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
- Johana Castillo, PA
- Clinic
- Sisu Fort Lauderdale, Florida
- Sessions
- One
- Treatment Time
- Around 20 minutes
- Downtime
- Minimal. Mild swelling and possible bruising for a few days.
- Results Visible
- Immediately
- Results Last
- 9 to 12 months on average
Under-Eye Filler Result with Restylane-L in Fort Lauderdale,
by Johana Castillo, PA
0.40ml of Restylane-L delivered to the under-eye area using a deliberately conservative approach. Treated by Johana Castillo, PA at our Fort Lauderdale clinic for a patient with mild tear trough hollowing.
The concern
The patient came to our Fort Lauderdale clinic with a single, very common concern: he looked tired even when he wasn't. The hollows under his eyes had become more pronounced over time, and the resulting shadow across the under-eye area was making him look fatigued in photos and in the mirror. The hollowing itself was mild rather than severe, which actually opens up more conservative treatment options. A patient with mild hollowing benefits from the smallest amount of product placed precisely, rather than a fuller correction that risks creating the opposite problem.
The consultation
Johana assessed the patient's tear trough hollowing, lower lid skin quality, and the transition from lid to cheek. The clinical decision was to use 0.40ml of Restylane-L, placed deep on the bone using a blunt cannula. Two technical choices drove the result. First, the cannula. The under-eye area is highly vascular, and a blunt-tipped cannula significantly reduces both bruising risk and the risk of injecting into a blood vessel compared with a sharp needle. Second, the depth. Placing filler deep on the bone reduces the chance of two common under-eye complications: the Tyndall effect, which is a bluish tint that can appear when filler sits too superficially, and a lumpy or uneven appearance that can develop when product isn't placed precisely. The dose was deliberately conservative. Tear trough fillers are hydrophilic, meaning they attract water over time. Correcting the hollow completely would risk over-filling as the product settled. The goal was to lessen the hollow, not eliminate it.
The treatment
The appointment took around 25 minutes from start to finish, with numbing applied before injection. The cannula was introduced through a small entry point and 0.40ml of Restylane-L was placed in small amounts deep against the bone. The patient left the clinic the same day with mild swelling at the entry points, which resolved within a few days.
Results at two weeks
The two-week photograph shows softened under-eye hollows and a noticeably brighter, more rested under-eye area. The shadow that previously sat beneath the lower lid has lifted, and the patient's overall expression reads fresher and less fatigued. There is no puffiness, no lumpiness, no bluish tint, and no obvious sign of treatment. The conservative dosing achieved its goal of correction without overfill.
A word from Johana Castillo, PA
“For tear trough fillers, less is more. I never want to correct this area to 100 percent because the filler is hydrophilic and will attract water. My goal is always to lessen the hollowness but never to eliminate it completely.”
Common questions about Under eye filler/tear trough filler in Fort Lauderdale
What's the difference between tear trough filler and under-eye filler?
The terms are often used interchangeably. Both refer to the placement of a small amount of dermal filler beneath the lower eyelid to soften the hollow that runs from the inner corner of the eye toward the cheek. The technical name for that hollow is the tear trough.
Will under-eye filler make my eyes look puffy?
It shouldn't, when treated by an experienced provider. The risk of puffiness comes from using too much product, the wrong type of filler, or placing it too superficially. Conservative dosing and the correct deep placement against the bone produce a smoother, brighter result without adding visible volume.
How long does under-eye filler last?
Under-eye filler typically lasts 9 to 12 months. Longevity depends on the product used, individual metabolism, and the patient's facial structure. Some patients find under-eye filler lasts longer than filler placed in more mobile areas of the face because the under-eye is a relatively static area.
Where can I get under-eye filler in Fort Lauderdale with Sisu?
Sisu Clinic Fort Lauderdale offers under-eye and tear trough filler with experienced providers including Johana Castillo, PA. Free consultations are available at every Sisu U.S. location.