may help with puffiness.
  • If discoloration, increasing pain or a vision problem occurs, seek help immediately as described in the warning above.
  • Come for a check-up after 2 weeks.

Under-eye light filler in Bursa

At our practice in Nilüfer, under-eye filler is planned only for people considered suitable and with small amounts, after the cause of the dark circles and hollows has been identified. The hollow under the eyes is often accompanied by volume loss in the cheek; in that case you can see the mid-face (mid-cheek) filler and cheekbone filler pages. There are also pages on Botox for expression lines at the corners of the eyes and lifting injections for skin quality.

Treatments are performed by a physician holding a medical aesthetics certificate approved by the Turkish Ministry of Health. Op. Dr. Hakan Sağer is an Obstetrician & Gynecologist.

This content is for information purposes only; a physician's examination is required for diagnosis and treatment.

Frequently asked questions

Are under-eye light filler and under-eye filler the same thing?

They describe the same treatment. The name "light filler" is used because it aims to reduce the shadow under the eyes with low-density, fluid hyaluronic acid, so that the area reflects light more evenly.

Do dark circles go away with filler?

Only darkness caused by the shadow of a hollow may be reduced with filler. Dark skin color (pigmentation), vessels visible through thin skin and under-eye bags are not targets of filler. For this reason, the cause of the dark circles is identified first at the examination.

How long does under-eye filler last?

The effect usually lasts 9–12 months, and longer in some people. The duration varies with the product and the person's metabolism; the effect is temporary and the product is broken down by the body over time.

Is there swelling after under-eye filler?

Mild swelling and bruising are common and usually resolve within 1 week. In people prone to puffiness, or when too much product is used, swelling may last longer; in that case the product can be dissolved with an enzyme. This is why small amounts are used.

What are the risks of under-eye filler?

Bruising, swelling, prolonged puffiness, a bluish appearance through thin skin (Tyndall effect), irregularity and nodules may occur. A rare but serious risk is vascular occlusion; if there is blanching around the eye, a net-like purplish discoloration, increasing pain or visual disturbance, a physician or emergency department should be contacted without waiting.

Can people with under-eye bags have filler?

If there are prominent under-eye bags (fat herniation), filler is usually not suitable; it may make the bags look more noticeable. In that case, a referral to the relevant specialist for eyelid surgery may be discussed.

What is the fee for under-eye filler?

The fee depends on the amount of product to be used and the plan determined at the examination. For this reason, no figures are given on the website; the fee is determined after the examination. For information, you can call 0 (539) 463 09 72.

Where in Bursa is under-eye filler performed?

Under-eye filler evaluation and application take place in the procedure room of Op. Dr. Hakan Sağer's private practice in the İhsaniye neighborhood of Nilüfer (Bulvar 224). Consultation hours are Monday–Saturday 08:00–19:30; to book an appointment, you can call 0 (539) 463 09 72.

Op. Dr. Hakan Sağer
Written by Op. Dr. Hakan SağerObstetrician & Gynecologist · Last medical review: · CV

Op. Dr. Hakan Sağer is an Obstetrician & Gynecologist. He completed his specialty training at the University of Health Sciences (SBÜ) Bursa Yüksek İhtisas Training and Research Hospital; since 2024 he has been seeing patients for pregnancy follow-up, gynecological conditions and aesthetic gynecology at his private practice in Nilüfer, Bursa. The articles on this website are for informational purposes.

This website is for information only and is not advertising. Its content does not replace an examination by a physician. The information on this page is not personal medical advice; the decision on any procedure is made together with the doctor after an examination.

Appointments and information

Monday – Saturday 08:00 – 19:30 · Bulvar 224, İhsaniye · Nilüfer / Bursa

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