The Disadvantages of Hyaluronic Acid Under the Eyes

Under-eye hyaluronic acid injections may result in uneven or lumpy textures, and there is a risk of the Tyndall effect occurring. To avoid these drawbacks, it is recommended to choose Renatus Clinic, which specializes in hyaluronic acid procedures.

My under-eye area has dark shadows… My complexion looks really bad.

When there are hollows and sagging under the eyes, creating shadows, it makes you look tired. If someone asks, ‘Are you okay? Are you tired?’ even if I’m feeling fine, it tends to make me feel less energetic.

The shadows caused by hollows and sagging cannot be fully covered with makeup. It is necessary to address the root cause for a comprehensive solution.

However, the skin around the eyes is particularly thin compared to other parts of the face. It’s an area that isn’t concealed by masks, and even slight changes can be noticeable to those around you.

Do you know of a cosmetic procedure that can safely and cost-effectively address the delicate hollows above the eyes?

It is hyaluronic acid injections!!!

By applying a soft hyaluronic acid filler under the eyes, it is possible to fill in hollows and achieve a youthful eye area. The procedure takes only a few minutes, and there is minimal discomfort, making it ideal for those new to cosmetic treatments.

However, it cannot be denied that hyaluronic acid injections also have drawbacks. This time, we will explain the disadvantages of under-eye hyaluronic acid injections. Knowing them will help you undergo the procedure with peace of mind.

The Disadvantages and Risks of Under-Eye Hyaluronic Acid

There are broadly two types of causes for the formation of shadows under the eyes.

①Pattern where the reduction of fat under the eyes creates a step-like structure, causing shadows.

②Pattern where the skin under the eyes sags, and the area below the sagging creates shadows.

Excessive swelling or insufficient volume

The depth and width of under-eye hollows vary from person to person. For those with shallow hollows, improvement can be achieved with a small amount, while individuals with deeper hollows may require a larger quantity. On average, the necessary amount of hyaluronic acid ranges from 0.5cc to 1cc per side. The injection amount is adjusted based on facial balance.

An excessive injection volume can lead to swelling under the eyes, causing uneven textures or even creating new shadows. It is important to assess facial balance during consultation to determine the appropriate injection amount.

By the way, a slight overfill of under-eye hyaluronic acid usually isn’t a significant issue. This is due to the softness of the formulation.

The formulations used are “Volite” or “Volbella“. Both are soft hyaluronic acid formulations, well-suited for softer areas. Moreover, they tend to thin out over time, creating a smoother appearance for under-eye hollows. Therefore, even if there is a slight overfill, it usually smooths out gradually over time, alleviating concerns.

If the quantity is too small, there is a limitation on the areas where injection can be done, potentially leaving fine wrinkles or inadequately filling hollows. It is advisable to communicate to the attending physician how much improvement is desired and request a sufficient amount for the treatment.

Formation of lumps or unevenness

If hyaluronic acid doesn’t spread evenly, it can result in the formation of lumps under the eyes. Additionally, if it enters the shallow layers of the skin, it may create unevenness, making it noticeable.

Similarly, leveraging the softness of hyaluronic acid allows it to gradually spread over time, smoothing out the area.

However, it can be concerning when lumps appear immediately after the injection, right? Therefore, choosing a clinic with a wealth of experience in injections is crucial. With skilled physicians, the depth and quantity of injection can be understood through experience, allowing for a natural and well-executed outcome.

Tyndall Effect

Under the eyes, where the skin is thinnest on the face, there is a risk of the Tyndall Effect occurring if hyaluronic acid is injected into the wrong layer. The Tyndall Effect occurs when hyaluronic acid enters the shallow layers of the skin, causing it to appear translucent and bluish. If injected too superficially and concentrated in one area, it may not be absorbed and could persist indefinitely.

However, with a skilled and experienced practitioner, this issue is almost non-existent. It is essential to seek out a reputable clinic and a trustworthy physician.

Bruising and swelling

Hyaluronic acid injections involve the use of needles, which can lead to swelling and bruising. However, both typically subside within a few days to a week. To expedite recovery, it’s advisable to apply a cold compress or ice pack lightly in the first few days. Care should be taken not to press too hard, as it could distort the shape. Additionally, activities that enhance blood circulation, such as excessive exercise, alcohol consumption, sauna, and hot baths, should be avoided, as they can exacerbate swelling and bruising.

Swelling and bruising can be concealed with makeup to a certain extent, so they may not be a significant concern. However, as a precaution, it’s advisable to avoid scheduling important events from the day of the procedure to about a week afterward.

Short Duration of Effectiveness

Hyaluronic acid is a natural moisturizing component found in the body. Depending on the formulation, it is gradually absorbed and diminishes over a period of approximately six months to 1.5 years. Therefore, to maintain the effects, it is necessary to continue regular injections of hyaluronic acid.

It’s worth noting that with repeated injections, the duration of effectiveness tends to extend. While hyaluronic acid formulations don’t last a lifetime, on the flip side, this can be seen as an advantage

The structure of the face undergoes changes and aging over time. If something like surgical implants or silicone, which remains in the

body for a lifetime, is inserted, what might happen? It could lead to an inability to withstand the natural changes in the face, resulting in an unnatural appearance or the possibility of the inserted material becoming noticeable.

Hyaluronic acid is metabolized and eventually disappears. However, by assessing the facial balance at the point of its disappearance and reinjecting to match that balance, it’s possible to consistently achieve a natural beauty. The relatively short duration of effectiveness can also be seen as an advantage.


The Advantages of Under-Eye Hyaluronic Acid

Up until now, we’ve discussed the drawbacks of under-eye hyaluronic acid. Looking at the drawbacks might make you hesitant to undergo the treatment, right? However, the benefits of injecting hyaluronic acid for under-eye hollows far outweigh the drawbacks. Moreover, it offers excellent cost-effectiveness, making it a cosmetic procedure that we highly recommend everyone to experience.

Elimination of Under-Eye Hollows and Reduced Visibility of Dark Circles

The primary benefit of under-eye hyaluronic acid is the ability to replenish volume and fill in hollows. This restores a plump under-eye area, contributing to a more youthful appearance. Additionally, injecting hyaluronic acid under sagging areas smoothens both the sagging and the skin, reducing shadows. The diminished visibility of dark circles helps eliminate the tired look, resulting in a vibrant and lively image.

The hollows under the eyes become more noticeable due to a reduction in fat. Injecting hyaluronic acid to spread on the periosteum lifts the overall skin, resulting in a smoother appearance of the hollows.

Under-eye sagging occurs when the orbital fat, which has lost support with age, protrudes. Injecting hyaluronic acid into the lower part of this sagging can smooth out the transition and reduce shadows.

It’s crucial to identify the root cause of the under-eye shadows and undergo treatment with an appropriate injection approach. Choosing a reliable clinic and physician is paramount above all.

Enhanced skin firmness under the eyes.

Hyaluronic acid is naturally present in the body as a moisturizing factor. It is said to retain 2-6 liters of water per gram, contributing to skin hydration. By bringing out the skin’s moisture, it enhances firmness, radiance, and restores a youthful appearance.

The volume from hyaluronic acid fills in under-eye hollows and smoothes wrinkles. Additionally, the hydrating properties of the formulation can improve fine lines.

A natural result

Hyaluronic acid doesn’t dramatically change the face; instead, it produces a natural transformation that suits the individual’s facial features. By smoothing under-eye hollows without causing damage to the face, the treatment is virtually undetectable on the surface, allowing for a quite natural improvement of wrinkles.

To achieve a more natural result, choose a clinic with a proven track record. When administered by a skilled practitioner, the result is smooth and well-defined contours. A natural outcome creates a sense of satisfaction without the appearance of having undergone a procedure. Look for reputable clinics through the internet and social media.

Short Treatment Duration

The time required for upper eye hyaluronic acid is approximately 15-30 minutes. The initial needle insertion may be a bit uncomfortable, but afterward, there is minimal to no pain. As a result, many clients express that the procedure feels like it’s over in no time, especially if they were resting. The treatment can be completed quickly and with minimal stress.

The short treatment duration is a significant advantage of hyaluronic acid injections (with some exceptions depending on the area). This makes it a convenient procedure that can be easily scheduled during breaks or after work.

Immediate Effectiveness

Unlike growth factors or Botox, hyaluronic acid injections provide immediate results that you can feel right after the procedure. By the time you return home after the treatment, you’ll likely be brimming with confidence, enjoying the beauty of your transformed face. The instant completion of the procedure makes it suitable for those who want a quick maintenance.

However, keep in mind that it may take a few days for swelling and bruising to subside, so it’s not recommended to undergo the treatment right before any important events. Additionally, the hyaluronic acid may take around 2 weeks to 1 month to fully settle. During this period, try to avoid touching or massaging the treated area, as this can disrupt the shape.

Less Downtime

Hyaluronic acid injections are non-surgical procedures that do not involve cutting the skin. The injections are administered through small needle punctures, leaving only these needle marks as visible signs on the face. These marks typically heal to the point of being nearly invisible by the next day, and even if they persist, they can be easily concealed with makeup. Swelling duration may vary depending on the injection site, but it generally subsides within a few days, and in more extended cases, up to one week.

Minimal Side Effects and Risks

Medical procedures and medications often come with side effects, but hyaluronic acid is a naturally occurring substance in the body, making it a safe formulation with minimal risk of allergies. In the days following the treatment, there might be some swelling or bruising, but these are typically small enough to be covered with makeup and are generally not a significant concern.

The most serious risk associated with hyaluronic acid injections is “vascular occlusion,” where the substance can block blood vessels, leading to “skin necrosis” and the skin turning black. This can occur if the injection is performed with a sharp needle that damages blood vessels, making it a potentially dangerous complication, especially with certain types of hyaluronic acid.

However, the recent trend is to use a method that involves injecting the formulation with a microcannula. A microcannula has a rounded tip, making it a safe tool that won’t cause damage to the skin even if touched with the fingers.

In areas where there is a high risk of damaging blood vessels with a regular injection needle, a cannula can be used to maneuver around the vessels safely. This significantly reduces the risk of vascular occlusion. When it comes to hyaluronic acid injections on the upper part of the eyes, the procedure always involves the use of a cannula, providing reassurance for those undergoing the treatment.


The under-eye area has fewer major blood vessels, making it relatively safe for injections. Additionally, it is a region where changes are easily noticeable on the face, contributing to the popularity of this treatment due to the high satisfaction experienced post-injection. Moreover, with a longevity of 1 to 1.5 years, the durability makes it a cost-effective and highly sought-after cosmetic procedure.

Most of the drawbacks of under-eye hyaluronic acid injections can be mitigated by the skill of the physician. Therefore, it is crucial to find a trustworthy and skilled practitioner. Renatus Clinic exclusively employs physicians specializing in hyaluronic acid injections. To address your concerns with hyaluronic acid, our doctors continuously refine their techniques. If you are considering under-eye hyaluronic acid treatment, Renatus Clinic is the place to go. Come in for a free consultation to discuss your options.

A Recommended Clinic for Hyaluronic Acid Procedures

Renatus Clinic


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Cost-Effective Cosmetic Procedures!

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Features of Renatus Clinic and Suitable Candidates

Renatus Clinic specializes in hyaluronic acid injections, Botox injections, and thread lifts, with a particular emphasis on using the high-quality genuine product Juvéderm by Allergan for hyaluronic acid. This hyaluronic acid is known for its safety, durability, and excellent results, allowing clients to experience significant effects with just one treatment.

Furthermore, Renatus Clinic offers relatively affordable prices, boasts a large number of physicians with over 1000 case photos, making it highly cost-effective. The clinic also provides various complimentary services, contributing to its high customer satisfaction rating.

Suitable Candidates for Renatus Clinic

Those Who Want High-Quality Products

Those Who Desire Treatment from Skilled Physicians

Those Seeking High-impact Results in a Single Treatment

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If you’re unsure where to choose for cosmetic surgery or dermatology, it’s a good idea to start by scheduling a free consultation at Renatus Clinic.

【Procedure Name】 Hyaluronic Acid Injection

【Procedure Details】

  • Medication Used: Juvéderm Series
  • Duration: 9-24 months This treatment involves injecting hyaluronic acid into targeted areas, elevating and reshaping to improve wrinkles and depressions.


  • Initial Hyaluronic Acid 1cc: ¥11,000 (Tax Included)
  • Juvéderm Monitor 1 Area: ¥45,100 to ¥48,400 (Tax Included)

Hyaluronic acid injection is considered elective treatment and is not covered by public medical insurance.

【Risks and Side Effects】 Bruising, swelling, infection, allergy, circulatory disorders, hyaluronic acid migration, asymmetry, Tyndall effect, skin induration, etc.

【Practitioner】 Renatus Clinic Physician

【Contact】 Official LINE

*Please note that the information regarding pricing, risks, side effects, and procedure details is accurate as of the time of registration. For the latest information, please contact the clinic directly.



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