Under-Eye Fillers in Malaysia: Safe, Natural Results Explained

Tired, sunken eyes are a common concern, even for people who sleep well and maintain a healthy lifestyle. As the skin under our eyes is naturally thinner and more delicate, it’s often the first place to show signs of ageing, stress, or volume loss. While eye creams and concealers can help, they don’t always treat the root cause.

That’s why under-eye filler treatment, also known as tear trough filler, has gained traction across Malaysia as a reliable, non-surgical solution. When performed by experienced professionals using medically approved dermal fillers, this treatment can help patients look brighter, more refreshed, and less fatigued, without invasive procedures.

What Are Under-Eye Fillers?

Under-eye fillers are hyaluronic acid-based injectables used to treat hollows and shadowing beneath the eyes by restoring lost volume in the tear trough area. This non-surgical treatment is designed to subtly plump the skin and create a smoother, more youthful transition between the lower eyelid and the cheek.

Unlike eye creams that target superficial hydration, fillers work beneath the skin’s surface to improve the actual structure, causing tired-looking eyes. This approach addresses one of the most overlooked contributors to dark circles — the shadow effect caused by sunken contours.

Who Are They Suitable For?

Under-eye fillers are not a universal solution. The best results come when the treatment is matched with the right skin concern. Individuals who benefit most tend to have:

• A noticeable hollow or indentation under the eyes
• Mild to moderate dark circles caused by shadowing, not pigmentation
• Garis halus and early signs of skin laxity due to ageing

However, fillers are not suitable for treating true hyperpigmentation (discolouration from melanin) or large eye bags caused by fat protrusion. In those cases, other treatments like chemical peels, lasers, or blepharoplasty may be more effective. It’s essential to consult a certified aesthetic doctor to properly diagnose your concern before proceeding.

How the Procedure Works

During an under-eye filler treatment, a small amount of filler — usually a hyaluronic acid (HA) gel — is carefully injected into the tear trough. HA is a naturally occurring molecule in the body that binds to water, giving the skin a supple, hydrated appearance.

The procedure typically takes 15 to 30 minutes. It begins with a facial analysis and skin cleansing, followed by optional application of a numbing cream. The doctor will then use either a fine needle or blunt-tipped cannula to inject the filler into targeted areas. Cannulas are often preferred in the under-eye region because they reduce the risk of bruising and allow for smoother product placement.

Most patients describe the sensation as mild pressure or a quick pinch. There’s little to no pain, and downtime is minimal.

Post-Treatment Recovery and Results

After the procedure, it’s normal to experience mild swelling or slight bruising. These effects usually subside within a few days. To support healing, patients are advised to:

• Avoid touching or massaging the area for the first 24 hours
• Stay upright for at least 4 hours post-treatment
• Refrain from strenuous activity, alcohol, and high heat for 24 hours

Initial results are often visible right away, with full effects becoming more apparent over the next one to two weeks. Most patients notice a smoother under-eye area, diminished shadows, and a less tired appearance — all without makeup or filters.

Results from hyaluronic acid fillers typically last 9 to 18 months. This longevity is due to the relatively low mobility of the under-eye region, which slows down the breakdown of the filler material. Follow-up treatments are recommended every year or so for maintenance.

Are Under-Eye Fillers Safe?

When performed by a qualified aesthetic doctor, under-eye filler treatment is considered safe and effective. However, the under-eye area is one of the most delicate zones on the face, so precision and expertise are non-negotiable.

Mild side effects like bruising, redness, or tenderness are common and short-lived. Less commonly, some patients may experience a bluish tint (known as the Tyndall effect) if filler is placed too close to the skin’s surface. In such cases, a dissolving enzyme called hyaluronidase can reverse the effect safely.

In very rare cases, improper technique can result in more serious complications like vascular occlusion. This is why it’s critical to choose a board-certified, LCP-credentialed medical provider with specific experience in tear trough filler procedures.

Brighter Eyes Begin with Trusted Experts in Malaysia

If you’re considering dermal filler Malaysia treatments, we invite you to book a consultation with our certified team at Klinik Dr Chong. We are a trusted name in Malaysia’s medical aesthetics field, with a team of LCP-certified aesthetic doctors and clinics in strategic locations like Kuala Lumpur, Johor Bahru, Penang, and more.

In addition to fillers, we also offer complementary treatments like HIFU facelift, pengelupasan kimia, and Pico Laser di Malaysia to support your skin rejuvenation journey.

Book your appointment today and take the first step towards smoother, brighter under-eyes with Dr Chong Clinic.

Soalan Lazim (Soalan Lazim)

1. Can under-eye fillers be combined with other treatments?

Yes, under-eye fillers can be combined with complementary treatments such as Laser Pico, chemical peels, or HIFU facelift to address pigmentation, skin texture, and laxity. Your doctor will recommend a customised combination based on your skin analysis.

2. Is there a best age to start under-eye fillers?

There’s no fixed “best age” — it depends on your skin condition rather than your age. Some start in their late 20s to prevent early signs of ageing, while others wait until visible volume loss or hollowing becomes a concern.

3. Can I wear makeup after under-eye fillers?

It’s best to avoid makeup for the first 24 hours after your filler treatment to reduce the risk of infection. Once any redness or swelling subsides, you can return to your normal makeup routine.

4. How do I know if I need filler or surgery for my eye bags?

If your concern is caused by fat protrusion or significant skin laxity, surgery like blepharoplasty may be more effective. However, if your issue is mainly volume loss or hollowness, under-eye filler may be sufficient. A consultation is key to determining the right path.