jessica wu home
The Real Scoop On Undereye Filler
Written by Dr JessicaWu   

Many of you have asked me whether you should get filler injections to reduce undereye bags and dark circles. The answer ...


Thursday, October 1 2015

The Real Scoop On Undereye Filler

Share with friends
Facebook Twitter Pinterest Forward

Many of you have asked me whether you should get filler injections to reduce undereye bags and dark circles. The answer: It depends on your skin and your anatomy. It’s not an easy area to treat, so the improvement may not be as dramatic as the smile crease or marionette lines. While filler can soften deep undereye hollows and camouflage dark circles, if not done properly it may worsen undereye bags or look lumpy. The ideal patient for this treatment has relatively firm skin, little crepiness, and mild undereye bags. I perform these injections in selected patients who don’t need a large amount; oftentimes, I refer to ophthalmic plastic surgeons.

Why is this area so tricky to treat? First of all, eyelid skin is very thin, so any filler may be visible. To reduce this risk, it should be injected slowly and carefully, and may need to be done over a few sessions. I only use hyaluronic acid fillers such as Juvederm, Restylane, and Belotero, because any bumps can be smoothed out with a few drops of an enzyme solution called hyaluronidase, unlike Radiesse or fat injections, which can stay permanently lumpy. Of all the fillers available in the US, Belotero and Restylane Silk are the softest and least likely to lump, although I have used Teosyal fillers outside the US and been very impressed. Some doctors prefer regular Restylane, since there’s evidence that it binds less water and therefore may swell less (though it has a firmer consistency). Depending on the amount and specific filler used, it typically lasts at least six months, often longer.

Lastly, there have been rare cases of blindness associated with filler injections around the eyes. Injecting too quickly and forcefully may increase this risk by blocking crucial blood vessels, so choose a doctor who is careful, gentle, and very experienced with filler injections if this is something you are considering.

Jessica's Tip:

Flu season is Oct – May, so the CDC recommends that you get your flu shot by October if possible. This gives your body enough time to develop antibodies to fight the flu virus. Be careful where it’s injected – there are reports of permanent shoulder injury due to flu shots that were improperly injected into the shoulder joint.

Style Obsession:
Milan Fashion Week: Gucci Spring/Summer 2016


The embroidery on this chiffon Gucci dress is so beautiful. I love the crystal beading, and the detailing on the koi fish (which are lucky in Asian culture). I wish I could have seen it in person, shimmering and swirling down the runway.


Bath & Shower Gloves

I use these recycled gloves in the shower to soften the chicken skin on my arms and thighs. They dry more quickly than a loofah or body puff, so they’re more hygienic, and you don’t have to worry about dropping them. $3.99 at drugstores and
Don't miss out! - Subscribe Now

My advice in 

How does your skin get better with age? My take on page 101 of this month’s Prevention magazine.

Talk to Me

Got a burning question, new product that you’d like me to review, or just want to say “hi”?
I’d love to hear from you. Send your comments to:

I will do my best to publish your questions in my newsletter. However, I can’t guarantee a personal response to each one. The material in this newsletter is provided for educational purposes only, and is not to be used for medical advice, diagnosis, or treatment.


Where to Find Dr. Jessica Wu

Title - In Bookstores
Book COVER 'JESSICA WU M.D. - feed your face'  

Get a Taste of Feed Your Face!

In this video clip, Dr. Jessica Wu talks about the inspiration behind her top selling book, Feed Your Face: Younger, Smoother Skin and a Beautiful Body in 28 Delicious Days. Find out how you can heal your skin by choosing the right foods to eat.

Title - At the office

Look and feel your best with Cosmetic Dermatology

Dr Wu has been taking care of patients in her Los Angeles office since 1997. Learn more about her medical practice and line of skincare products at

Request an appointment

Follow Dr Jessica Wu
Facebook Twitter Pinterest Forward
About Newsletter

People often ask who’s been writing my daily columns since 2009. And the answer is: ME! I’m often at my computer late at night, after a long day of seeing patients, or early (very early!) in the morning before a new day begins. What you read here is from me alone – and when I recommend something, it’s because I like it and have purchased it myself, not because anyone paid me to promote it.

- Jessica

Add a comment

Your name:
Your email:
  The word for verification. Lowercase letters only with no spaces.
Word verification:
Please place your email address in the box below.

subscribe to my newsletter