What tear trough fillers treat
Tear trough fillers focus on one anatomical line, the groove at the inner lower eyelid. The goal is to smooth that defined crease.
- A visible groove at the inner eye corner
- Shadow line running toward the cheek
- Inherited deep tear troughs at a young age
- Sharp step between lower eyelid and cheek
- Uneven groove depth between eyes
- Tired look despite good sleep
If your concern is broader hollowness across the whole lower eyelid, see under eye fillers. Where the groove continues into the mid-face, cheek fillers may help.
How tear trough fillers work
The tear trough forms where ligaments tether the skin to the bone at the inner lower eyelid. Some people inherit a deep groove, while in others it deepens as fat and bone volume decrease. A small amount of soft HA filler placed along the groove, close to the bone, lifts the depressed line to the level of the surrounding skin so the shadow softens.
Precision matters more than volume in this area. Your physician typically uses a blunt cannula or a fine needle and places the product in tiny amounts, often less than in other facial areas. Overfilling can cause puffiness, so the doctor may treat conservatively and review at two weeks. A related approach for wider hollowness is described on our under eye fillers page.
Your treatment day
- Groove assessment Your physician examines the tear trough while you sit upright and marks the depth and length of the groove.
- Numbing Topical anaesthetic cream is applied for about 20 minutes in your private room.
- Precise placement The doctor places tiny amounts of filler along the groove, checking the line from several angles.
- Review and aftercare A cold pack is applied, you see the result and receive written aftercare advice.
Results timeline
The groove looks shallower immediately, and the final line is clear after swelling settles.
Are Tear Trough Fillers right for you?
Usually a good fit
- A defined groove at the inner lower eyelid
- Inherited deep tear troughs
- Good skin thickness and elasticity
- Little or no puffiness under the eyes
Talk to your doctor first
- Prominent eye bags, which filler can make look larger
- Very thin or loose lower-eyelid skin
- Pregnancy, breastfeeding or active eye infection
- Previous filler in the area that has not been assessed
Tear trough fillers vs. other options
The best option depends on whether the problem is a groove, hollowness or skin quality.
| Compare | Tear trough fillers | Under eye fillers | Cheek fillers | Rejuran Healer |
|---|---|---|---|---|
| Target | Defined groove at inner eye | Broad lower-eyelid hollowness | Mid-face volume below the eye | Thin, crepey skin |
| Method | Tiny volumes of soft HA | Soft HA across the area | Firmer HA on the cheekbone | PN injections for skin repair |
| Onset | Immediate | Immediate | Immediate | Gradual over a course |
| Typical duration | 9–12 months | 9–12 months | 12–18 months | Several months after a course |
Your doctor
At DIORE every treatment is planned and performed by a physician, not delegated. Our five doctors trained at Korea University, Yonsei, Seoul National University Hospital and Dankook.
Chief Director · Medical reviewer
Dr. Lee Gwang-ryeol
- Korea University College of Medicine
- Residency, Korea University Medical Center
- Onda Lifting Key Doctor (DEKA)
- Belotero Revive TTT trainer (Merz) · Rejuran VVIP Club
Honest consultations. Meticulous technique. Results that look like you.
Meet the full medical team.
Aftercare
- Use a cold pack gently on the first day
- Sleep with your head slightly raised for 2–3 nights
- Do not rub or press the treated groove
- Reduce salt and alcohol for a few days
- Avoid saunas and hard exercise for 48 hours
- Return for review if you notice persistent puffiness
To improve the skin around the eyes, ask about skin boosters or Rejuran Healer.
Tear Trough Fillers FAQ
Do tear trough fillers hurt?
Most patients feel mild pressure and a brief sting. Numbing cream and lidocaine in the filler keep discomfort low.
How long do tear trough fillers last?
Results typically last 9–12 months. The area moves little, so some patients find the result lasts longer.
Tear trough fillers or under eye fillers?
Tear trough fillers target the specific groove at the inner lower eyelid. Under eye fillers treat broader hollowness across the whole area, and your physician will tell you which fits your anatomy.
How many sessions do I need?
One session is usually enough. A small top-up at the two-week review is sometimes added for symmetry.
Can I fly home after tear trough fillers?
Most patients can fly after a day or two. Mild swelling can increase on long flights, so drink water and avoid alcohol in the air.
How much do tear trough fillers cost?
Cost depends on the amount of filler needed. Send a photo on WhatsApp at +82 10 6463 5532 for a personalised quote.
What are the side effects?
Bruising, swelling and a bluish tint if filler sits too superficially are possible. Rare risks include vascular complications, and any issue with HA filler can be corrected with hyaluronidase.
