Is Botox or fillers better for under eyes?

Author: Anibal Wolf IV  |  Last update: Thursday, December 25, 2025

Botox is typically the best choice for reducing fine lines at a relatively low cost. Fillers are better for reducing the appearance of sunken eye sockets. Blepharoplasty can be a more permanent option for patients who are comfortable with surgery and concerned about the bags under their eyes.

Should I get under eye fillers or Botox?

While both botox and fillers can be used to rejuvenate the eyes, fillers are a better option for under eye bags. Under eye bags result from age-related changes in the skin and soft tissues around the lower eyelids. The bags are the result of the facial and under eye fat protruding beyond its normal location.

What procedure is best for under eye bags?

A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it's rare for people to need future touch-ups.

What is the downside of under eye fillers?

The most common side effects include bruising and swelling, which are typically temporary and resolve on their own. Uncommon side effects can include persistent lumps or the Tyndall effect. There are more severe side effects, which are extremely rare in experienced hands, such as infection and arterial injection.

Will fillers help with under eye bags?

Although fillers have a role in improving lower eyelid hollowing (especially in younger patients), they do not do well when it comes to treating lower eyelid bags caused by aging. These are better addressed with surgery.

BOTOX Before & After | Forehead, Brow Lift, Under Eyes Crows Feet & Frown Lines | Dominique Sachse

How much do undereye fillers cost?

On average, you can expect to pay between $684 and $1,500 per syringe. Typically, you'll need one syringe per eye, bringing the total cost for both eyes to $1,000 to $2,000. Factors like your location, the expertise of the injector, and the type of filler used can influence the price.

What is the new treatment for under eye bags?

The best treatments for under-eye pouches are energy-based tightening devices. These differ in the type of energy they deliver to the skin. High-intensity focused ultrasound, radiofrequency, and radiofrequency microneedling are the most common devices used.

Who shouldn't get under eye fillers?

Good candidates for under eye fillers are those with under eye hollowing or volume loss, good skin thickness and elasticity, and realistic expectations; those with medical conditions, thin skin, active infections, or festoons should avoid the treatment.

What to do instead of under eye fillers?

Non-Invasive Options for Under-Eye Rejuvenation

Treatments such as chemical peels, skin tightening procedures, and light-based therapies can significantly improve skin texture, hydration, and elasticity, making them appealing choices for those concerned about the signs of ageing.

What happens to under eye fillers over time?

The way the under eye filler is placed

Over time the fillers gradually degrade from as our body creates and enzyme called hyaluronidase that cleaves the bonds of the sugar chains in the gel. As the amount of filler volume lessens, the effect wanes.

Will insurance cover under eye bag removal?

Eye bag surgery is typically out-of-pocket — not covered by health insurance plans. Eye bags usually don't interfere with vision, so removing them is viewed as a cosmetic surgical option. Check with your doctor's office and health insurance provider to understand your cost before any procedure.

What is the best facial treatment for under eye bags?

Here's a look at the top under eye bag treatments recommended by skincare experts.
  1. Under Eye Filler. ...
  2. Fraxel Laser Treatment. ...
  3. Sculptra Injectables. ...
  4. PDO Thread Lift. ...
  5. Medical Facials. ...
  6. Medical-Grade Eye Cream.

How much does it cost to fix bags under eyes?

Surgery for eye bags can range from between $2,000 and $5,000, depending on the doctor, the type of surgery being performed, and what exactly is required. Talk to your doctor ahead of time to discuss all potential costs and fees that may be associated with a blepharoplasty.

Are fillers more risky than Botox?

Are they safer than Botox®? There are more complications with dermal fillers than with Botox®, hence it is not safer. However, it is not that necessary to compare the two treatments, as they are usually used in different parts of the face and used to treat different problems.

What is the best cosmetic procedure for under eye wrinkles?

Erbium laser resurfacing is used to get rid of moderate to surface-level wrinkles on various areas of the body to reduce signs of aging, including the face, which makes it one of the best procedures for under eye wrinkles.

What is the safest filler for under eyes?

The safest fillers for the under-eyes and tear trough (HA gel) Currently the best fillers for the under-eyes for the vast majority of people are made of cross-linked hyaluronic acid (HA) gel. They are soft, pliable, and most importantly, reversible.

What is the best non-surgical procedure for under eye bags?

If you would rather an effective non-surgical under eye treatment, under eye filler is for you. This is by far my preferred treatment for the under eye area. Fillers won't reduce puffiness under the eyes, but they can improve the appearance.

How to fix hollow under eyes without fillers?

Platelet-rich plasma (PRP) therapy is an innovative and natural treatment option for addressing sunken eyes. By using the patient's blood plasma, which is rich in growth factors and healing properties, PRP can rejuvenate the under-eye area, improve skin texture, and reduce the appearance of hollows.

How to remove dark circles under eyes permanently?

Some of the common treatments for dark circles are:
  1. Laser surgery to re-surface the skin and enhance skin tightening.
  2. Chemical peels to decrease pigmentation.
  3. Medical tattoos to inject pigment into thinning skin regions.
  4. Tissue fillers to conceal blood vessels and melanin causes skin discoloration beneath your eyes.

How much is under eye filler?

Under eye dermal filler cost is a common concern for anyone considering a quick and non-surgical solution to tired-looking eyes. On average, prices range from $684 to $1,500 per syringe, with total costs generally between $1,000 to $2,000 for both eyes.

Who is not a good candidate for under eye fillers?

Key Takeaways. Those with significant puffiness, thin skin, or pronounced eye bags are not ideal candidates due to risks of complication or exacerbating the issue. 18 to low-20-year-olds with minimal volume loss should avoid under eye fillers to prevent unnatural results or overcorrection.

Does microneedling tighten skin under eyes?

Dermapen microneedling is highly effective in improving the appearance of the skin around your eyes. The non-invasive procedure kickstarts a natural boost in collagen and elastin production which plumps the skin, improves the texture, and reduces pigmentation.

What is the new filler for under eyes?

Restylane Eyelight is an FDA-approved hyaluronic acid (HA) dermal filler formulated with NASHA® Technology, which has a firm gel texture resulting in targeted product placement, helping it stay in place. Restylane Eyelight fills in the undereye area to reduce shadows.

What is the best procedure for hollow under eyes?

A Dermal Filler is the treatment of choice to restore sunken eyes. In general, Cosmetic Fillers are universally renowned for their ability to restore lost volume on many areas on the face. What's more, they have particular versatility for getting rid of under eye hollows.

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