Under Eye Dermal Fillers Vs Skinboosters

Before and after under eye wrinkle treatment with skinbooster RF and skincare
Before and after under eye wrinkle treatment with skinbooster, RF and skincare. No Dermal filler was used in this treatment.

Here we will discuss the differences between under eye dermal fillers vs under eye skinboosters. We will share below how these products, procedures and results differ from each other.

Under eye skinbooster, although made from a similar ingredient is NOT the same as dermal filler. These products have different properties and are used for different indications and create different results.

Skinbooster does not have the lifting capability of dermal filler. Skinbooster is used as a skin treatment. Skinbooster’s effects could be classified as more similar to laser treatment effects.

Skinboosters cannot achieve the results of dermal fillers.

Dermal fillers cannot achieve the results of skinbooster.

Dermal filler in the under eyes uses its lifting capability to lift the tear trough and/or the extension of tear trough depressions. Dermal filler can also be used to shorten the trough by improving the position of the midface (cheek) thereby raising the lid cheek junction to lessen the distance between the lower lashes and the junction where the cheek starts.

Front cheek support is vital for a good tear trough result. Only dermal filler can be used in this area for lifting and sculpting. Skinbooster is unable to lift the tissues.

The better the skin quality under the eyes, the better the results for tear trough filler, so skinbooster is recommended in the under eye area to achieve optimal dermal filler results in the trough.

Skinbooster may be used without dermal filler under the eyes as well for patients who just want skin improvement in the area.


  • Used to volumise
  • Used to lift the skin
  • Used to treat under eye hollowness
  • Injected deeper
  • Risk of lumpiness
  • Risk of Tyndall effect (blue appearance under the skin)
  • Can give an “overfilled look” if injected inappropriately.


  • Used to improve the skin under the eyes
  • Used to improve the texture
  • Helps fine lines
  • Not as useful to treat the hollowness in under eye troughs
  • Great to use in association with tear trough filler to get a better result
  • Unlikely to cause lumpiness
  • Unlikely to cause Tyndall effect
  • Skinboosters are NOT dermal fillers as they do not have their lifting capabilities
  • Cannot give an “overfilled look”

We recommend patients who are interested in tear trough filler to have skinbooster as well, as filler results are improved with better quality skin overlying the filler.

Risks with Dermal filler and Skinbooster Under the Eye

We use the same consent form for dermal filler and skinbooster under the eyes. We do find that some of the risks are reduced with skinbooster.

Skinbooster is in general better for patients who attract water than filler.

Skinbooster is great for patients with under eye wrinkling and crepey texture.

Dermal filler is great to lift under eye hollowness and deep or long tear troughs.

Dermal filler can be a more difficult and risky treatment for those with under eye skin laxity.



The risks of both procedures include the following:

  • Bruising: This may typically take 7-10 days or more to resolve. Uncommonly it can last longer.
  • Swelling: This usually resolves quite quickly, but in some patients may take 2- 4 or more weeks to resolve. Prolonged swelling is a possibility with dermal filler, but is less common with the under eye Skinbooster we use. The under eye swelling relates to the use of a needle or cannula in the area, and also the product used, and to patient factors as well.
  • Infection: This is very uncommon, but possible when a needle or cannula is used for an injection into the skin
  • Occlusion: This is very rare, but can lead to skin necrosis or blindness. If this occurs it is an emergency and the product needs to be dissolved. Occlusion is less common with skinbooster than with dermal fillers.
  • Use of Dissolver: If there is an occlusion, then a dissolver will need to be used and dissolver has a risk of anaphylaxis (although this risk is very rare, it will require emergency treatment in a hospital).

For any under eye treatments, including injectables and laser, swelling is a risk. It can take 4 weeks or more for swelling to resolve and results of treatments should not be assessed for at least 4-6 weeks post treatment. Those patients who are naturally “water attractors” especially in the eye area, are at higher risk for swelling post procedure (this is for energy based device treatments AND injectable treatments).

The Consultation

During the consultation our practitioners will go through your anatomy and also your goals to determine which procedure

On examination we will be assessing the following:

  • The skin quality, the colour, thickness, crepiness, fine lines, laxity.
  • Is there pigmentation, or blue or red veins present
  • The length of the tear trough
  • The depth of the tear trough
  • The position of the lid-cheek junction
  • The projection and height of the cheeks

The Techniques Used for Injecting

Dermal filler

The dermal filler may be injected using a needle or a cannula. Dermal filler is in general placed deeper than skinbooster. The technique used will depend on where the product is being injected and also injector preference.


The skinbooster may be injected in general with 5 techniques at our clinic.

  • Using a nanosoft needle, which is a 3 pronged very short needle
  • Using a very fine and short needle
  • Using an Aquagold device
  • Using a Skinbooster beauty gun
  • Using a cannula (this is not commonly used with skinbooster, but is possible)

Using Dermal Filler and Skinbooster Together

With the under eye area we like to take a natural approach and get slow and subtle improvements.

As a typical protocol, we recommend 3 treatments of Skinbooster, minimum 4 weeks apart and then 4 weeks later the first session of Dermal filler. Dermal filler for tear troughs will typically require multiple treatments of sculpting. 3 dermal filler treatments are typical during the building phase.

Our aim is to create the best results for the under eye area by slow and steady improvements.

We would like to avoid the use of hyalase due to its risk of anaphylaxis (which is very rare, but possible).

For the Most “Natural Result”

For the most natural result, we would recommend skinbooster, as it is not changing the shape of the face at all. it is merely improving the skin. Also, skinbooster is unable to “overfill” in the way that is possible with dermal fillers.

However, it is possible to inject dermal filler so that the results appear “natural”.

Can You Inject Dermal Filler and Skinbooster on the same day in the Under Eye Area?

Yes it is possible to inject dermal filler and skinbooster on the same day in the under eye area. It is best to inject filler first (as the contours need to be assessed) and then skinbooster.

However, having both treatments on the same day may increase the risks, which will include increased amount and time of swelling post procedure. Risk and downtime issues needs to be considered before choosing to have both procedures on the day.

Maintenance Treatments

Once the building phase is complete, we move to the maintenance phase.

Dermal filler may last a long time in the under eye area, even up to many years, We recommend attending the clinic for a review once a year to see if a maintenance treatment is required and to reassess the area.

For skinbooster, the more regular the maintenance treatments, the better, and we would recommend maintenance treatments at least every 6-12 months.

Home Care

We highly recommend good quality home care.

Sunscreen is important

Sunglasses and hat are important

Eye cream is important. We recommend Catfish blurring eye cream by Dr Naomi Skin.

If you would like an assessment of your under eyes to create a bespoke plan, please call the clinic on 93315005, or book online.