Everything You Need to Know About Under Eye Fillers

under eye fillers in Arlington

Do your eyes look tired even when you’re well rested? Eye fillers can help that. They can work wonders for many people but deciding to have an eye filler procedure can be a big decision. Here’s everything you need to know about under eye fillers in Arlington, VA.

What Are Eye Fillers

Eye fillers in Arlington, VA, are used to lighten the tear trough, or under eye area. They help make that area look brighter and plumper, while reducing under eye shadows. This gives you a fresh, well rested appearance. There are several different types of eye filler treatments. Some common under-eye fillers that are used include hyaluronic acid fillers, Poly-L-lactic acid, Calcium hydroxylapatite, and fat transfer.

Hyaluronic Acid Fillers in Arlington

Hyaluronic acid is produced naturally by the body. HA fillers in Arlington, VA, are made from a synthetic gel that mimics the body’s natural substance. Popular name brands include Restylane and Juvéderm. These fillers are shown to support collagen production in the skin and most come with lidocaine as an ingredient, which helps numb the area and make treatment more comfortable.

Hyaluronic acid fillers are transparent, easy to smooth, and less likely to clump. This makes them the most common filler type used in under-eye treatments. While hyaluronic acid provides the shortest result of all the dermal fillers, many practitioners feel it provides the most natural look.

Poly-L-lactic Acid

This is a biocompatible, synthetic material that can be injected through a process called linear threading. It dissipates within a few days of injection, but the results last longer than those achieved with hyaluronic acid. Injectable Poly-l-lactic acid invigorates collagen production significantly and is marketed under the brand name Sculptra Aesthetic.

Calcium Hydroxylapatite

This is also a biocompatible dermal filler made from phosphate and calcium. It stimulates collagen production in the skin and helps support and sustain connective tissues, which adds volume to the area. It is marketed under the brand name Radiesse.

Since calcium hydroxylapatite is thicker than hyaluronic acid, it’s often diluted with an anesthetic before injection. Some practitioners shy away from using this filler because they fear it will make the under-eye area overly white in color. Others are concerned that nodules may form under the eye.

Fat Transfer

Fat transfer, AKA fat grafting, microlipoinjection, or autologous fat transfer, is used if you have a deep tear trough where the lower lid meets the cheek. It involves injecting the body’s own fat to the build up the area. Fat is usually taken from the abdomen, buttocks, hip, or thighs. This is the longest lasting type of filler but also comes with other risks. There is downtime required, risks associated with anesthesia, and it is not recommended for people who may absorb fat quickly.


While the procedures will vary somewhat based on which type of filler you choose, they all begin with a consultation. You will discuss your concerns with the doctor and decide which solution is right for you.

During the procedure:

  1. The provider will mark the treatment area and sterilize it with cleansing fluid
  2. A numbing cream will be applied to the area.
  3. A small needle is used to pierce the skin. In some cases, the filler will be injected through the needle. In other cases, a blunt-edged cannula will be inserted into the hole made by the needle.
  4. One or more injections will be made under each eye. If linear threading is done, your doctor will inject a tunnel of filler into the site as the needle is slowly withdrawn.
  5. Your doctor will smooth the filler into place.

If you choose to have a fat transfer, you will first have to undergo liposuction. Many people feel virtually no pain during an eye filler procedure, others report feeling a slight prick. There will also be a sense of pressure or inflation as the filler is injected. The entire procedure takes between 5-20 minutes.


During recovery, you can expect:

  • After the procedure, your doctor will give you an ice pack to apply to the treated area.
  • You may experience redness, bruising, and swelling afterward but these are typically short lived.
  • Your doctor will recommend a follow-up in a few days to assess the area and determine if additional filler is needed.
  • Several injections over a period of weeks or months may be recommended
  • If you have fat grafting done, you can expect a 2-week downtime period.


All fillers absorb back into the body over time, so the results are not permanent. Each filler will last:

  • Hyaluronic acid fillers last anywhere from 9-12 months.
  • Poly-L-lactic acid can last as long as 2 years.
  • Calcium hydroxylapatite lasts between 12-18 months.
  • Fat transfer may last up to 3 years.

Am I a Good Candidate for Fillers in Arlington?

Normally, darkness in the tear trough is a genetic issue. However, there are a number of other issues that can cause it. These include:

  • Aging
  • Visible blood vessels
  • Poor sleep patterns
  • Too much pigment
  • Dehydration

Under eye fillers in Northern Virginia are most effective for people who have darkness due to genetics or aging, as opposed to lifestyle factors. Some people have naturally sunken eyes, which cast shadows underneath. This issue can be relieved with eye fillers for some people, but others may find surgery to be more effective.

Aging can give the eye a sunken, dark, or hollow look. This occurs when the pockets of fat under the eyes diminish or drop. Not everyone is a good candidate for under eye fillers in Northern Virginia. If you smoke or vape, your doctor may caution against under eye fillers. Smoking can hinder healing and reduce how long results last.

Possible Side Effects of Fillers in Arlington

Your doctor will discuss risks and side effects with you but in most instances, side effects are minimal and short-lived. They can include redness, swelling, bruising, and a small red dot at the injection site. If the filler is too close to the surface of the skin, it may give the area a blue or puffy appearance. This is known as the Tyndall effect. If this occurs, the filler will need to be dissolved.

You can minimize side effects by choosing a board-certified dermatologist or plastic surgeon to perform your procedure. Serious side effects include:

  • Blindness
  • Tiny bumps under the skin
  • Nerve paralysis
  • Scarring
  • Uneven results, lack of symmetry

You can avoid serious side effects by choosing an experienced, highly qualified practitioner.

Schedule an Appointment for Dermal Fillers in Arlington

Eye fillers are a common way to alleviate darkness under the eyes. Choosing a highly experienced, board certified provider is essential to achieving good results. Contact Vitalia MedSpa today to learn more about under eye fillers in Arlington, VA, and which one is right for you