The short answer
Under-eye filler at Cosmetica Med Spa in Boca Raton starts at $699 per syringe, and most plans use 1 to 2 syringes, so a typical treatment costs $699 to $1,398. Your injector confirms the amount and your exact price at your consultation, before anything is done.
For a national reference point, the American Society of Plastic Surgeons lists an average fee of $715 for hyaluronic acid filler in its 2023 cost report. Prices vary from practice to practice with the product and the amount used.
What under-eye filler costs, start to finish
A one-syringe treatment is $699 and a two-syringe treatment is $1,398. Here's how the most common plans add up.
| Plan | What's involved | Cost at Cosmetica |
|---|---|---|
| One syringe | One syringe of hyaluronic acid filler | $699 |
| Two syringes | Two syringes of hyaluronic acid filler | $1,398 |
| Dissolve old filler first | Only if earlier filler needs clearing before a fresh start | From $199, plus new filler |
| Under-eye PRP or PRF instead | Uses your own platelets rather than filler | From $699 |
Because results usually last about 9 to 12 months, many people budget for one treatment a year. That puts the yearly cost at roughly $699 to $1,398.
The amount is a medical decision, not a package. The FDA's approval notice for Juvederm Volbella XC under the eyes notes that patients in its clinical study needed one or two treatments to reach the best outcome.
How long under-eye filler lasts
Under-eye filler usually lasts about 9 to 12 months, and sometimes longer, because there's little movement in this area. That's longer than lip filler, which usually lasts 6 to 12 months.
The makers of the fillers approved specifically for under-eye hollows report similar numbers. The FDA states that Juvederm Volbella XC results may last up to 12 months. Galderma reports that Restylane Eyelight results last up to 18 months with optimal treatment.
Which fillers are used under the eyes
We use soft hyaluronic acid fillers under the eyes, chosen from the brands we carry: Juvederm, Restylane, RHA and Revanesse Versa. Hyaluronic acid is a substance your body already makes, and this type of filler can be dissolved if it ever needs adjusting.
The FDA has approved the hyaluronic acid fillers below specifically for hollows under the eyes. Here's what each maker reported from its clinical trial.
| Filler (maker) | FDA-approved use | What the trial showed | How long it lasts |
|---|---|---|---|
| Juvederm Volbella XC (Allergan Aesthetics) | Infraorbital (under-eye) hollows, adults over 21 | 83.1% responded, vs 15.6% of an untreated control group; 90% reported satisfaction through one year | Up to 12 months, per the FDA |
| Restylane Eyelight (Galderma) | Infraorbital hollowing, adults over 21 | 87% had less hollowness at 3 months; 84% were still pleased at 12 months | Up to 18 months with optimal treatment, per Galderma |
| Belotero Balance (+) (Merz Aesthetics) | Infraorbital hollows, adults over 21 | In 150 adults, 80.6% responded at 8 weeks, vs 1.9% of a delayed-treatment control group | Not stated in Merz's approval announcement |
| RHA Redensity Eye (Teoxane, with Revance) | Moderate to severe under-eye volume loss, adults 22 and older | 93% showed improvement at 3 months in a 52-week study | Up to 12 months without touch-ups, per Revance and Teoxane |
This table describes each product's FDA approval, not the product your injector will use. That choice is made at your consultation, based on how thin your skin is and how deep the hollow runs.
Who is a good candidate, and when PRP or PRF fits better
Under-eye filler suits adults whose tired look comes from hollows, the volume loss under the eyes often called the tear trough. Mayo Clinic notes that what looks like dark circles can be shadows from these hollows, and that fillers can smooth them.
Dark circles have other causes too. Mayo Clinic also lists pigment changes such as melasma, genetics, eczema and sun exposure. Filler fills a hollow; it doesn't change the color of your skin.
| What you see in the mirror | Usually the better fit |
|---|---|
| A groove or hollow between the lower lid and cheek that casts a shadow | Under-eye filler |
| Dark color in the skin itself, rather than a shadow | Under-eye PRP or PRF |
| Thin, crinkly texture more than hollowness | Under-eye PRP or PRF |
| A hollow plus a cheek that has lost volume | Under-eye filler, sometimes with cheek filler |
| Older filler that has shifted or still shows | Filler dissolving first, then a fresh plan |
| Puffy bags | A closer look at the cause first, since extra volume can make bags more noticeable |
We'll look closely at your under-eyes and tell you honestly what will help.
Under-eye filler vs under-eye PRP and PRF
Under-eye filler fills a hollow with volume right away, while under-eye PRP and PRF use your own platelets to improve texture and dark circles. Both start at $699.
| Under-eye filler | Under-eye PRP and PRF | |
|---|---|---|
| Made from | Hyaluronic acid gel | Your own blood, spun to concentrate platelets (PRP) or platelets and fibrin (PRF) |
| Main goal | Fill hollows and soften the shadows they cast | Improve under-eye texture and dark circles |
| When you see it | Right away, with final results in about 2 weeks | Your provider walks you through the timeline |
| Can be dissolved | Yes, with hyaluronidase | Nothing to dissolve |
| Starts at | $699 per syringe | $699 |
If hollows are the main issue, filler is usually the more direct fix. If texture or dark circles bother you more than hollowness, PRP or PRF may be a better fit. PRP and PRF also suit people who'd rather use their own platelets than a gel.
What affects the price
The number of syringes is the biggest factor in what you pay.
- How deep the hollows are. Deeper hollows can need a second syringe.
- The product. Your injector picks the filler that suits your skin, and your price is confirmed before treatment.
- Filler already in place. If older filler needs clearing first, filler dissolving starts at $199.
- Other areas. Some people add cheek filler at the same visit, priced separately from $699 per syringe.
What to expect at your appointment
Treatment takes about 30 minutes. After numbing, your injector places the filler, usually with a blunt cannula, a rounded tool that helps reduce bruising. The skin here is thin, so a little filler goes a long way.
You'll see a difference right away, and final results show in about two weeks. Individual results vary. Mild swelling and bruising can last a few days, so book at least two weeks before a wedding, photos or a big event.
How long results take to settle, and touch-ups
Under-eye filler looks better as soon as it's placed and settles into its final result in about 2 weeks. Swelling and bruising, if you get them, usually fade within 1 to 2 weeks.
| When | What's typical |
|---|---|
| Right away | A visible difference, often with mild swelling |
| First few days | Mild swelling and any bruising begin to ease |
| About 2 weeks | The filler has settled, and you see your final result |
| 9 to 12 months or longer | A typical time to plan your next treatment |
Some people reach their goal in one visit, and some need a second. In the Volbella XC study, the FDA notes that patients needed one or two treatments to reach the best outcome. Building gradually over two visits is a common way to keep the look natural. Topping up before the filler fully fades often takes less product than starting over. Any added filler, and its price, is confirmed with you before it's placed.
What to know before your treatment
Most side effects are mild and short-lived. In the Juvederm Volbella XC under-eye trial, the most common were tenderness, bruising, swelling, lumps or bumps and redness, and all resolved within 45 days. In the Restylane Eyelight trial, 75% of side effects were mild, none were severe and no bluish discoloration was seen.
The safety information for the FDA-approved under-eye fillers asks you to share a few things with your injector first:
- Severe allergies, a history of anaphylaxis, or an allergy to lidocaine or to the bacterial proteins used to make hyaluronic acid
- A bleeding disorder, or medicines that affect bleeding, such as aspirin or warfarin, which can increase bruising
- Pregnancy or breastfeeding, since safety hasn't been studied
- A history of scarring or pigment problems, or medicines that lower your immune response
- Any planned laser treatment or chemical peel near the area
- A sore, pimple, rash or infection near your eyes, which means treating it first and booking your filler later
Rarely, filler can enter a blood vessel. Restylane's safety information lists vision problems, blindness and stroke as rare results of this. Severe pain, skin turning white or dusky, or any vision change after filler needs care the same day. Call us at (561) 621-1578 right away, or seek emergency care.
Under-eye filler is done by experienced injectors and overseen by our medical director, board-certified dermatologist Dr. Andrei Gherghina.
Questions to ask before under-eye filler
Ask which product will be used, how it will be placed, whether filler can be dissolved on site and who oversees the treatment. The under-eye area is thin and close to delicate structures, so these answers matter as much as the price.
| Question | The answer at Cosmetica |
|---|---|
| Which filler will you use, and why? | A soft hyaluronic acid filler from Juvederm, Restylane, RHA or Revanesse Versa, chosen for your skin and the depth of your hollow |
| Needle or cannula? | Usually a blunt cannula, which helps reduce bruising |
| Can it be reversed if needed? | Yes. We keep hyaluronidase on hand to dissolve hyaluronic acid filler |
| How many syringes, and what's my total? | Most plans use 1 to 2, and your price is confirmed before treatment |
| Who oversees the treatment? | Our medical director, board-certified dermatologist Dr. Andrei Gherghina |
Aftercare for under-eye filler
Under-eye filler aftercare follows our standard filler steps: hands off the area, keep it cool, and skip heat, alcohol and hard workouts for a day or two. You'll also get these instructions by email after your visit.
| When | What to do |
|---|---|
| First 4 hours | Stay upright. |
| First 6 hours | Don't touch, press or massage under your eyes. |
| First 24 hours | Keep makeup off the treated area. For swelling, hold a cloth-wrapped cold compress there for 10 to 15 minutes at a time. |
| First 24 to 48 hours | Skip strenuous exercise, alcohol, saunas, hot tubs, tanning beds and direct sun. |
| First few nights | Sleep on your back with your head raised. |
| First 2 weeks | Hold off on facials and facial massage. |
| Throughout | Use acetaminophen (Tylenol) for discomfort rather than ibuprofen or aspirin, which can add to bruising. Arnica may help with bruising. Avoid smoking. |
See every treatment's instructions in our aftercare guide.
Ways to pay
We accept cash, all major credit cards, Cherry and CareCredit, so you can spread the cost over time. See financing for details. Under-eye filler is cosmetic, and we don't bill insurance.
A $100 deposit is taken when you book online, and it's credited to your treatment.
Questions we hear
Is one syringe of under-eye filler enough?
Often, yes. Most plans use 1 to 2 syringes, and your injector recommends the amount after seeing how deep your hollows are.
How much is two syringes of under-eye filler?
Two syringes are $1,398 at Cosmetica Med Spa, at $699 each.
How long does under-eye filler last?
Usually about 9 to 12 months, and sometimes longer. There's little movement under the eyes, so filler lasts longer here than in the lips.
Which fillers are FDA-approved for under the eyes?
Juvederm Volbella XC, Restylane Eyelight, Belotero Balance (+) and RHA Redensity Eye are each FDA-approved for under-eye hollows in adults. Your injector chooses the product that suits your skin at your consultation.
Does under-eye filler hurt?
Most people are comfortable. Numbing cream and a filler that contains lidocaine help, and a blunt cannula reduces bruising.
Can under-eye filler be dissolved?
Yes. An enzyme called hyaluronidase breaks down hyaluronic acid filler. Filler dissolving starts at $199.
Will under-eye filler get rid of dark circles?
It softens dark circles caused by shadows from hollows. It doesn't change pigment in the skin. For that, ask about under-eye PRP and PRF.
Does insurance cover under-eye filler?
No. It's a cosmetic treatment, and we don't bill insurance. Payment plans are available through Cherry and CareCredit.
Ready to see what your under-eyes need? Book an under-eye filler consultation, call (561) 621-1578, or compare areas in our dermal filler cost guide.
Sources
- U.S. Food and Drug Administration: Juvederm Volbella XC, P110033/S053 (infraorbital hollow)
- AbbVie / Allergan Aesthetics: FDA approves Juvederm Volbella XC for undereye hollows (February 8, 2022)
- Galderma: FDA approval for Restylane Eyelight (June 5, 2023)
- Merz Aesthetics: Belotero Balance (+) approved for infraorbital hollows (September 26, 2023)
- Revance and Teoxane: FDA approval of RHA Redensity Eye for undereye hollowing (August 20, 2026)
- American Society of Plastic Surgeons: 2023 cosmetic procedures average cost
- Mayo Clinic: Dark circles under eyes, causes