Tear Trough Treatment: What It Is and What to Expect
Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor provides Tear Trough Treatment?
Tear troughs are the hollow areas under the eyes that can make a person look tired. Doctors who treat them include otolaryngologists, dermatologists, and plastic surgeons. Your primary care doctor can help you decide which specialist to see. A direct primary care or concierge doctor can be a first stop for an evaluation and can refer you to a specialist when needed.
What it is
Tear trough treatment softens the hollow or shadow under the lower eyelid. The most common method is a filler injection that fills the dip. Some people instead have surgery that moves or removes fat near the eyelid.
Why a doctor might recommend it
Some people have deep hollows under their eyes because of facial shape, aging, or weight loss. The hollow can create a shadow that makes them look tired even when they feel rested.
How to prepare
- Ask your doctor which type of filler or procedure they plan to use and why.
- Tell your doctor about all medicines and supplements you take, especially blood thinners.
- Avoid alcohol before the visit if your doctor advises it, and arrange a ride home if you will receive medicine to help you relax.
- Plan to arrive with a clean face and no makeup around the eyes.
What happens during it
For filler treatment, the doctor cleans the skin and may apply numbing cream. They use a thin needle or cannula to place small amounts of filler along the hollow. The visit usually takes about 15 to 30 minutes, and you can go home the same day.
Recovery
Most people can return to normal activities right away, though doctors often suggest avoiding strenuous exercise for a day or two. Mild swelling, redness, or bruising is common and usually fades within a few days.
Risks and side effects
Common side effects include swelling, bruising, and tenderness at the injection site. Less common risks include lumps, asymmetry, or infection. Rarely, filler can affect blood flow to the skin or eye area.
Who performs it
Filler treatments are done by doctors trained in facial injections, including dermatologists, plastic surgeons, and some otolaryngologists. Surgical repair is done by a plastic surgeon or an oculoplastic surgeon. Ask how many of these procedures they perform each year.
How a direct primary care or concierge doctor fits in
A direct primary care doctor charges a flat monthly fee instead of billing insurance, while a concierge doctor usually charges more and often works alongside insurance. Either can be a good first stop. They can examine the area and check whether swelling or dark circles have a treatable cause. If you want a filler or surgery, they will refer you to a specialist.
Common questions
Does tear trough treatment hurt?
Most people feel only a quick pinch during the injections. Numbing cream is often used first to reduce discomfort. Soreness afterward is usually mild.
How long does tear trough filler last?
Filler under the eyes often lasts from several months to a couple of years, depending on the product and the person. Surgery can last longer, but aging continues.
Will I need time off work after tear trough treatment?
Many people do, especially after filler. Some swelling or bruising may be visible for a few days, so some people prefer to schedule it before a weekend.
Can tear trough filler be reversed?
Many fillers are made from hyaluronic acid, a substance the body naturally contains. These fillers can be softened or removed with an enzyme injection. Ask your doctor whether the product they use can be reversed.
Sources
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
