Considering under-eye filler? Our Troy, MO dermatology team explains how filler works, what recovery looks like, and how to achieve refreshed, natural results.
At St. Louis Dermatology & Cosmetic Surgery in Troy, Missouri, our experienced providers offer personalized injectable treatments, including under-eye (tear trough) filler, to help restore a smoother, brighter look that still feels like you.
Before you book an appointment, here’s everything you should know about this increasingly popular cosmetic treatment — from how it works to what recovery looks like.

💧 What Is Under Eye Filler?
Under-eye filler is a non-surgical treatment that uses hyaluronic acid-based dermal fillers to soften the appearance of dark shadows or hollows beneath the eyes (the tear trough area).
Hyaluronic acid (HA) is a naturally occurring substance in the skin that helps retain moisture and volume. When strategically placed, HA fillers can:
- Smooth under-eye depressions
- Reduce the shadowing that creates “dark circles”
- Restore a more rested, youthful appearance
It’s a subtle but powerful way to refresh your look — not change it.
⚕️ Why Patients Consider Under Eye Filler
The under-eye area is one of the first places to show signs of aging and volume loss. You might be a good candidate for under-eye filler if you notice:
- Hollowing or sunken appearance under the eyes
- Persistent dark circles even when you’re well-rested
- Mild under-eye bags without significant skin laxity
- A desire to look more refreshed without surgery or downtime
However, not everyone is a candidate. Patients with significant puffiness or loose skin may benefit more from other options, such as laser resurfacing or surgical eyelid rejuvenation (blepharoplasty).
🩺 The Consultation Process at SLD
During your consultation at our Troy, MO office, your provider will:
- Review your medical history to ensure the safety of your treatment.
- Examine your facial anatomy and the structure of your under-eyes.
- Discuss your goals and expectations to create a tailored plan.
- Recommend the right filler type and treatment strategy (sometimes combining fillers with laser or skincare for best results).
This individualized approach helps ensure a natural, balanced outcome that complements your overall features.
💉 What to Expect During the Treatment
Under-eye filler appointments are typically quick and comfortable, often taking less than 30 minutes.
Here’s what the process usually involves:
- Numbing – A topical anesthetic is applied to minimize discomfort.
- Precise injection – Using a fine needle or microcannula, the filler is carefully placed beneath the skin.
- Gentle sculpting – Your provider smooths and shapes the area to create a natural transition between the lower eyelid and the cheek.
- Immediate improvement – You’ll notice a more refreshed look right away, though final results continue to refine over a few days.
🕓 Recovery and Results
Recovery from under-eye filler is minimal. Most patients return to work or daily activities immediately.
You may notice:
- Mild swelling or tenderness for 1–3 days
- Occasional bruising, which can be concealed with makeup after 24 hours
- Results that typically last 9 to 12 months, depending on your body’s metabolism and the filler used
Regular follow-up visits help maintain your results and allow subtle touch-ups over time.

📍 Why Choose St. Louis Dermatology & Cosmetic Surgery in Troy, MO
As a locally owned, physician-led practice, we take pride in offering care that’s both medically grounded and community-focused.
Patients throughout Troy, Wentzville, Lake St. Louis, Warrenton, and the greater St. Charles area trust our team for their dermatologic and cosmetic needs because we provide:
- Experienced, medically directed care
- Personalized treatment recommendations
- Long-term relationships built on trust and results
✨ Ready to Learn More?
If you’re considering under-eye filler in Troy, MO, the best next step is a personalized consultation with our team. We’ll assess your concerns, explain your options, and help you make an informed treatment decision. Schedule your consultation today with St. Louis Dermatology & Cosmetic Surgery — and take the first step toward a brighter, more refreshed look.
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