You know the feeling. You slept a full night. You drank enough water. You tried every eye cream on the market. And you still look tired. The dark hollows and shadows beneath your eyes tell a different story.
Under eye filler at Nexus Clinic Kuala Lumpur treats the structural reason your eyes look the way they do. A hollow groove forms beneath the eye as orbital volume depletes, and the shadow this groove casts is what reads as tiredness, dark circles and age.
✨ Brighter Eyes
Natural results • 20-30 minutes
Nexus Clinic Kuala Lumpur — Excellence in Aesthetic Medicine
Established
2001
Over 20 years of excellence
Location
Wisma UOA II, Jalan Pinang
KLCC, 50450 Kuala Lumpur
Opening Hours
Monday - Saturday
9:00am – 6:00pm | Closed Sundays & PH
Cannula Technique
Single entry point, minimised bruising
Tyndall Effect Prevention
Deep placement, low-hygroscopic products
Low-Volume Discipline
0.3-0.8ml per side for natural results
Everything you need to know
Treatment
Soft HA filler for under-eye hollows
Session Time
20 to 30 minutes
Downtime
Minimal, 3-7 days
Results
Immediate, final at 7-14 days
Also Known As
Tear trough filler, periorbital filler
Longevity
9 to 15 months
Reversible
Yes. Fully dissolvable with hyaluronidase
Volume Used
0.3 to 0.8ml per side
The aging timeline
| Age Range | What Is Happening Structurally | What You Notice |
|---|---|---|
| Mid to late 20s | Orbital fat compartments begin thinning gradually. Tear trough ligament starts to become more visible. Cheek support is still largely intact | Slight hollowing under the eyes that worsens with tiredness, dehydration or illness. You look fine on a good day but noticeably tired on a bad one |
| Early to mid 30s | Orbital fat continues to thin. Cheek fat pad begins to descend. The lid-cheek junction deepens. Bone density in the orbital rim begins to reduce subtly | The hollow is visible most of the time, not just when tired. Dark shadows appear in photos. Eye creams stop making a visible difference |
| Mid 30s to 40s | Significant orbital fat loss. Cheek descent pulls support away from the lower eyelid. The tear trough groove deepens noticeably | Persistent shadowing and dark circles. Looking tired despite adequate sleep. A sunken, aged appearance under the eyes that concealer struggles to cover |
| 40s and beyond | Compound volume loss across the orbital area, midface and temples. Skin thins, making vessels more visible beneath. The tear trough groove is deep and settled | The under-eye concern is now multi-layered: structural hollowing, skin thinning, vascular visibility and possibly some pigmentation all contributing simultaneously |
Age Range
Mid to late 20s
What Is Happening Structurally
Orbital fat compartments begin thinning gradually. Tear trough ligament starts to become more visible. Cheek support is still largely intact
What You Notice
Slight hollowing under the eyes that worsens with tiredness, dehydration or illness. You look fine on a good day but noticeably tired on a bad one
Age Range
Early to mid 30s
Age Range
Mid 30s to 40s
Age Range
40s and beyond
The best time to address under-eye hollowing is when you first notice it. A smaller volume of filler placed at an earlier stage produces a more natural result and requires less correction over time.
Choosing the right treatment for your concern
| Treatment | Best Under-Eye Concern | How It Works | Sessions Needed |
|---|---|---|---|
| Under Eye Filler (HA) | Hollow tear trough causing shadow and sunken appearance | Fills structural groove from within. Immediate correction of hollow contour | 1 session. Top-up every 9 to 15 months |
| Rejuran or Plinest PN | Thin under-eye skin, vascular blue circles, mild hollowing | Polynucleotides thicken and repair under-eye skin. Improves vascular visibility | 3 to 4 sessions. Results build gradually |
| Juvelook | Mild under-eye hollowing combined with skin quality concerns | PDLLA stimulates collagen and HA hydrates. Gradual improvement in both hollow and skin | 3 to 4 sessions over 6 to 8 weeks |
| NCTF 135HA | Dull, fatigued, nutrition-depleted under-eye skin | 59-ingredient skin nourishment blend. Improves radiance and reduces fine lines | 4 sessions. Maintenance every 3 to 6 months |
| Pico Laser | Brown pigmented dark circles from melanin excess | Breaks down pigment in under-eye skin. Brightens the tone of the skin surface | 3 to 5 sessions. Maintenance 1 to 2 times per year |
| Combination approach | Multiple causes contributing simultaneously | Filler for structure, PN or skin booster for skin quality, laser for pigmentation if present | Staged plan over 4 to 8 weeks |
Treatment
Under Eye Filler (HA)
Best Under-Eye Concern
Hollow tear trough causing shadow and sunken appearance
How It Works
Fills structural groove from within. Immediate correction of hollow contour
Sessions Needed
1 session. Top-up every 9 to 15 months
Treatment
Rejuran or Plinest PN
Treatment
Juvelook
Treatment
NCTF 135HA
Treatment
Pico Laser
Treatment
Combination approach
Most patients benefit from a combination of two approaches. Filler for the structural hollow is the most common starting point, often paired with a skin booster to address skin quality in the same zone.
At Nexus Clinic KL
Topical numbing cream is applied for 15-20 minutes. Most products contain built-in lidocaine. Patients describe pressure and occasional mild stinging rather than pain.
You will see improvement immediately. Some swelling is normal, most noticeable in the first 48 hours. Do not assess final result before 14 days.
The correct volume is 0.3 to 0.8ml per side. Starting light and adding is always safer than starting heavy and dissolving.
At Nexus Clinic KL
Specifically formulated for integration into thin, delicate tissue. Low hygroscopic profile minimises water attraction and swelling under the eyelid.
✓ Most widely used and well-tolerated under-eye filler product in Malaysia
Dedicated periorbital filler containing hyaluronic acid combined with amino acids, vitamins and minerals. Designed specifically for tear trough placement.
✓ Provides structural correction alongside skin quality improvement
Softest product in the Juvederm range. Used for patients with very thin under-eye skin where even mild hygroscopic activity would create visible swelling.
✓ Gentle and natural in this zone
According to the International Society of Aesthetic Plastic Surgery 2024 Global Statistics Report, under-eye and periorbital treatments ranked as the third most searched aesthetic concern in Southeast Asia, with filler being the most requested non-surgical option.
[ISAPS Global Statistics Report 2024]
Step by step
Doctor examines whether concern is structural hollowing, pigmentation, or fat herniation. Only structural hollow responds well to filler.
Product, volume, and placement confirmed. Most patients need 0.3-0.8ml per side.
Topical numbing applied. Single-entry cannula technique deposits filler through one access point. 15-20 minutes.
Result reviewed from multiple angles. Full aftercare provided. Two-week follow-up scheduled.
Same-day results at Nexus Clinic KL
2026 Pricing at Nexus Clinic KL
| Treatment | Typical Volume | Price Range (2026) |
|---|---|---|
| Under-eye filler (tear trough correction) | 0.5 to 1 ml | RM 2,200 – RM 2,600 |
| Under-eye + midface support (cheek balancing) | Customised | RM 3,000 – RM 5,000+ |
Treatment
Under-eye filler (tear trough correction)
Treatment
Under-eye + midface support (cheek balancing)
What to expect and what influences your results
Most patients schedule maintenance top-ups between 12 and 15 months to maintain optimal results.
Fast metabolism, first-time patients
Most patients with standard metabolism
Optimal product, good cheek support, ideal metabolism
Results vary by product brand, individual metabolism, and cheek support.
✨ Regular maintenance every 12-15 months helps maintain your refreshed under-eye appearance
What to expect after treatment
They are the same treatment referred to by two different names. Under eye filler is the consumer-friendly term most patients use when searching. Tear trough filler is the clinical term used by aesthetic doctors. The tear trough is the anatomical name for the hollow groove between the lower eyelid and the upper cheek. Both terms describe the same procedure: placing soft HA filler in this groove to restore volume and reduce the shadow it creates.
Under eye filler typically lasts 9 to 15 months. The under-eye area has minimal muscle movement, which means filler metabolises more slowly here than in high-movement areas like the lips. Soft products like Belotero Balance often persist for over a year in many patients. Your doctor will advise on expected longevity based on the product used and your individual metabolism.
Under-eye filler at Nexus Clinic KL typically ranges from RM 2,200 to RM 2,600 per session depending on the product used and the level of correction required. Combination treatments involving under-eye and midface support, such as cheek enhancement, generally range from RM 3,000 to RM 5,000+ depending on the volume and areas treated. All pricing is confirmed after consultation to ensure safe and personalised treatment planning.
If your dark circles are caused by hollow shadows from a sunken under-eye, filler significantly reduces or eliminates the appearance of dark circles by filling the hollow and removing the shadow. If your dark circles are caused by brown pigmentation or visible blood vessels through thin skin, filler improves the appearance partially but does not address the root cause. Many patients benefit from a combination of filler for structure and a skin treatment for skin quality.
Under eye filler is safe when performed by a trained medical doctor using the correct product and technique in a proper clinical setting. The under-eye area carries specific risks including the Tyndall effect from superficial placement and rare vascular complications. Both are manageable with the right product selection, deep cannula technique and emergency protocols in place. At Nexus Clinic KL, all under-eye filler treatments follow these protocols without exception.
Most patients need 0.3 to 0.8ml per side. This is one of the lowest-volume areas on the face and it should remain so. More than 0.8ml per side in a single under-eye session is rarely appropriate and increases the risk of puffiness, migration, and the Tyndall effect. A conservative first session with a top-up if needed at two weeks is always safer than starting with high volumes.
It depends on the nature of the eye bag. If the puffiness is caused by fat herniation, meaning a visible bulge beneath the eye, adding filler may worsen the appearance by adding volume to an already protruding area. If the eye bag is largely a shadow caused by the hollow below a mild protrusion, filling the hollow can significantly improve the appearance by reducing contrast. The doctor assesses this at consultation.
Yes. Under eye filler combines well with cheek filler for patients where midface descent is contributing to the hollow, skin booster treatments for improving under-eye skin quality alongside structural correction, and Pico laser for pigmentation-based dark circles. Combining these treatments produces a more complete result than filler alone when multiple causes are present.
You can apply eye make-up gently from the day after treatment. Avoid pressing, rubbing or applying heavy creams near the injection site for 48 hours. Remove eye make-up gently during this period, patting rather than wiping. Normal eye make-up application can resume fully after 48 hours.
Under eye filler is not suitable for patients who are pregnant or breastfeeding, have an active skin infection near the treatment area, have very thin under-eye skin prone to the Tyndall effect, have significant fat herniation as the primary eye bag concern, have a known allergy to HA or lidocaine, or have had large volumes of non-HA filler placed under the eyes previously that have not been dissolved. A full assessment at consultation confirms suitability.
Looking rested is not a luxury. It is how you want to feel when you look in the mirror and how you want others to see you. Under eye filler at Nexus Clinic KL is a 30-minute appointment that addresses the structural reason your eyes look the way they do.
One consultation. An honest diagnosis. A treatment plan that actually addresses your concern.
Limited slots available this week | Located at Wisma UOA II, Jalan Pinang, KLCC — Serving Malaysia since 2001
