Under-Eye Filler
in St. George, Utah

At Aera Medical Aesthetics, under-eye filler runs $700–$900 per syringe. Most patients need 1 syringe (sometimes a half syringe spread between both sides). Final price depends on the product (Restylane Eyelight or Juvederm Volbella are the precision options here) and how much volume your specific anatomy needs.

Good candidates have under-eye hollowing without significant fat-pad bulging or thin/crepey skin. If your hollows are mild-to-moderate and your skin has reasonable thickness, filler works well. If you have a strong tear trough deformity with bulging fat pads, lower blepharoplasty (surgery) is often a better fit. Janessa will tell you honestly during consultation — she'd rather refer you than do a treatment that won't get you the result you want.

The under-eye area has dense vasculature including arteries that lead to the eye. Vascular occlusion (filler blocking a vessel) here can theoretically cause vision changes — extremely rare but the highest-stakes filler complication possible. This is why under-eye filler should only be performed by experienced injectors with deep anatomical knowledge. The good news: HA fillers are reversible (hyaluronidase), and Janessa carries it on-site.

The best under-eye filler is the thinnest, smoothest HA product that still gives enough volume. At Aera, we typically use Restylane Eyelight (specifically FDA-approved for the tear trough) or Juvederm Volbella. These integrate softly with thin under-eye skin. Thicker products (Voluma, Lyft) are inappropriate for direct under-eye injection — they cause lumps and the Tyndall effect (bluish discoloration through thin skin).

9–18 months for most patients, often on the longer end because under-eye tissue moves less than lips or mouth. Some patients see filler persist for 2+ years, especially with thinner products at conservative dosing.

Mild bruising and swelling for 3–7 days are common — the under-eye area bruises more than other facial areas. Most patients are presentable within 24 hours with light concealer. Avoid blood-thinners (alcohol, ibuprofen, fish oil) for 5 days before treatment to minimize bruising. Final settled result is visible at 2–3 weeks.

A bluish or grayish discoloration that can show through thin skin if filler is placed too superficially or if the wrong (thicker) product is used. It's the #1 visible complication of under-eye filler done poorly. Reversible with hyaluronidase, but easier to prevent than fix — which is why product choice and injection depth are critical here.

Yes — under-eye filler often pairs well with: (1) ClearLift laser to improve dark circles caused by skin pigmentation, (2) Botox for crow's feet, (3) Mid-face cheek filler that lifts the lower lid and reduces tear-trough hollowing. Janessa often suggests starting with cheek filler before tear trough because addressing the cause sometimes eliminates the need.