PATIENT RESULTS
The results speak
for themselves.
Real patients. Medical injectors. Photographed at a Sisu Clinic location with written consent. No stock images. No filters.
More Under-Eye Filler Results
At a Glance
- Treatment
- Under-eye filler (tear trough)
- Injector
- Victoria Oliver, BSN, RN
- Clinic
- Sisu SoHo, NYC
- Sessions
- One
- Treatment Time
- Around 30 minutes
- Downtime
- Minimal. Mild swelling and possible bruising for a few days.
- Results Visible
- Immediately
- Results Last
- 9 to 12 months on average
Refreshed Under-Eyes with Under-Eye Filler in SoHo NYC,
by Victoria Oliver, BSN, RN
A real Sisu patient at our SoHo clinic. Under-eye filler delivered by Victoria Oliver, BSN, RN using 0.8cc of Restylane-L, with a careful, conservative technique tailored to the patient's anatomy.
The concern
The patient came to our SoHo clinic initially concerned with general facial ageing and signs of sagging across her face. She had noticed darker, more hollow under-eyes, and a softening of structure across her midface and lower face that hadn't responded to skincare alone. Looking tired even when she wasn't was one of the things that bothered her most — and the under-eye was where it showed first. At consultation, Victoria discussed a broader plan with the patient: filler for the nasolabial folds and marionette lines, Sculptra to support overall structure over time, and immediate treatment to the under-eye area as a starting point. The patient's first appointment focused on under-eye filler and anti-wrinkle to her upper face and neck — the foundation of an ongoing treatment journey.
The consultation
Victoria assessed the patient's under-eye area carefully. The clinical decision required particular consideration: the patient has a fat pad under her eye, which makes the under-eye area more complex to treat. Filling the tear trough too aggressively in a patient with a fat pad emphasises the pad itself — trading one problem (a hollow) for another (visible puffiness). The plan was deliberately conservative: 0.8cc of Restylane-L split evenly as 0.4cc per side, with a hybrid technique. Some product placed in the true tear trough using a blunt cannula to minimise bruising in a highly vascular area, and the remainder placed by needle directly to the periosteum (the surface of the bone) at the lateral portion of the under-eye. The goal was correction without over-filling — a softer hollow, not a fuller under-eye.
The treatment
The appointment took around 30 minutes from start to finish, with numbing applied before injection. The cannula was introduced through a small entry point at the lateral cheek and product was placed slowly and conservatively into the deep tear trough. Needle injections were then placed at the lateral periosteum to support the outer portion of the under-eye. The patient left the clinic the same day with mild swelling and possible minor bruising at the injection sites — both expected, both typically resolved within several days.
Results at two weeks
The two-week photograph shows softened tear trough hollows, a brighter overall under-eye area, and a more rested appearance. The conservative dosing achieved its goal: the hollow has been corrected without emphasising the fat pad above it. The under-eye reads smoother and less shadowed, without any added puffiness or "shelf" effect. The patient retains her natural eye shape and resting expression — what's changed is the brightness of the under-eye area, not its structure.
A word from Victoria Oliver, BSN, RN
“I take a 'less is more' approach to injectables, focusing on subtle, impactful enhancements that highlight each patient's natural features without making them look like a different person. I would never recommend a treatment to a patient that I wouldn't feel comfortable having myself, or recommending to my own mother.”
Common questions about under-eye filler in SoHo, NYC
Why do my under-eyes look dark even when I'm well-rested?
The darkness most patients see is usually a shadow, not pigmentation. It's created by a structural hollow that runs from the inner corner of the eye toward the cheek. When light falls on the face, it casts a shadow into this hollow — which reads as darkness in the mirror and in photos. Under-eye filler corrects the hollow, which removes the shadow.
Can under-eye filler help with under-eye bags?
Not directly. Under-eye filler treats the hollow that sits beneath the eye, not the bag of fat that can sit above it. In some cases, smoothing the hollow can soften the appearance of bags by reducing the contrast between them and the surrounding tissue. In other cases, the underlying bag may need a different treatment plan — your provider will assess this at consultation.
How is a cannula different from a needle for under-eye filler?
A cannula is a blunt-tipped tube rather than a sharp needle. For under-eye filler, most experienced providers prefer a cannula because the under-eye area is highly vascular and a blunt tip dramatically reduces the risk of bruising and the risk of injecting into a blood vessel. The result is the same — the technique is what differs.
Where can I get under-eye filler in SoHo, NYC with Sisu?
Sisu Clinic SoHo offers under-eye filler treatments with experienced providers including Victoria Oliver, BSN, RN. Free consultations are available at our SoHo, Flatiron, Upper East Side, and Upper West Side clinics in NYC.