Dermal Fillers for Under Eye Wrinkles and Bags

Undereye bags, hollows, and dark circles are common concerns many individuals notice as they age. The skin around the eyes is delicate, and small amounts of volume loss in this area can quickly result in a tired and aged appearance. However, advancements in aesthetic medicine now offer effective and natural-appearing solutions to address undereye concerns. 

Understanding the Under Eye Area:

As we age, the tissue around the eyes undergoes various changes, including loss of volume in the deep fat pads, enlargement of the eye socket with resultant lost bone support, thinning skin with decreased collagen and elasticity, and the formation of fine lines and wrinkles. These changes can lead to undereye bags or hollows and a tired appearance. While skincare routines and lifestyle modifications can help mitigate these effects, they are often inadequate to provide the desired correction, prompting individuals to seek alternative solutions.

The Comprehensive Approach for Better Results:

Addressing undereye bags and rejuvenating the eye area often requires a comprehensive approach. Rather than targeting a single concern, such as hollows or wrinkles, a holistic strategy focuses on restoring volume and improving support in the surrounding areas, leading to a beautiful, natural-looking result.  


Key Areas to Target with Fillers for Under Eye Concerns:

1. The Lateral Cheek: Treating the cheekbone area with a firmer dermal filler, such as Juvederm Voluma, restores support and lift throughout the face. Given its benefit to multiple areas of the face, we often begin treatment here. Treating the lateral cheek gives the undereye improved support and structure, resulting in less filler needing to be injected directly under the eye and, hence, a more natural rejuvenation.

2. The Anterior Cheek: The maxillary bone underlying this region rotates backward with time, resulting in a flattening and sagging of the anterior cheek, the “apples of the cheeks.” We always assess this area for treatment, which, if indicated, can enhance the projection of the anterior cheek, improve support for the under eye area, and restore the natural curve of the cheek. 

3. The Undereye Area: After ensuring adequate support of the lateral and anterior cheek, we turn our attention to the under eye area. Here, we use a flexible filler, such as Revance RHA3, to smooth the transition between the eyelid and cheek and add volume to any hollowing remaining under the eyes, which corrects the appearance of dark circles, resulting in a brighter and more refreshed look.



Undereye bags, hollows, and darkness can significantly impact appearance and confidence. Fortunately, advancements in aesthetic medicine offer effective solutions to address these concerns. Dermal fillers provide a versatile and customizable option for rejuvenating the eye area, restoring volume, and brightening the eyes. By adopting a comprehensive approach and utilizing both supportive and flexible fillers, individuals can achieve natural-looking results and reclaim a youthful, refreshed appearance.

Please remember that consulting with an experienced aesthetic injector is essential when treating the undereye area, as it is a highly vascularized and challenging area. However, with the right approach, you can say goodbye to tired-looking eyes and hello to a brighter, more rejuvenated appearance with dermal fillers. If you are looking for dermal fillers for under eyes in Portland, book a consultation at Aluma Aesthetic Medicine with Dr. Nathaniel Brigham, MD. 

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