Fillers for Tear Trough Upper East Side

Name: Fillers for Tear Trough
Brand: Dr. Allison Coombs
Rating: 5 (126 reviews)

Dark circles, hollowness, and under-eye shadows can make you look exhausted even when you're well-rested. Tear trough filler is a non-surgical way to refresh the area under the eyes, brightening, smoothing, and restoring a more vibrant appearance.

man in white sweater with fist on his jaw

Erase the Tired Look, Not Your Natural Expression

The under-eye area is one of the most delicate and challenging parts of the face to treat. Dr. Allison Coombs offers expert fillers for tear trough that Upper East Side patients seek for natural-looking results that don’t distort or overfill. With her advanced training in facial anatomy and aesthetics, Dr. Coombs addresses tear trough concerns with subtlety, precision, and care.

As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Coombs has the specialized skill required to treat this sensitive region safely and effectively.

What Are Tear Troughs?

Tear troughs are the hollows that form between the lower eyelid and the top of the cheek. As we age or lose volume, this area can deepen, creating dark shadows, a sunken appearance, or even making puffiness appear worse due to contrast.

Tear trough filler uses hyaluronic acid-based dermal filler to gently add volume to the area, blending the lower lid into the cheek and reducing shadows. This is one of the most delicate uses of filler and should only be performed by highly trained specialists.

woman with her eyes closed and hands on her face

Tear Trough Filler Benefits

Patients seeking fillers for tear trough treatment on the Upper East Side often notice dramatic improvements in how they look and feel, without surgery or downtime.

Restores volume beneath the eyes
Softens the appearance of dark circles
Smooths the transition between the eyelid and the cheek
Reduces the look of under-eye bags caused by contrast
Offers immediate, natural-looking results

Schedule A Consultation

About Treatment Candidacy

While tear trough filler can be effective, it’s not appropriate for every patient. A thorough evaluation is needed to determine whether it’s the best approach for your needs. In some cases, puffiness or fluid retention may be better treated with surgery or other modalities. Dr. Coombs carefully evaluates your anatomy and aesthetic wishes before making any recommendations.

The following are ideal candidates:

Healthy individuals with hollowing or volume loss under the eyes.
Patients with mild to moderate dark circles not caused by pigmentation.
Those without excessive skin laxity or under-eye bags.
Women who are not currently pregnant or breastfeeding.

Dr. Allison V. Coombs

Why Choose Dr. Coombs for Fillers for Tear Trough on the Upper East Side?

Dr. Coombs is beyond an injector—she’s a facial and eyelid surgery specialist with extensive experience treating the most complex and delicate regions of the face. Her training in oculofacial plastic surgery gives her a unique advantage in tear trough treatment, allowing her to place filler precisely and conservatively.

Patients looking for fillers for tear trough on the Upper East Side appreciate Dr. Coombs’ eye for proportion and commitment to safety. She performs all treatments herself and works closely with patients to determine whether filler or another modality is the most effective and long-lasting solution.

What to Expect During Your Consultation

During your consultation, Dr. Coombs will assess the cause of your under-eye concern—hollowing, pigmentation, puffiness, or laxity—and develop a treatment plan based on those findings. In some cases, she may recommend skin resurfacing, eye lift surgery, or lower eyelid support instead of or in addition to filler.

Treatment Overview

The under-eye area is cleansed and marked.
A blunt-tipped cannula or fine needle is used for precise placement.
Dr. Coombs gently layers the filler, pausing to evaluate symmetry and response.
The procedure takes approximately 20–30 minutes.
You may return to normal activity immediately, with post-care instructions provided.

After the Procedure

Mild swelling or bruising may occur and typically subsides within a few days.
Results are visible immediately and continue to improve as the filler settles.
Avoid strenuous exercise and heavy pressure on the area for 24–48 hours.
Most patients return to normal routines the same or the next day.

Cost of Treatment

Tear trough filler treatments typically range from $800 to $1,200, depending on the product used and the amount needed. Results generally last nine to 18 months.

Alternative or Related Procedures

Lower eyelid surgery: Ideal for patients with excess skin or significant fat pads
Laser resurfacing: Improves texture, tone, and collagen
Under-eye chemical peels: Lightens pigmentation
Midface lift: Supports the lower eyelid and enhances cheek contours
PRF or microneedling: Stimulates collagen under the eyes for long-term improvement

Tear Trough Fillers We Use

Juvederm® Volbella: Soft and smooth for delicate correction
Restylane® Eyelight: Designed specifically for under-eye treatment
Belotero Balance®: Thin filler for ultra-fine adjustments

FAQ Tear Trough Filler

Will tear trough filler get rid of dark circles?

It can improve dark circles caused by shadowing or volume loss, but not pigment-based darkness.

How long does tear trough filler last?

Most patients enjoy results for nine to 18 months, depending on the product and individual metabolism.

Is it painful?

Most patients feel minimal discomfort. Numbing cream and blunt cannulas are used to enhance comfort.

Will it make my eyes look puffy?

Not when done correctly. Dr. Coombs uses conservative amounts to avoid overfilling or puffiness.

What if I don’t like the results?

Hyaluronic acid fillers can be dissolved with hyaluronidase if needed.