It is the most common complaint we hear during consultations: “I slept for 8 hours, but I still look exhausted.” If concealer is your desert island product, you are likely battling the “tear trough” hollows. In 2026, under eye filler for dark circles has become the gold standard for restoring a rested, youthful appearance without the need for surgery.

At LIV Clinic in Koh Samui, we understand that treating the eyes requires an incredibly delicate touch. The skin here is the thinnest on the body, unforgiving of mistakes. Whether you are on a holiday to refresh your look or a local resident seeking consistent care, our goal is to help you look brighter and more awake—never “puffy” or overfilled.

Why You Can Trust Our Eyes With Yours

The under-eye area is considered a “danger zone” in aesthetic medicine due to the complex network of blood vessels. It is not a place for inexperienced injectors. At LIV Clinic, your safety is paramount. Our treatments are performed exclusively by Dr. Narathai Vichienkalayarut and Dr. Suchakan Rotsaranrom, specialists in anti-aging medicine who have mastered the art of periorbital rejuvenation.

We use a “safety-first” technique involving blunt-tipped cannulas rather than sharp needles. This significantly reduces the risk of bruising and enhances safety by gliding around blood vessels rather than piercing them. Furthermore, we only use FDA-approved hyaluronic acid fillers specifically designed for the eyes, such as Restylane and Belotero, ensuring smooth, lump-free results.

The Root Cause: Is It Shadow or Pigment?

Before we treat you, we must diagnose why you have dark circles. Under eye filler specifically treats structural dark circles caused by volume loss.

• The Shadow Effect: As we age, we lose the fat pad under the eye. This creates a valley (the tear trough) that casts a shadow, making the area look dark. Filler lifts this valley, eliminating the shadow and reflecting light properly.

• True Pigmentation: If your skin itself is brown or purple due to genetics or allergies, filler alone may not be enough. In these cases, we might recommend a combination approach with our LIV+ RejuSkin treatments or lasers to brighten the surface while filling the hollow.

Choosing the Right Product: Restylane vs. Belotero

Not all fillers are created equal. Putting a thick, heavy filler under the eye is a recipe for disaster (and puffy bags). We select “soft” fillers that integrate seamlessly with your tissue.

• Restylane Eyelight / Classic: Known as the gold standard for tear troughs. It has just enough structural support to lift the hollow but is cohesive enough to look natural.

• Belotero Soft / Balance: An ultra-thin filler that is perfect for patients with very thin skin. It spreads evenly and has the lowest risk of the “Tyndall Effect” (a blue hue under the skin).

• Juvederm Volbella: A soft, long-lasting option that draws less water, minimizing the risk of morning puffiness.

Comparison: Top Under Eye Fillers at LIV Clinic

To help you understand the differences, we have compared the premium options we stock.

The Procedure: Painless and Precise

We know the idea of an injection near your eye sounds scary. In reality, it is one of the least painful procedures we perform.

1. Assessment: We look at your bone structure and skin elasticity.

2. Safety Check: We verify the unopened box of filler with you.

3. The Cannula Method: We make one tiny entry point on the cheek (not near the eye itself). The blunt cannula slides comfortably under the skin to place the filler. You feel pressure, but rarely pain.

4. Instant Gratification: The shadow disappears immediately. You walk out looking like you just returned from a relaxing vacation.

Cost and Value in Koh Samui

The price of under eye filler for dark circles reflects the high level of skill required and the premium cost of the product. In Thailand, prices generally range from 14,000 to 20,000 THB per syringe.

Be wary of “cheap” under-eye offers. Low-cost treatments often use generic fillers that attract too much water, leading to chronic puffiness (malar edema) that can last for years. Investing in a specialist at LIV Clinic ensures you get the right product for this delicate area.

Aftercare for Bright Eyes

To ensure your results settle perfectly:

• Sleep Elevated: Use an extra pillow for the first 2 nights to reduce fluid retention.

• No Goggles: Avoid swimming goggles or face massages for 2 weeks.

• Cool Compresses: If you have slight swelling, a cool cloth helps.

• Hydrate: Hyaluronic acid loves water, so drinking plenty of water helps the filler look its best.

Frequently Asked Questions

Will under eye filler make my bags worse? This is a common fear. If you have large, puffy eye bags (fat prolapse), adding filler can sometimes push them out further. Dr. Narathai is very honest during consultations; if you are not a good candidate for filler, we will recommend alternative skin tightening treatments like Thermage or surgery.

What is the Tyndall Effect? This happens when a filler is placed too superficially, causing light to scatter and creating a bluish tint under the skin. We avoid this by placing the filler deep on the bone and using the correct product density.

How long does it last? The under-eye area moves less than the mouth, so filler lasts quite a long time here—typically 9 to 12 months, and sometimes up to 18 months for some patients.

Does it hurt? Most patients rate the pain a 2/10. The cannula technique feels like a weird pressure, but it is not sharp. We also use numbing cream to ensure comfort.

Can I fly after the treatment? Yes, you can fly home from Samui the next day. The cabin pressure does not affect the filler placement, though staying hydrated is important.

Contact Us

Ready to banish the dark circles and look as vibrant as you feel? Contact us to book your assessment with Dr. Narathai.

• Phone: +66 65-996-4242

• Whatsapp: (+66) 65 996 4242

• Line Official: @Livclinic

• Email: Livclinic.samui@gmail.com

• Address: 1/63 Bophut, Koh Samui, Suratthani, Thailand, 84320

• Website: https://liv.clinic/

References

1. Journal of Cosmetic Dermatology. (2021). Tear Trough Rejuvenation: A Review of Anatomy and Treatment Techniques. Retrieved from https://onlinelibrary.wiley.com/journal/14732165

2. American Society for Dermatologic Surgery. (n.d.). Soft Tissue Fillers for Tear Troughs. Retrieved from https://www.asds.net/

3. Galderma Aesthetics. (n.d.). Restylane Eyelight Patient Information. Retrieved from https://www.galdermaaesthetics.com/

4. Mayo Clinic. (2024). Dark Circles Under Eyes: Causes and Treatments. Retrieved from https://www.mayoclinic.org/symptoms/dark-circles-under-eyes/basics/causes/sym-20050624