- Under-eye fillers are dermal fillers injected into the areas below the eyes to promote a more youthful appearance, plump skin, smooth fine lines and wrinkles and minimize under-eye circles.
- The cost of under-eye filler injections ranges from about $700-2,500.
- Costs of under-eye injectable fillers are based on factors like number of syringes used, provider’s fees, and location.
- Under-eye fillers last for six months to one year, depending on the material used, and treatments must be repeated to maintain results.
Under-eye fillers injections are cosmetic procedures that reduce the look of hollow areas, dark circles, bags, fine lines and wrinkles beneath the eyes. Because under-eye fillers are elective, they aren’t covered by insurance and must be paid for out-of-pocket. The total cost of under-eye fillers depends on the type of filler, number of syringes used, location and provider’s procedure fees.
What Are Under-Eye Fillers?
Under-eye fillers are injectable dermal fillers that are used off-label to plump the skin beneath the eyes, giving it a more youthful appearance. Off-label means the materials have been FDA-approved for other dermal filling purposes, but not necessarily for use beneath the eyes. But, they are still considered to be safe as under-eye fillers.
Types of under-eye fillers
Under-eye fillers can be classified as temporary and semi-permanent materials. Temporary under-eye dermal fillers last from six to nine months, while semi-permanent fillers last up to one year.
Temporary dermal fillers include hyaluronic acid (HA)-based fillers like Belotero, Juvederm, Perlane and Restylane. HA-based dermal fillers are the most commonly used under-eye filler materials.
Other temporary fillers are formulated with calcium hydroxylapatite, collagen and poly-l-lactic acid. Over time, temporary fillers reabsorb into the surrounding skin, so treatments must be repeated periodically to maintain results.
Some semi-permanent under-eye fillers include Bellafill, a collagen and polymethyl methacrylate (PMMA) treatment, calcium hydroxylapatite-based Radiesse and Sculptra, made with poly-L-lactic acid. PMMA is the only semi-permanent dermal filler approved by the FDA in the United States. Semi-permanent fillers also reabsorb into the skin, but they take much longer to reabsorb than HA-based fillers do.
For some people, fat grafting or fat transposition could be an ideal course of treatment. Fat is removed via liposuction from one part of your body (like abdomen, buttocks or thighs), then injected beneath the eyes to plump the area and restore a youthful appearance.
Fat transfer also lasts longer–and could be considered permanent–because it uses cells from your own body. This course of treatment helps you to avoid introducing foreign filler materials into your body and reduces the risk of infections and reactions to the material.
How Much Do Under-Eye Fillers Cost
Costs for under-eye fillers are based on the price per syringe used, plus your provider’s fees for the procedure. Other factors impacting the cost of under-eye fillers include the location, the provider you choose and the number of syringes of filler your provider uses during the procedure.
- Hyaluronic acid treatments (Belotero, Juvederm, Restylane, etc.) average $682
- Radiesse treatments average $691
- PMMA treatments average $889
- Poly-l-lactic acid treatments average $915
- Fat grafting treatments average $2,126
Injectable under-eye filler procedures cost an average of $950 per session. The price ranges from around $680 at the lowest (full-session) to more than $2,000.
Under-eye fillers can be costly, especially since cosmetic procedures like under-eye injections aren’t covered by insurance. If you’re planning to get under-eye filler injections, they’ll need to be paid for out of pocket.
Your provider may be able to help you get special financing for your procedure, so be sure to ask them what your payment options are.
How Long Do Under-Eye Fillers Last?
Results of under-eye fillers are visible right away. If your under-eye area is swollen immediately after the procedure, it may be difficult to discern the results until the swelling goes down.
Most under-eye fillers tend to last from six months to one year, depending on the material used. HA-based fillers last between six months and one year, but it’s possible they may last a little longer depending on the person and how rapidly the filler is reabsorbed into the tissue.
If your under-eye filler of choice lasts only six months, you’ll need to factor the frequency of follow-up procedures into the total cost for your treatments. Filler materials that only need to be re-injected once a year may be more cost-effective.
It may be difficult to predict exactly how long your filler material will last. Length of time required between treatments depends both on how quickly a particular filler reabsorbs into your body, and the type of filler used. Your provider will be able to help you estimate how often you may need to return for follow-up.
Fat grafting can last up to three years, so the high cost of treatment (over $2,000) may be offset by the amount of time needed between repeat treatments.
Are There Other Cost-Effective Treatments?
Injectable under-eye fillers may not be appropriate for everyone. If you determine your budget won’t support under-eye fillers or would like to try an alternative approach, there are other cost-effective treatments you may want to consider.
Some over-the-counter treatments can be used to plump, tighten or lighten the skin beneath the eyes.
- Anti-aging creams that contain high amounts of hyaluronic acid, peptides (including collagen peptides), antioxidants and retinoids
- Face masks like clay, charcoal or hyaluronic acid masks that tighten the skin
- Skin-lightening creams or face masks for dark circles
Costs for over-the-counter treatments vary widely, depending on the brand and ingredients. Some OTC products cost less than $10.
Skin tightening procedures
Skin tightening procedures such may be a more effective and budget-friendly option for addressing the under-eye area. These procedures include:
- Ablative and nonablative laser resurfacing, which range from $750 to $7,500 and last up to 3 months
- Microneedling, which costs from $100 to $700 and may be repeated every four to six weeks
- Ultrasound skin tightening, which ranges from $750 to $1,000 and lasts for up to one year
- Radiofrequency (RF) skin tightening, which costs $1,000 to $4,000 and lasts for six to twelve months
Noninvasive and minimally invasive skin-tightening procedures may be ideal for those who don’t want to undergo under-eye filler injections.
Eye lift surgery
Eye lift surgery is an invasive, longer-lasting alternative to under-eye fillers. Your provider may perform fat grafting, remove excess skin from beneath your eyes, or perform a combination of both during the procedure. Recovery takes about three weeks, and the procedure costs over $3,000.
When it comes to determining and evaluating the cost of under-eye fillers, consider the type of filler your provider will use, how many syringes they will require, and any provider or location fees associated with your procedure.
When deciding whether under-eye fillers are right for you, compare the costs and risks of alternative treatments with the frequency of follow-ups you’ll require to maintain results.
Alternatives to under-eye filler injections include over-the-counter skin-tightening and skin-lightening creams and masks, microneedling, ultrasound skin tightening, RF skin tightening or eye lift surgery, all of which run a wide range of costs. Your provider will be able to help you navigate your options.
- Sharad, J. (2012). Dermal fillers for the treatment of tear trough deformity: A review of anatomy, treatment techniques, and their outcome. Journal of Cutaneous and Aesthetic Surgery. ncbi.nlm.nih.gov/pmc/articles/PMC3560162/
- Loghem, J. V., Yutskovskaya, Y. A., & Philip Werschler, W. (2015). Calcium hydroxylapatite: over a decade of clinical experience. The Journal of clinical and aesthetic dermatology, 8(1), 38–49. ncbi.nlm.nih.gov/pmc/articles/PMC4295857/
- Cockerham K, Hsu VJ. Collagen-based dermal fillers: past, present, future. Facial Plast Surg. 2009 May;25(2):106-13. doi:10.1055/s-0029-1220650
- Haneke E. Polymethyl methacrylate microspheres in collagen. Semin Cutan Med Surg. 2004 Dec;23(4) 227-232. doi:10.1016/j.sder.2004.08.002
- I. Sánchez-Carpintero, D. Candelas, R. Ruiz-Rodríguez. Dermal Fillers: Types, Indications, and Complications,Actas Dermo-Sifiliográficas (English Edition). Volume 101, Issue 5, 2010, Pages 381-393, ISSN 1578-2190. https://doi.org/10.1016/S1578-2190(10)70660-0
- Preissig, J., Hamilton, K., & Markus, R. (2012). Current Laser Resurfacing Technologies: A Review that Delves Beneath the Surface. Seminars in plastic surgery, 26(3), 109–116. doi:10.1055/s-0032-1329413