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Periorbital Rejuvenation

Tear-trough
rejuvenation.

The hollow shadow under the eye that makes you look tired in every photo. We soften it with precisely placed filler or your own fat — calibrated, because the under-eye is the easiest place to overdo.

Treatment time
20–40 min
Anesthesia
Topical numbing
Downtime
Minimal
Filler results
9–18 months

Why the under-eye is its own art

The tear trough is a groove where the thin lower-lid skin meets the cheek. Fill it carelessly and you trade a shadow for a puffy, bluish ridge that looks worse than where you started — a common reason patients come to us to dissolve someone else's work.

The eyelid is unforgiving territory. Treating it well means understanding the anatomy beneath, choosing the right product, and using very little of it. That's exactly where an oculofacial specialist belongs.

You may be a good candidate if…

  • A dark hollow or shadow sits beneath the eye despite rest
  • You look tired in photos even when you feel fine
  • The under-eye looks deflated rather than puffy
  • You want a subtle refresh, not a dramatic change

The technique, in plain terms

After topical numbing, a small amount of hyaluronic-acid filler is placed deep against the bone with a blunt cannula — gentler on vessels than a needle. For the right candidate, micro-fat grafting offers a longer-lasting alternative using your own tissue. Either way, the rule is the same: under-correct, review, refine.

Aftercare

What to
expect.

A true lunch-hour treatment for most. Filler is reversible, which is part of why it's so safe in expert hands.

Day of
Right back to life

Possible mild redness or pinpoint bruising. Most return to work the same day.

Days 1–3
Settling

Any minor swelling eases. Sleep elevated and skip strenuous exercise for 24–48 hours.

Week 2
Review

We see you to assess and, if useful, add a touch more. Refinement beats overfilling.

If ever needed
Fully reversible

Hyaluronic-acid filler can be dissolved in minutes — a safety net other areas don't have.

Questions

Honest answers.

Will it look puffy or "done"?
Not when placed correctly and conservatively. Puffiness comes from too much product, too superficially. We treat deep and light, then review before adding more.
Filler or fat — which is right for me?
Filler is quick, adjustable, and reversible — ideal for most. Fat grafting lasts longer and suits those wanting a one-time, natural-tissue option. We'll match the method to your anatomy and goals.
Is surgery ever the better answer?
Yes. When the issue is true under-eye bags (herniated fat), lower blepharoplasty addresses the cause directly, where filler would only camouflage it. Honest triage is part of the consult.
How long until I see results?
Immediately, with final settling by about two weeks once any swelling resolves.

Next step

A refresh, not
a tell.

Bring your concerns and your photos. We'll tell you honestly whether filler, fat, or surgery serves your under-eye best.

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