
Tear Trough or Under eye valleys associated with aging, genetics, diet, sleep, alcohol etc.
As we age underlying can skin and muscle thins and develop wrinkles.
Underlying tissue loose volume and muscle tone causing older appearance.
Also there are bony changes around eye and face which causes loss of bone prominence and changes structures supporting eyes profoundly especially orbital septum.
What is the Orbital Septum and why it is considered most important aspect in Eyelid Rejuvenation according to Cosmetic Surgeons?
The Orbital Septum is a very thin layer of membrane which can be compared to a balloon retains fat within eye socket.
It the support system of periorbital or eyelid aging.
Orbital septum originate from bone and surrounds eye sockets which holds fat, eye and other structures.
Along with a aging and various factors such as loss of fat from under eye or cheek region, the Orbital Septum tends to get weak.
Fat under eye sockets pushes weak Orbital septum forward causing appearance of Tear Trough or Under Eye Valleys, Under Eye Bags or bulge.
Periorbital aging associated with lower eye are :
- Tear Trough or Under Eye Valleys (loss of fat volume)
- Under Eye Bags or bulge.( Herniation of fat )
- Excessive skin.
- Downward and outward rotation of eyelid.
- Inward rotation of eyelid.
- Appearance of eyes can change become more round.
- Periorbital aging associated with upper eye are:
- Loss of fat volume and drooping of eye brow.
- Excessive skin
- Droopy upper eyelid (ptosis)
- Hooding of upper eyelid
It’s necessary to understand that eyelid filler injections is very effective for treating tear trough deformities and replacing lost volume however they aren’t for everyone with this condition.
It is important for this reason that patients with tear trough deformities be evaluated by a board certified surgeon.
Your Surgeon should be able to suggest treatment plans for addressing needs.
Eye fillers can be placed in under and upper eye region.
An eye can be augmented with 0.5 to 1.5ml per side depending upon requirements.
Tear Trough can be soften and lost volume could be replaced using Hyaluronic Acid Filler.
As skin in eye region is the thinnest, and some may develop miniature lumps which can be smoothened using Hyalurodinase in one to two days.
A fillers aren’t supposed to last permanent and they considered as temporary quick fix before considering permanent treatment.
Fillers can usually last 6 to 12 months in eye region though rate of metabolism can not be predicted.
Placing an eye filler would take roughly 15 mins.
Results are seen immediately after filler placement but can take upto 5-7 days to settle down with final appearance.
Cost of under eye filler could be anywhere between 10000 and 15000 INR per ml, depending on brand, quality and which procedure is being performed.

Recovery following Eye Fillers is smooth.
There can be a little bruising as skin in eyelid region is thinnest in body and generally goes away in couple of days.
An anti bruise patch can be used afterwards to reduce bruising on skin.
Lumps, vascular compromise, nodules, allergic reaction rare. HA fillers are made from compounds similar to those found in the body.
But if you are allergic to lidocaine, let your doctor know before being treated.
Advantage of hyaluronic acid fillers is that it can be dissolved if needed .
Alternative to fillers an Autologous Fat Grafting can be done in eye region to be done by expert in Fat grafting to Facial region.
Cosmetic Eyelid Surgery tends to be all time favourite and ideal to treat Aging Eyelid and provide long lasting results.
An expert in Facial Cosmetic Surgery has more experience facial anatomy due to surgical training background and is ideal resource person on diagnosing and addressing eyelid aging.
Though various injector including physicians and dermatologist are delivering fillers around eyes but lacks crucial understanding of surgical anatomy of eyes and face.
Eyelid region is a complicated structures filled with crucial blood vessels and nerves.
Important factors for placing Under Eye Fillers :
- Credentials of your Surgeon or Doctor’s Sound knowledge of surgical Eyelid and Facial Anatomy
- Knowledge of Eyelid aging and its structures.
- Beauty concept and Fillers.
- And Surgeon’s of aesthetic vision.
Being an International Board Certified Surgeon for Face, Mouth and Jaw provides me a vast understanding and experience of Eyelid surgeries such as Eyelid Reconstruction, Ptosis (droopy eyelid) Cosmetic Eyelid Surgery or Blepharoplasty etc which helps me provide safety as per international norms.
If you are looking for Under Eye Rejuvenation, you may consider Fillers, Fat Grafting or Cosmetic Eyelid Surgery.
Learn more about:
Under Eye Fillers Augmentation in Delhi NCR