
Under-eye (tear-trough) volumizer softens hollows and shadows beneath the eyes with a soft hyaluronic-acid gel. At SOM Aesthetics in Encinitas, dermatologist-trained providers use the SOM Method for conservative placement designed to look rested, not puffy. Candidacy is assessed individually.
Under-eye filler in San Diego typically costs about $700–$1,200 at SOM Aesthetics in Encinitas, using 0.5 to 1 syringe of a soft hyaluronic-acid volumizer. Treatment takes 15–30 minutes with numbing. Results are visible immediately, settle over about two weeks, and last 9–12 months. Reversible if needed. The under-eye is delicate, so it is performed by dermatologist-trained providers following the SOM Method.
$700–$1,200
0.5–1 syringe
15–30 min
Immediate
~2 weeks
9–12 months
15–30 minutes
Immediate
9–12 months per area
Minimal swelling
0.5–1 syringe
Dermatologist-trained provider
Explore documented under-eye filler results from SOM Aesthetics in Encinitas, San Diego. Combination cases are identified in their captions; their visible changes cannot be attributed to under-eye filler alone. Individual results vary.
Under-eye filler places a small amount of soft hyaluronic-acid gel into the tear-trough hollow to reduce shadows and the tired, sunken look. The result is a smoother transition from the lower lid into the cheek.
This is a delicate, conservative treatment, often just 0.5 to 1 syringe. It works best for a true hollow; it is not right for puffiness or eye bags. Dermatologist-trained providers use soft, low-swelling HA and can dissolve the result if needed.
Dermatologist-trained providers perform under-eye treatments following the SOM Method.
The under-eye is delicate; conservative placement matters.
Dermatologist-trained providers follow the SOM Method.
We tell you if volumizer is not right for your under-eyes.
HA filler can be dissolved if you want to adjust.
• True under-eye hollows or shadows
• Look tired or sunken even when rested
• Lost volume from the lower lid to cheek
• Want a subtle, rested look
• Comfortable with 9–12 month maintenance
• Healthy adult, no active eye-area infection
• Puffiness or eye bags (volumizer can worsen these)
• Festoons or malar bags / fluid retention
• Allergy to HA or lidocaine in the product
• Active infection or cold sore near the eye
• Pregnant or breastfeeding
• Want a permanent result (volumizer is temporary)
A consultation with a dermatologist-trained provider confirms candidacy. Not everyone is a good under-eye candidate, and we will tell you honestly.

Dermatologist-trained SOM providers plan and deliver Under-Eye Filler through the SOM Method, with consultation, candidacy review, individualized treatment planning, documentation, and follow-up.
Medical evaluation included
Available after first visit
Delicate area, conservative dosing
Final pricing is confirmed in consultation. 0% APR financing is available through Cherry and CareCredit for qualifying patients.
A dermatologist-trained provider examines the hollow, skin, and whether volumizer suits your under-eyes.
A conservative plan with a soft volumizer, usually 0.5 to 1 syringe.
About 15 to 30 minutes. Numbing first, then careful, small placements.
Results are immediate; swelling settles in 1 to 2 weeks. Lasts 9 to 12 months.
The under-eye area bruises easily, so it is especially important to pause blood thinners (ibuprofen, aspirin, fish oil, vitamin E) for 48 hours and alcohol for 24 hours. Arrive well-rested with clean skin and tell us about allergies or fluid retention.
• Pause blood thinners ~48h before (important here)
• No alcohol 24h prior
• Clean under-eyes, no makeup or concealer
• Mention allergies or puffiness
• Plan for possible bruising

In about 20 to 30 minutes, a dermatologist-trained SOM provider numbs the area and gently places hyaluronic-acid filler in the tear-trough hollows, usually with a cannula to limit bruising. You will feel light pressure. You can leave right after.
• 20–30 minute visit
• Numbing first
• Filler in the tear-trough
• Cannula to limit bruising
• Leave right after

Some puffiness or bruising under the eyes is common for a few days; cold compresses and sleeping elevated help. Avoid rubbing the area and strenuous exercise for 24 to 48 hours. Results settle over 1 to 2 weeks and can last 9 to 12 months or longer.
• Puffiness/bruising a few days
• Cold compress, sleep elevated
• Don’t rub the area
• No strenuous exercise 24–48h
• Lasts 9–12 months or longer

• Stay upright for 4 hours after treatment
• Apply ice gently to reduce swelling
• Sleep slightly elevated the first night or two
• Let swelling settle over 1 to 2 weeks
• Return if you’d like it dissolved or adjusted
• Call us right away with any vision change or unusual pain
• Do not rub or press the under-eye for 24 hours
• No saunas, hot yoga, or intense exercise for 24 hours
• No alcohol for 24 hours (more bruising)
• Avoid heavy salt the first few days (puffiness)
• Do not book within 2 weeks of a big event
• Do not replace medical review with online advice
Under-eye filler at SOM is about $700–$1,200, using 0.5 to 1 syringe of soft HA. Your exact plan and price are confirmed in consultation.
Under-eye filler can suit selected hollows, but risks include persistent swelling, lumps, discoloration, and rare blood-vessel blockage with possible vision loss. A careful assessment is essential because eye bags, fluid retention, and pigment may need a different approach.
Usually 9 to 12 months. It can last longer in this low-movement area, and HA filler is dissolvable if you want to adjust.
No, and volumizer can make true puffiness or bags look worse. It is for hollows and shadows. We will tell you honestly if you are not a candidate.
Bruising, swelling, and tenderness can occur after under-eye filler. Tell your provider about all medicines and supplements; do not stop prescribed blood thinners without advice from the clinician who prescribed them. Allow recovery time before an important event. Seek immediate medical care for unusual severe pain, skin turning white or gray, or any vision change.
Hyaluronic acid used for under-eye filler can often be reduced with hyaluronidase, but dissolution may require more than one treatment and has its own risks. It is not a guarantee that every complication can be reversed, and other filler types do not respond to this enzyme.
Compare other facial filler and volume treatments.
SOM Aesthetics is at 25 E E St, Encinitas, CA 92024, accessible from Del Mar, La Jolla, Carlsbad, Solana Beach, and Rancho Santa Fe. Call (760) 766-7546.