Sunken Eyes Treatment Singapore

/ˈsʌŋkən aɪz ˈtriːtmənt ˈsɪŋəpɔː/ a comparison of tear trough filler, fat grafting, polynucleotide and skin booster injections and eye creams for hollow or sunken eyes in Singapore
Sunken Eyes Treatment Singapore

Overview

Hyaluronic acid tear trough filler is the first-line treatment for sunken eyes in Singapore, costing S$600-1,200 per syringe in 2026, lasting 9 to 18 months and supported by Grade A evidence. Its specific risks are a blue tint from shallow placement and rare vascular blockage. Fat grafting (from S$3,500, Grade B) is the longer-lasting surgical option. Polynucleotide and skin booster injections such as Rejuran I and Juvelook (S$500-1,200 per session, Grade C) improve skin texture but add little volume. Collagen-stimulating fillers are avoided under the eye, and eye creams do not change a hollow.

  • Hyaluronic acid tear trough filler, S$600-1,200 per syringe, 9 to 18 months, Grade A, the lead option
  • Tyndall effect (blue tint) and vascular occlusion are the two under-eye-specific filler risks, and both are reasons to insist on an experienced injector
  • Fat grafting, from S$3,500, 50 to 70 per cent of fat survives, years of result, Grade B, longer downtime
  • Rejuran I and Juvelook, S$500-1,200 per session, 2 to 3 sessions, improve skin quality rather than fill the hollow, Grade C
  • Collagen stimulators such as calcium hydroxylapatite and poly-L-lactic acid are not recommended in the tear trough because of nodules
  • Eye creams, Grade D for hollows, temporary surface plumping only
Introduction

Treating sunken eyes means replacing or disguising lost volume under the lower lid, and in Singapore that is done with hyaluronic acid tear trough filler, fat grafting, polynucleotide or skin booster injections, or, with far less effect, eye creams. This page compares each on evidence, 2026 price, sessions, downtime and risks, with particular attention to the Tyndall effect and the vascular risks that make the under-eye area different from any other filler site.

Sunken eyes treatment options in Singapore

A sunken eye is a volume problem, in which the hollow sits where fat, bone or cheek support has gone or was never there. Treatment therefore either adds volume into the hollow or improves the skin over it so the shadow is less visible. The cause determines which, and is worked through at What causes sunken eyes. The full concern guide is at Sunken-looking eyes.

Prices below are 2026 ranges from published Singapore clinic price pages, before GST. Where a range is per syringe or per session, the number needed is stated.

Dermal fillers for sunken eyes, hyaluronic acid tear trough filler

A soft, low-swelling hyaluronic acid gel is injected deep in the tear trough, on or just above the bone, with a blunt cannula or a fine needle. It lifts the lower lid out of the hollow and removes the shadow. Most people need 0.5 to 1 ml per side, and the treatment takes 20 to 30 minutes with numbing cream. Products designed for the area are thinner and attract less water than cheek fillers, which keeps swelling down.

  • Who it suits. A tear trough or hollow with reasonably thick skin and no large eye bag above it. It is the best option for the grade 1 to 3 tear trough described on the causes page, for weight-loss hollows once weight is stable, and for mild over-removal after surgery.
  • Evidence Grade A. Several randomised controlled trials and systematic reviews show a measurable improvement in tear trough depth that persists at 12 months in most patients, with high satisfaction and a low rate of serious complications when injected by trained doctors.
  • 2026 Singapore price. S$600-1,200 per syringe. Most people need one syringe for both sides, some need two.
  • Sessions. One, with a review at two weeks for a touch-up.
  • Downtime. 1 to 3 days of swelling, with bruising in a minority lasting 5 to 7 days.
  • Longevity. 9 to 18 months. The area moves little, so filler often lasts longer here than elsewhere.
  • Reversibility. Yes, with hyaluronidase within hours.
  • Risks specific to the under-eye. The Tyndall effect, a blue-grey tint through thin skin when the gel is placed too superficially, which can last as long as the filler and is treated by dissolving it. Persistent puffiness or “malar bags” if too much is used or the product attracts water. Lumps and unevenness. Rarely, vascular occlusion if filler enters an artery, which can cause skin loss or, in very rare cases, blindness. The angular and infraorbital arteries run through this area, so the tear trough is regarded as one of the higher-risk filler sites and cannula technique with small volumes is the norm.

Fat grafting for sunken eyes

Fat is harvested from the abdomen or thigh with a small liposuction cannula, washed or filtered, and injected into the tear trough and upper cheek in fine strands. Some of the fat establishes a blood supply and becomes permanent. Nano-fat and micro-fat variants use finer preparation for the thin under-eye skin.

  • Who it suits. Marked hollowing, deep-set eyes, hollowing after eye bag surgery, patients who want a longer-lasting result than filler, and anyone having lower blepharoplasty at the same time. It needs a surgeon and a procedure room, and is less predictable than filler in the amount that survives.
  • Evidence Grade B. Cohort studies show lasting improvement in tear trough depth with 50 to 70 per cent of injected fat surviving at one year. No randomised trial compares it with hyaluronic acid.
  • 2026 Singapore price. From S$3,500, typically S$3,500-8,000 for the eye area alone, more when combined with other areas or surgery.
  • Sessions. One, with a second session in 20 to 30 per cent to top up.
  • Downtime. 1 to 2 weeks of swelling and bruising at the eye and the donor site.
  • Longevity. Years, for the fat that survives.
  • Reversibility. No.
  • Risks. Lumps and irregularity that are harder to correct than filler, over-correction that persists, asymmetry from uneven survival, donor-site bruising, and the same rare vascular risk as filler.

Polynucleotide and skin booster injections for sunken eyes

Polynucleotide injections (Rejuran I, the eye-area version) and hybrid boosters (Juvelook, a poly-D,L-lactic acid and hyaluronic acid mix, and similar products) are injected in small droplets into the dermis of the lower lid. They are marketed as improving skin thickness, fine lines and texture rather than as volume fillers. On a sunken eye they make the thin, crepey skin over the hollow look healthier and slightly fuller, but they do not lift the lid out of the groove.

  • Who it suits. A mild hollow with thin skin and fine lines, as an adjunct to filler, or for patients who are not suitable for or do not want filler.
  • Evidence Grade C. Small studies and case series report improvement in skin elasticity and fine lines after three sessions, and there is no controlled evidence that they reduce tear trough depth.
  • 2026 Singapore price. S$500-1,200 per session.
  • Sessions. 2 to 3, two to four weeks apart, then maintenance every 6 to 12 months.
  • Downtime. 1 to 3 days of small bumps at the injection points, bruising in some.
  • Longevity. 6 to 12 months of skin effect.
  • Risks. Bruising, bumps that persist a few days, and, for Juvelook, nodules if placed too shallow.

Collagen-stimulating fillers under the eye

Calcium hydroxylapatite (Radiesse) and poly-L-lactic acid (Sculptra) stimulate the skin to produce collagen and are used for cheeks and temples. They are generally not recommended in the tear trough. The skin here is the thinnest on the face, the product is not dissolvable, and the published rate of visible nodules is higher than anywhere else. Some clinics offer heavily diluted preparations, but this is off-label and the evidence is small case series only.

  • Evidence Grade C, with a caution. The available series report nodules and prolonged swelling in a meaningful minority, and there is no antidote.
  • 2026 Singapore price. S$900-2,000 per syringe where offered. A hollow that would need a collagen stimulator is usually better served by fat grafting or by filling the cheek above with a stimulator and the trough itself with hyaluronic acid.

Eye creams for sunken eyes

Eye creams with caffeine, peptides, retinol or hyaluronic acid hydrate the surface and, in the case of retinol over months, can thicken the dermis slightly. None adds volume. A cream can make the skin over the hollow look smoother and reflect light better, which reduces the shadow a little for a few hours. Light-reflecting concealer applied only in the groove does more.

  • Evidence Grade D for a hollow. There is no published evidence that any topical product reduces tear trough depth. Retinoids have Grade B evidence for fine lines and skin thickness, which is a different claim.
  • 2026 Singapore price. S$30-300 per product.
  • Downtime. None.
  • Risks. Irritation from retinol on thin eyelid skin.

Sunken eyes treatment comparison table

Option What it does Evidence Downtime Sessions 2026 S$ range Best for
Hyaluronic acid tear trough filler Fills the hollow, removes the shadow A 1 to 3 days 1, touch-up at 2 weeks 600-1,200 per syringe Tear trough, weight-loss hollow, mild post-surgical hollow
Fat grafting Permanent volume from own fat B 1 to 2 weeks 1, top-up in some 3,500-8,000 Marked or deep-set hollow, after surgery
Rejuran I / Juvelook boosters Improve skin quality over the hollow C 1 to 3 days 2 to 3 500-1,200 per session Thin, crepey skin, adjunct to filler
Collagen-stimulating fillers Stimulate collagen, not advised in the trough C (caution) 2 to 5 days 1 to 2 900-2,000 per syringe Cheek support, not the trough itself
Eye creams Surface hydration, slight light reflection D None Daily 30-300 Temporary softening, all types

How to fix sunken eyes, choosing a treatment in Singapore

The self-check on What causes sunken eyes confirms whether the hollow is structural, since a hollow that changes with sleep and fluid needs no treatment. An eye bag above the trough changes the plan, because filling a trough beneath a bag enlarges the bag, which then needs the options at Eye bag removal in Singapore. For a plain tear trough, hyaluronic acid filler is the first choice on evidence, reversibility and cost. For a deep hollow, deep-set eyes or a hollow after surgery, fat grafting gives more volume for longer at the price of a surgical recovery.

The questions that matter when choosing an injector are the number of tear troughs treated a month, whether a cannula is used, which product, what is done if a blue tint or a lump appears, and whether the clinic stocks hyaluronidase. The price difference between clinics is smaller than the difference in outcome between an experienced and an occasional injector in this area. Any offer of a permanent or semi-permanent filler in the tear trough should be declined.

Related concerns are covered at Eye bags, Double eyelids and Aegyo sal.

Frequently asked questions

How much does tear trough filler cost in Singapore?
Published 2026 clinic prices are S$600-1,200 per syringe, and most people need one syringe for both eyes. A touch-up at two weeks is usually included or charged at a lower rate. Fat grafting starts at around S$3,500.

How long does under-eye filler last?
Nine to eighteen months. The tear trough moves less than the lips or cheeks, so hyaluronic acid often lasts longer here. Repeat treatments tend to need less product.

What is the Tyndall effect and can it be fixed?
A blue-grey tint through the skin when filler is placed too close to the surface. It can be reversed within a day or two by injecting hyaluronidase, which dissolves the gel. It is the main reason tear trough filler is placed deep, on the bone.

Is tear trough filler safe?
In trained hands serious complications are rare, and the gel is reversible. The specific risks are bruising, swelling, a blue tint, lumps, and, very rarely, blockage of a blood vessel. Cannula technique, small volumes and an injector who treats the area regularly reduce all of them.

Does Rejuran fix sunken eyes?
It improves the skin over the hollow, so fine lines and crepiness look better, but it does not fill the groove. For a visible hollow, hyaluronic acid filler or fat grafting is needed, with Rejuran as an optional add-on for skin quality.

General information, not medical advice. A registered medical practitioner should be consulted before any treatment. Dark Eye Circles Singapore does not sell treatments and is not a clinic.

Sources and price references (checked 5 October 2026)
  1. Biesman BS, et al. A Multicenter, Randomized, Evaluator-Blinded Study to Examine the Safety and Effectiveness of Hyaluronic Acid Filler in the Correction of Infraorbital Hollows. Aesthet Surg J. 2024;44(9):1001-1013. doi:10.1093/asj/sjae073 (PMID 38573527, PMC11334209) — RCT, 333 patients, no-treatment control; 87.4% responders at 3 months, GAIS 87.5–97.7% through 12 months https://doi.org/10.1093/asj/sjae073
  2. Fabi S, et al. Effectiveness of Volbella (VYC-15L) for Infraorbital Hollowing: Patient-Reported Outcomes From a Prospective, Multicenter, Single-Blind, Randomized, Controlled Study. Aesthet Surg J. 2023;43(11):1357-1366. doi:10.1093/asj/sjad100 (PMID 37066828, PMC10575619) — RCT, multicentre, 12-month patient-reported outcomes for infraorbital hollows https://doi.org/10.1093/asj/sjad100
  3. Liu X, et al. The Efficacy and Safety of Hyaluronic Acid Injection in Tear Trough Deformity: A Systematic Review and Meta-analysis. Aesthetic Plast Surg. 2024;48(3):478-490. doi:10.1007/s00266-023-03613-7 (PMID 37684413) — Meta-analysis, 31 reports, 2,556 participants; satisfaction 91%, swelling 19%, bruising 18%, Tyndall 7% https://doi.org/10.1007/s00266-023-03613-7
  4. Trinh LN, et al. Delayed Complications following Dermal Filler for Tear Trough Augmentation: A Systematic Review. Facial Plast Surg. 2022;38(3):250-259. doi:10.1055/s-0041-1736390 (PMID 34666405) — Systematic review of delayed complications (malar oedema, Tyndall, nodules) https://doi.org/10.1055/s-0041-1736390
  5. Miranda SG, Codner MA. Micro Free Orbital Fat Grafts to the Tear Trough Deformity during Lower Blepharoplasty. Plast Reconstr Surg. 2017;139(6):1335-1343. doi:10.1097/PRS.0000000000003356 (PMID 28198772) — Retrospective series, 32 patients, median follow-up 392 days; no visible grafts, 3% scleral show https://doi.org/10.1097/PRS.0000000000003356
  6. Su YS, et al. Autologous Fat Grafting for the Treatment of Structural Infraorbital Dark Circles. Aesthetic Plast Surg. 2025;49(7):1842-1849. doi:10.1007/s00266-025-04718-x (PMID 39929984) — Retrospective cohort, micro-fat plus SVF to infraorbital hollow, China; no comparator https://doi.org/10.1007/s00266-025-04718-x
  7. Shue S, et al. Fat Injection: A Systematic Review of Injection Volumes by Facial Subunit. Aesthetic Plast Surg. 2018;42(5):1261-1270. doi:10.1007/s00266-017-0936-6 (PMID 28791455) — Systematic review; periorbital volumes and reported retention, heterogeneous studies https://doi.org/10.1007/s00266-017-0936-6
  8. Ghatge AS, Ghatge SB. The Effectiveness of Injectable Hyaluronic Acid in the Improvement of the Facial Skin Quality: A Systematic Review. Clin Cosmet Investig Dermatol. 2023;16:891-899. doi:10.2147/CCID.S404248 (PMID 37038447, PMC10082573) — Systematic review of skin-quality HA injections; elasticity and hydration, not volume https://doi.org/10.2147/CCID.S404248
  9. Abuyousif HS, et al. In Vitro Evaluation and Clinical Effects of a Regenerative Complex with Non-Cross-Linked Hyaluronic Acid and a High-Molecular-Weight Polynucleotide for Periorbital Treatment. Polymers (Basel). 2025;17(5):638. doi:10.3390/polym17050638 (PMID 40076130, PMC11902836) — Small open-label periorbital series; skin quality endpoints only https://doi.org/10.3390/polym17050638
  10. Bernardini FP, et al. Calcium hydroxyl-apatite (Radiesse) for the correction of periorbital hollows, dark circles, and lower eyelid bags. Ophthalmic Plast Reconstr Surg. 2014;30(1):34-39. doi:10.1097/IOP.0000000000000001 (PMID 24398484) — Retrospective series, 63 patients, 127 eyelids, diluted CaHA; short follow-up, multiple critical letters https://doi.org/10.1097/IOP.0000000000000001
  11. Firsowicz M, et al. Injectable Poly-l-Lactic Acid for Treatment of the Infraorbital Hollowing. Dermatol Surg. 2025;51(9S):S77-S80. doi:10.1097/DSS.0000000000004791 (PMID 40864851) — Retrospective series, 28 patients; bruising 21%, swelling 16%, one nodule https://doi.org/10.1097/DSS.0000000000004791
  12. Kafi R, et al. Improvement of naturally aged skin with vitamin A (retinol). Arch Dermatol. 2007;143(5):606-612. doi:10.1001/archderm.143.5.606 (PMID 17515510) — RCT, 36 subjects, 24 weeks, 0.4% retinol; fine wrinkles improved, no volume endpoint https://doi.org/10.1001/archderm.143.5.606
  13. Hyaluronic acid tear trough filler, per syringe price: Cienna Aesthetics — S$600–1,200 per syringe; mild cases S$600–1,000 (checked 2026-10-05) https://ciennaaesthetics.com.sg/cost-of-under-eye-tear-trough-fillers-in-singapore-what-to-expect/
  14. Hyaluronic acid tear trough filler, per syringe price: SL Aesthetic Clinic — from S$700 per treatment including touch-up (snippet shows S$750–800) (checked 2026-10-05) https://slclinic.com.sg/tear-trough-filler-singapore/
  15. Hyaluronic acid tear trough filler, per syringe price: Sozo Aesthetic Clinic — S$800–1,200 per syringe (checked 2026-10-05) https://sozoclinic.sg/under-eye-tear-trough-filler-singapore-review-price/
  16. Hyaluronic acid tear trough filler, per syringe price: Kowayo Aesthetic Clinic — from S$800 per session (checked 2026-10-05) https://kowayo.com/eye/what-is-the-best-treatment-for-dark-eye-circles-under-eye-filler-or-rejuran-i/
  17. Hyaluronic acid tear trough filler, per syringe price: The Ogee Clinic — S$800–1,500 per syringe (checked 2026-10-05) https://www.theogeeclinic.com/aesthetics/dark-eye-circle-treatments-in-singapore-causes-costs-what-results-to-expect/
  18. Hyaluronic acid tear trough filler, per syringe price: Zoe Medical — S$400–1,200 per session (checked 2026-10-05) https://zoemedical.sg/under-eye-tear-trough-fillers/
  19. Hyaluronic acid tear trough filler, per syringe price: V Aesthetics Clinic (price list) — S$1,200 per 1 ml syringe (under eye / tear trough filler) (checked 2026-10-05) https://www.vaestheticsclinic.com.sg/price-list/
  20. Hyaluronic acid tear trough filler, per syringe price: David Loh Aesthetics — S$800 per 1 ml syringe (dermal filler) (checked 2026-10-05) https://davidloh.sg/tag/juvederm-voluma/
  21. Fat grafting to the eye area price: Amaris B Clinic — from S$3,500 (facial fat grafting) (checked 2026-10-05) https://www.amaris-b.com/blog/facial-fat-grafting-cost-singapore
  22. Fat grafting to the eye area price: Dream Plastic Surgery — S$3,000–8,000 (fat grafting); S$4,000–8,000 (facial) (checked 2026-10-05) https://dreamplasticsurgery.com/how-much-does-fat-grafting-cost-in-singapore/
  23. Fat grafting to the eye area price: David Loh Aesthetics (price list) — S$4,000 fat grafting to the face, before GST (checked 2026-10-05) https://davidloh.sg/price-list/
  24. Fat grafting to the eye area price: WhatClinic Singapore listings — fat filler from S$3,000 (checked 2026-10-05) https://www.whatclinic.com/beauty-clinics/singapore/central-singapore/orchard-road/fat-dermal-filler
  25. Skin boosters under the eye, per session price: BA Clinic — from S$340 per 1 ml; S$400 non-cross-linked HA; S$650 polynucleotide 2 ml (checked 2026-10-05) https://baclinic.sg/treatments/skinbooster/
  26. Skin boosters under the eye, per session price: Fundamental Aesthetic Clinic — from S$340 per ml; S$300–800 per session (checked 2026-10-05) https://www.fundamentalaestheticclinic.com.sg/skin-booster-singapore
  27. Skin boosters under the eye, per session price: V Aesthetics Clinic (price list) — S$600 under-eye polynucleotide 1 ml; S$700 Restylane Skinbooster 1 ml (checked 2026-10-05) https://www.vaestheticsclinic.com.sg/price-list/
  28. Skin boosters under the eye, per session price: Sozo Aesthetic Clinic — S$200–800 per ml; Rejuran I from S$500 per syringe (checked 2026-10-05) https://sozoclinic.sg/skin-booster/
  29. Skin boosters under the eye, per session price: David Loh Aesthetics — S$1,000 per 1 ml skin hydration booster (checked 2026-10-05) https://davidloh.sg/tag/juvederm-voluma/
  30. Collagen stimulator (CaHA / PLLA) per syringe price: Sozo Aesthetic Clinic — S$800–1,000 per 0.75 cc CaHA syringe (checked 2026-10-05) https://sozoclinic.sg/radiesse/
  31. Collagen stimulator (CaHA / PLLA) per syringe price: Bay Clinic — Radiesse from S$1,500 per 1 cc syringe; Ellanse from S$888 (checked 2026-10-05) https://www.bayclinic.sg/treatment/temple-and-forehead-fillers/
  32. Collagen stimulator (CaHA / PLLA) per syringe price: Dr Shane Aesthetics — CaHA from S$1,500 (checked 2026-10-05) https://www.drshane.sg/procedures/radiesse/
  33. Collagen stimulator (CaHA / PLLA) per syringe price: V Aesthetics Clinic (price list) — PLLA biostimulator S$3,000 per syringe; PDLLA S$1,200 (checked 2026-10-05) https://www.vaestheticsclinic.com.sg/price-list/
  34. Topical retinoids and eye creams (retail) price: Lazada Singapore (retinol eye cream listings) — S$11.86–23.92 per 20–30 ml (checked 2026-10-05) https://www.lazada.sg/tag/eye-cream-retinol-and-collagen/
  35. Topical retinoids and eye creams (retail) price: Watsons Singapore official store on Shopee (Some By Mi retinol eye cream 30 ml) — S$26.80 (checked 2026-10-05) https://shopee.sg/SOME-BY-MI-Retinol-Intense-Advanced-Triple-Action-Eye-Cream-30ml-(Expiry-Jan-2027)-i.195238920.22056123465
  36. Topical retinoids and eye creams (retail) price: ShopBack SG guide (The Ordinary Retinal 0.2%, Paula's Choice 0.3% retinol) — about S$25–30 and S$90 (checked 2026-10-05) https://www.shopback.sg/blog/fashion/la-mer-vs-sk-ii-vs-charlotte-tilbury-luxury-longevity-sg-2026

Sunken Looking Eyes in Singapore: this series

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