Dermal filler treatment is becoming increasingly popular in Vancouver for treating the tear trough under the eyes. It is now widely known as one of the best ways to address tired looking undereyes as seen in Byrdie 以及 Glamour. Many of our patients, even with the most dedicated skincare routine, can struggle with dark circles and under-eye hollows. If this is the case, it may be worthwhile considering under eye enhancement with hyaluronic acid filler, a non-invasive treatment that has little to minimal downtime. 

tear trough Vancouver sparrow md


  • 治疗时间: 30分钟
  • 恢复时间: 极短
  • 起效: 即刻
  • 花费: Varies depending on degree of under eye hollows and cheek volume


As we age, the production of collagen diminishes. The delicate under-eye region is often where these signs of aging first appear, leading to a sunken appearance. Genetics may also play a role where many naturally have pronounced under-eye hollows and dark circles, often making you appear more tired than you feel. Tear-trough fillers might benefit you if you constantly look tired despite adequate rest. This treatment may not be suitable for everyone: candidates need to have adequate skin elasticity and thickness around the treatment area. Our doctors will evaluate the skin's quality around your eyes at your initial assessment visit and examine the relationship between the orbital rim and the tear trough before proceeding with the procedure.

tear trough Vancouver sparrow md


Revitalizing the tired under eyes is just one of the transformative benefits of using dermal fillers in the troughs. Here are a host of other advantages, including:

1. Fine Line and Wrinkle Reduction: Sagging skin under the eyes will appear more plump, diminishing the appearance of fine lines and wrinkles.

2. Dark Circle Reduction: Correction of the undereye hollows can help improve the light reflection in the undereye area, decreasing the shadow and improving the dark circles. Combined with other topical and growth-factor-based treatments, your dark circles can improve significantly. 

3. Enduring Results: Our patients often enjoy long-lasting results from our under-eye treatment that lasts between 12-18 months. 

4. Quick Recovery: One of the benefits of tear trough dermal filler is that it almost has no downtime, allowing you to return to your day-to-day activities almost immediately. At Sparrow MD, our injectors use the cannula technique, the safest way to deliver dermal filler in the delicate undereye area. Most of our patients experience no bruising or swelling and can return to work immediately.


This treatment is relatively quick and takes no more than 30 minutes. Before treatment, our doctors will do a full face assessment. During the assessment, we can determine whether additional cheek support would be recommended in conjunction with the under-eye filler treatment. Upon reaching the right treatment plan for you, our doctors will proceed with treatment. Topical anesthetic or ice can be applied to minimize any discomfort. Then we will go in with a small cannula to decrease the risk of swelling and bruising. Prioritizing your comfort, the dermal fillers we use are infused with a local anesthetic, ensuring a comfortable experience. 


After undergoing a tear-trough filler treatment, you'll notice immediate results with minimal recovery time. Rarely there can be some minimal bruising or swelling, which can improve quickly with cool compresses. For the first 24 hours following the treatment, we recommend our patients avoid vigorous exercise or any activities that might increase their heart rate or blood pressure. Although you can restart to your makeup and skincare routine promptly, it's crucial to handle the treated area with care, ensuring you don't exert excessive pressure or disturb it excessively.


A week before the procedure, we advise our patients to avoid substances that can thin the blood, such as aspirin and ibuprofen, unless otherwise approved by our physician. We also recommended avoiding alcohol a few days prior to further reduce the risk of bruising.

为什么选择 Sparrow MD

Tear trough filler is generally safe and minimally invasive but requires technical finesse. It is essential to choose a knowledgeable and experienced injector. Dr. Zhai and Dr. Van Dewark perform under-eye treatments conservatively to ensure a natural result. Guided by our philosophy of "Do it, but don't overdo it," our highly trained physicians specialize in tailoring treatments to each individual's unique facial structure. We can employ ultrasound-guided injections, a method that elevates our procedures' safety and precision.

sparrowmd consultation


Are tear trough filler injections safe? 

Hyaluronic acid (HA) based facial fillers are widely regarded as the safest choice for addressing the delicate under-eye area. Our physicians primarily employ the cannula technique, which is significantly less invasive than the conventional needle approach. The micro-cannula method enables precise placement of the dermal filler with minimal impact on blood vessels and adjacent tissues. As a result, our patients typically encounter no bruising or recovery downtime following this procedure.

Will I need ultrasound guided injections with tear trough filler injections?

At Sparrow MD, we utilize bedside ultrasound for guidance during dermal filler treatments, enhancing the safety and precision of our procedures. For most under-eye filler treatments, we have the ultrasound readily available. Combined with our doctors' expertise in using micro-cannula for this area, this approach further elevates the safety of under-eye filler treatments for our patients.

Which dermal filler brand will I need for my tear trough treatment?

Several dermal filler options are available for the under-eye area, including Teoxane®, Restylane®, and Juvéderm®. At Sparrow MD, we offer a variety of dermal filler brands, allowing us to select the most suitable product for our clients based on factors such as the treated area, individual anatomy, and skin quality.

Will the doctor use a cannula or needle for my tear trough under-eye filler treatment? 

At Sparrow MD, the unit cost for dermal fillers typically ranges from $695 to $850, and this cost can vary based on the volume required and whether additional cheek support is needed to achieve the optimal outcome for each patient. We advise scheduling an in-person assessment with our doctors to have a more detailed discussion about this treatment and determine the specific cost tailored to your individual needs.

Will a cannula or needle be used for my tear trough treatment? 

Dermal fillers can be administered through various methods involving needles and cannulas of varying sizes. When addressing the under-eye area, our doctors typically opt for a micro-cannula approach to prioritize safety and minimize the potential for bruising. Our clients find the results highly satisfying because the procedure is quick and easy, with virtually no downtime. They can experience immediate results without worrying about bruising or swelling.

Does under-eye filler help with dark circles? 

Dermal fillers do not directly address skin pigmentation issues. Factors like aging, genetics, allergies, sleep deprivation, and dehydration can contribute to the development of dark circles under the eyes. However, if the darkness is caused by shadows created by hollowing in the under-eye area, then a filler may be beneficial. By adding volume and smoothing out the hollow areas, fillers can reduce the appearance of dark circles and create a brighter and more even under-eye appearance. 

Are there potential complications and risks with under eye filler?

Fortunately, tear trough fillers are considered a very safe procedure, especially with cannula. However, no cosmetic procedure is entirely without risk. To elevate safety standards and minimize potential complications in patients, our team can choose to use ultrasound-guided injections with cannula. This ensures your treatment experience is not only effective but rooted in utmost precision and care. Rarely, you may experience local swelling, bruising, redness, or skin irritation. This is temporary and usually resolves quickly post-treatment. At our clinic, it is normal to have a follow-up appointment to fine tune the results of your initial treatment at the 4 week mark. 

Is botox better than dermal fillers for the under eye?

Neuromodulators such as Botox®肉毒 will diminish fine lines and wrinkles by targeting the muscle contractions that cause them. On the other hand, dermal fillers are designed to rejuvenate by restoring lost volume, which Botox® doesn't address. To achieve a comprehensive rejuvenation around the eye area, these two injectables can be combined, offering a harmonized solution to various concerns.

How painful is tear trough filler treatment? 

While there may be slight discomfort, the procedure is not painful, thanks to its minimally invasive nature. Our team of dedicated medical experts stands by to guide you seamlessly through the entire process, prioritizing your utmost comfort at every step.