Tear Trough Filler Swelling Stages: A Guide on Timeline

Written by an Expert Aesthetic Content Writer Lisa.
Reviewed by Expert Medical Director Dr. Raj Thethi
Published on: January 26, 2025
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Fillers

Tear Trough Filler Swelling Stages

Tear trough fillers seem like a good idea to say goodbye to the hollowness. The under-eye skin is so sensitive that the tear trough fillers’ swelling stages resolve according to their unique timeline—that is not fixed but expected. 

While getting tear trough fillers can give you a more refreshed and younger look, understanding the healing stages is equally important. Swelling or puffiness is a common part of this process, which goes gradually. 

Here. in this blog, explore the phases, tips to manage, and more.

Why do you see a Swollen Pocket Under Eyes After Fillers?

After getting fillers, you may notice a swollen pocket under your eyes. It is common and appears due to:

  • Healing Process

When you get fillers, your body reacts to the substance by sending fluids to the area. This is a natural healing mechanism which creates a puffy or swollen under-eye look. 

  • Hyaluronic Acid Attracting the Water Molecules

HA has a water retention property, which plumps your skin but sometimes causes temporary puffiness while the filler settles.

  • Filler Placement

Sometimes, when the filler is injected too close to the surface or in large quantities, it leads to puffiness—it may take longer to settle. 

  • Bruising or Fluid Build-up

Since the under eye is a sensitive area, it can bruise easily—sometimes trapping fluid in the tissues. 

  • Delayed Swelling

In some cases, swelling may occur after a few days. It could be due to factors like high salt intake or sleeping positions. 

Here’re the Tear Trough Filler Swelling Stages

Questioning, ‘How long will I be swollen after tear trough fillers?’ Know that tear trough filler swelling resolves within 2-4 weeks. It happens in the following phases:

Stage 1: Immediate Swelling after the Procedure (Day 0)

Right after the procedure, you may experience mild swelling in the treated area. The skin under your eyes is sensitive, and the tiny injections can cause puffiness. You may also notice slight redness and tenderness.

The area might sometimes look uneven or lumpy, but this is normal. The filler hasn’t settled yet, and your skin needs time to adjust. Do not worry if it doesn’t look perfect right away.

You can take care by:

  • Applying a cold compress carefully to the area to reduce swelling.
  • Elevating your head when resting or sleeping to facilitate drainage.
  • Not touching or applying pressure to the treated area as this may irritate.

Stage 2: Peak Swelling & Bruising (Day 1-2)

When is swelling worse after under-eye fillers? It typically occurs on the first or second day. During this time, your under-eye area might look more puffy than right after the procedure. Some individuals may also develop bruising, especially if they bruise easily.

The swelling at this stage is caused by your body sending fluids and blood to the area to heal it. This is a natural response, and it will pass. If the area looks uneven, the filler is still settling.

Here’s what to do:

  • Continue using cold compresses to soothe the swelling.
  • Avoid alcohol, salty foods, and exercise, as they can make swelling worse.
  • Drink plenty of fluids and take light, healthy food to help your body recover.

Stage 3: Tear Trough Filler Bruising Starts Resolving (Day 3-7)

By the third day of the tear trough filler swelling stages, the bruising will fade, and the treated area will look more natural and less puffy. You may still notice some puffiness, but it will not be as pronounced as before.

The filler is settling into place, and your skin is getting used to it. You might feel some small bumps, which should fade out in the coming days. This is when you will see the treatment’s results, which are not yet final. 

You can:

  • Gently massage your under eyes—If the doctor permits. 
  • Apply the prescribed cream to reduce bruising.
  • Stay patient, as it’s a part of healing and will improve.

During this time, will the under eye filler lumps go away? Yes, they resolve on their own within 1-2 weeks. If not, contact your doctor.

Stage 4: Everything is Settling (Day 8-14)

By the start of the 2nd week, most of the swelling should be gone. The bruising will likely disappear completely. At this stage, the filler has almost fully settled into the tear trough area. You’ll notice smoother and brighter under-eyes.

If you feel small lumps or see minor irregularities, don’t worry. These usually fade by the end of the fourth week. This is when the final results become visible.

To-do’s include:

  • Sticking to a gentle skincare routine. Avoid harsh treatments or scrubbing the area.
  • Attending your follow-up appointment to let your practitioner check the results.
  • Taking care of your skin with hydration and a healthy lifestyle.

Tear Trough Fillers After 2 Weeks

Tear trough filler results continue to improve over time. By the two-week mark, most of the swelling and bruising has subsided, and the filler has settled into the under-eye area, creating a smoother and more refreshed appearance. While the results may look good immediately after the procedure, it can take up to two weeks for the tissues to heal fully and for fluid retention to stabilise. This makes the final, natural-looking results more visible, effectively reducing hollows and dark circles.

When to See a Doctor for Tear Trough Filler Swelling

While your under-eye filler healing stages go on, certain symptoms may need a doctor’s attention. They include:

  • Swelling that fails to improve or worsens over two weeks.
  • Severe pain, redness, or warmth in the treated area.
  • Changes in vision or unusual discomfort.
  • If this happens, contact your practitioner right away.

Capping it All on Under Eye Filler Healing Stages

It’s completely normal to experience swelling after treatment and it should consider it a potential tear trough filler side effects. The swelling resolves completely within 2-4 weeks; however, it occurs in stages, each taking you closer to the final result. The only thing is, you have to be patient and follow the care tips your practitioner has given you.

After four weeks, you should see rejuvenation and refreshing changes in your under eyes. Feel free to contact your doctor if you ever doubt the healing process. 

Consult the best tear trough filler in Leeds to enjoy all the benefits of your treatment when you understand it properly and receive proper care.

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About the Author

Dr. Raj Thethi

Yorkshire Skin Centre in Leeds is a CQC-registered medical clinic. It is led by Dr Raj Thethi who completed his core surgical training in hospitals around West Yorkshire before branching into aesthetics. Dr Raj Thethi is a Northern Territory Regional Expert for an international dermal filler company called Teoxane. He also sits on their National UK Faculty.

View all posts by Dr. Raj Thethi

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