Everything You Need to Know About Under-Eye Filler Side Effects & Safer Options: Under-Eye Volume Thread

If you’ve noticed under-eye hollowness, sagging, or worsening dark circles with age, you’re not alone. As skin loses elasticity and fat shifts over time, the tear trough and under-eye area can look tired—even when you’re well rested. Many people first consider hyaluronic acid fillers, but under the eyes, fillers can carry a higher risk of side effects. Here, we explain why and introduce treatment options designed for natural results with minimal downtime—ideal for travelers.

Why the Under-Eye Area Is Tricky

The skin under the eyes is thin and packed with delicate vessels and ligaments. This anatomy makes it more reactive to volume changes and more prone to visible irregularities compared to other facial areas.

Common side effects reported with under-eye fillers include:

1. The Tyndall Effect

  • If filler is injected too close to the surface of the thin under-eye skin, it can create a bluish discoloration (Tyndall effect).
  • This blue tint is especially noticeable in natural light, sometimes making dark circles look even more prominent.
  • This issue rarely resolves on its own unless the filler disperses or is dissolved professionally.

2. Lumps and Bulges

  • Uneven injection or overfilling can result in a lumpy or irregularly shaped under-eye area.
  • Filler can also migrate, causing noticeable bulging under the eyes.

3. Unnatural Volume Due to Fat Displacement

  • Over time, the filler may shift or separate from the fat layer, leading to an unnatural appearance.

4. Blood Vessel Compression and Swelling

  • Because the under-eye area is rich in blood vessels, filler injections can restrict blood flow.
  • This sometimes makes the area look even puffier or produces an artificial, swollen effect if the filler spreads.

While fillers provide immediate volume, these risks make them less reliable for some patients—especially those seeking subtle, natural outcomes.

Your Treatment Options at a Glance

There are excellent alternatives to fillers that can effectively treat under-eye hollowness. Let’s compare the main options—their benefits and drawbacks—so you can make an informed decision.

Procedure

Immediate Effect

Duration

Side Effect Risk

Features

O

6 M ~ 1 Y

High

Quick visible results, risk of Tyndall effect

X
(after 1-2 M)

1 Year +

Low

Stimulates collagen, creates natural volume, works best with 3+ sessions

O

1~2 Years +

Very Low

Threads dissolve over time to stimulate collagen and firm the skin; usually effective with one session

If you want instant improvement with minimal side effects and a very natural look, the under-eye volume thread procedure is our top recommendation.

Why We Recommend Under-Eye Volume Threads

Under-eye volume threads use specialized, dissolvable sutures placed precisely under the skin to:
– Provide immediate, smooth support and gentle volume
– Stimulate collagen as the threads integrate and dissolve
– Maintain shape without the risks of product migration or bluish tint

Clinical literature suggests spring-type (coiled) sutures move more naturally with facial expressions and can effectively stimulate collagen for longer-lasting firmness and elasticity.

Our Technique: Jamver Spring Threads for Natural Movement

At PangPang Clinic, we use Jamver Threads—third-generation, spring-shaped volume threads engineered to move with your eye muscles. This design helps:
– Reduce the chance of visible edges, bumps, or separation from surrounding tissue
– Deliver smooth, even contours without a “puffy” or overfilled look
– Support longer-lasting, consistent results

Because the under-eye is a precision zone, thread depth, angle, and quantity are customized to your anatomy.

What you can expect with our approach:
– Personalized design based on your unique under-eye structure
– Customized planning of thread angle and number
– Subtle, natural volume with advanced technique

💡 A 2023 study published in the Journal of Clinical Dermatology states:

“Volume lifting with spring-type sutures allows for more natural tissue movement than conventional fillers, and is highly effective at stimulating collagen.”

In short, under-eye volume threads not only restore lost fullness, but also help improve skin elasticity from within!

What Makes PangPang Clinic’s Under-Eye Volume Thread Special?

The skin under the eyes is especially thin and sensitive, so precise placement of threads at the correct depth and angle is crucial for natural results. If performed incorrectly, the threads may become visible or create bumps. That’s why our procedures are handled by experienced medical professionals who tailor each treatment to your unique anatomy.

✔ Personalized design based on each patient’s under-eye structure
✔ Customized planning of thread angle and quantity
✔ Smooth, natural volume using advanced technique

At PangPang Clinic, we focus on these three elements and have developed a specialized lifting method just for the under-eye area. If you’re concerned about under-eye volume loss, don’t hesitate to visit us for a personalized consultation!


Note: This article was translated and published from the original with consent from the author.

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