How long do fillers last? What affects dermal filler longevity?
Find out more on the types of dermal fillers available in Singapore, factors that influence dermal filler longevity and how dermal fillers disappear in our body
June 12, 2025
Weekdays 9:30am - 7pm.
Alternate Saturdays 9am - 5pm.
Alternate Saturdays 9am - 5pm.
Reach us at
+65 8983 8468
customer@amaris-b.com
140 Arab Street, Singapore 199827
Weekdays 9:30am - 7pm
Alt Saturdays: 9am - 5pm
Alt Saturdays: 9am - 5pm
Getting Here
By Car/Taxi
Public parking available or drop off along Arab Street, Village Hotel Bugis (Previously known as Golden Landmark Hotel)
By Public Transport
Buses (2, 12, 32, 33, 130, 133, 133A, 520, 960, NR7) MRT (alight at Bugis MRT station)
Follow us
Reach us at
Getting Here
Follow us
Get In Touch
CAUSES OF TIRED-LOOKING EYES AND DARK EYE CIRCLES
The tear trough lies between your lower eyelid and upper cheek. Early signs of ageing point toward the hollowing of the tear trough.
As one ages, the tear trough area appears hollower, deeper, and darker, causing unattractive dark shadowing and eye bags to appear, making one look exhausted and aged.
👵🏼 Ageing Volume Loss
As we age, decreased volume under the eyes can create a noticeable "tear trough," casting shadows.
👱 Skin Laxity
Reduced collagen production makes blood vessels and dark shadows more visible under the eyes.
💤 Sleep Deprivation
Lack of sleep can pale the skin, highlighting blood vessels beneath the eyes.
This is the most common.
🚬 Smoking
Constricts blood vessels, leading to poor circulation and darker under-eye areas.
☕️ Caffeine & Alcohol
Excess can dehydrate and swell blood vessels, worsening dark circles.
👃🏼 Others
Nasal congestion, allergies, sun exposure, and eye rubbing can also lead to discolouration.
⚖️ Weight Loss
Significant weight loss may enhance the appearance of under-eye hollowness.
🧬 Genetics
Some people may naturally develop tear troughs, regardless of age.
DIFFERENT TYPE OF UNDER-EYE CONCERNS
Dark Circles
Discoloured skin under the eyes, which can appear in shades of blue, purple, brown, or black.
Eye Bags
Puffiness or swelling under the eyes, resulting in a bag-like appearance.
Puffy Eyes
Swelling or puffiness around the eyes, which typically diminishes over time or with treatment.
Hollow or Sunken Eyes
Noticeable indentations under the eyes, causing the eyes to appear deeper set into the face.
Under eye wrinkles
Fine lines or creases beneath the eyes, which often become more pronounced with age and due to facial expressions.
GRADING FOR TEAR TROUGH HOLLOWING
Class I: Limited to tear trough
- Tear trough with no orbital fat or extra lower eyelid skin
- Mild volume loss around the eyes
- A flat mid-face
Class II: Extended Laterally
- Mild to moderate orbital fat without extra skin on the lower eyelid
- Some volume loss around the eyes
- A slightly flattened mid-face
Class III: Full
- Significant volume loss around the eyes
- Severe bulging of orbital fat
- Extra lower eyelid skin
- A deep tear trough extending around the eye
Image source: The under-eye area or tear troughs gradually deepen as the skin loses collagen over time.
Source: Adv Dermatol Allergol 2016; XXXIII (4): 303–308
WHAT CAN I DO ABOUT MY TIRED-LOOKING EYES AND DARK EYE CIRCLES?
An effective treatment at Amaris B. Clinic is Dr Ivan Puah's proprietary approach, the EyeArt® Method. This eye rejuvenation solution involves injecting hyaluronic acid-based (HA) dermal fillers at strategic points and depths into specific areas around the eyes.
It helps to:
- Fill in volume loss
- Refresh tired-looking eyes
- Reduce dark eye circles
- Revolumise under the eyes
- Improve skin quality
- Help you look less tired, more rejuvenated and youthful
WHAT TYPE OF DERMAL FILLERS DO YOU USE?
In your body, hyaluronic acid fills the spaces between cells, protecting them by retaining water and serving as a sponge.
Only hyaluronic-based (HA) dermal fillers are used in the EyeArt® Method by Dr Ivan Puah. Once injected, it acts as a cushion, supporting facial structures and tissues that may have lost volume and elasticity. The product instantly fills the skin.
DR IVAN PUAH'S EYEART® METHOD
Micro-droplet
Using very fine blunt cannulas instead of needles and his micro-droplet technique to reduce the risks of bruising and swelling.
Multi-layering
For an even and natural rejuvenation around the eye area.
Multi-dimensional
Through a multi-dimensional approach – lift the skin around the eyes, improve fine lines, and lighten dark eye circles.
What should I expect before the tear trough fillers treatment?
A detailed consultation will take place with Dr Ivan Puah to assess your clinical condition and to ensure that your expectations are understood. He will explain how to administer your treatment and address your concerns.
During the tear trough fillers injection, he will inject selected hyaluronic acid-based dermal fillers[16] into the tear trough area with his EyeArt® Method.
Through his careful and strategic placement of the injection, he can lift and support the skin around the tear trough, fill up and smooth out hollowness.
When can I see the results?
Results and improvements will be noticeable immediately, but allow 7 to 14 days for any minor side effects, such as bruising or swelling (if any), to dissipate.
EyeArt® Method (Tear Trough Fillers) AFTERCARE
No make-up for 12 hours
No exercise & sun/water activities for 24 to 48 hours
No AHAs, BHAs, retinol or Vitamin C for 24 hours
Drink lots of water
Use gentle skincare products
Avoid extreme cold environments such as cryo bath
Try not to touch or rub your face for 6 hours
Avoid alcohol & smoking for 24 hours
Avoid sun or tanning for 24 hours
Sleep on your back
WHO CAN PERFORM EYEART® METHOD (TEAR TROUGH FILLERS) IN SINGAPORE?
Tear Trough Filler is marked as a medical device In Singapore under HSA regulation. Treatments such as dermal filler (including tear trough filler), injectable neurotoxins, and SkinHydra Booster can only be prescribed and carried out by registered and trained medical doctors in Singapore.
Dr Ivan Puah
Dr Ivan Puah, the Medical Director of Amaris B. Clinic, holds a Graduate Diploma in Family Dermatology from NUS and boasts over 20 years of clinical experience in addressing various dermatological concerns. His proficiency encompasses the treatment of skin laxity, wrinkles, fine lines, hyperpigmentation, acne scarring, and more.
Dr Puah's knowledge and skill are further acknowledged through his appointment as a trainer-to-doctor by Merz Singapore and Allergan Singapore.
Our Awards
FAQ
How long does the EyeArt® Method (Tear Trough Fillers) take?
The treatment may take 30 minutes. You will most likely be able to continue your daily activities as soon as your appointment is over.
Does the EyeArt® Method (Tear Trough Fillers) hurt?
Nearly all our hyaluronic acid fillers are available with lidocaine to maximise your treatment comfort. The discomfort level is minimal.
What should I expect before the tear trough fillers treatment?
A detailed consultation will take place with Dr Ivan Puah to assess your clinical condition and to ensure that your expectations are understood. He will explain how to administer your treatment and address your concerns.
I heard there are many HA dermal fillers brands available. Which one do you use?
There are many HA dermal fillers that medical practitioners offer in Singapore, such as:
- Belotero [2, 3 ,4, 5]
- Juvederm [6, 7, 8, 9, 10]
- Restylane [4, 11, 12, 13]
- Voluma [14, 15, 16]
Each of these has its own characteristics and indicated purposes.
For example, Belotero and Restylane Silk correct shallow and fine facial lines, while Voluma is recommended for cheek enhancement.
As ethical healthcare professionals, it is important that medical practitioners only provide FDA and HSA-approved HA dermal fillers to their patients.
We believe that only quality products that have undergone stringent assessment, with proven track records and multiple clinical studies, will benefit the patients.
Reference
[1] Prasetyo AD, Prager W, Rubin MG, Moretti EA, Nikolis A. Hyaluronic acid fillers with cohesive polydensified matrix for soft-tissue augmentation and rejuvenation: a literature review. Clin Cosmet Investig Dermatol. 2016 Sep 8;9:257-80. DOI: 10.2147/CCID.S106551. PMID: 27660479; PMCID: PMC5021061.
[2] Lorenc, Z. Paul M.D.; Fagien, Steven M.D.; Flynn, Timothy C. M.D.; Waldorf, Heidi A. M.D.. Clinical Application and Assessment of Belotero: A Roundtable Discussion. Plastic and Reconstructive Surgery 132(4S-2):p 69S-76S, October 2013. | DOI: 10.1097/PRS.0b013e31829a0bfc
[3] Sundaram, Hema M.D.; Cassuto, Daniel M.D.. Biophysical Characteristics of Hyaluronic Acid Soft-Tissue Fillers and Their Relevance to Aesthetic Applications. Plastic and Reconstructive Surgery 132(4S-2):p 5S-21S, October 2013. | DOI: 10.1097/PRS.0b013e31829d1d40
[4] [5] Flynn, Timothy Corcoran M.D.; Thompson, David H. Ph.D.; Hyun, Seok-Hee Ph.D.. Molecular Weight Analyses and Enzymatic Degradation Profiles of the Soft-Tissue Fillers Belotero Balance, Restylane, and Juvéderm Ultra. Plastic and Reconstructive Surgery 132(4S-2):p 22S-32S, October 2013. | DOI: 10.1097/PRS.0b013e31829e88a3
[6] Lupo, Mary P. M.D.; Smith, Stacy R. M.D.; Thomas, Jane A. A.A.S, C.C.R.A.; Murphy, Diane K. M.B.A.; Beddingfield, Frederick C. III, M.D., Ph.D.. Effectiveness of Juvéderm Ultra Plus Dermal Filler in the Treatment of Severe Nasolabial Folds. Plastic and Reconstructive Surgery 121(1):p 289-297, January 2008. | DOI: 10.1097/01.prs.0000294968.76862.83
[7] Bogdan Allemann I, Baumann L. Hyaluronic Acid Gel (Juvéderm) Preparations In The Treatment Of Facial Wrinkles And Folds. Clin Interv Aging. 2008;3(4):629-34. DOI: 10.2147/cia.s3118. PMID: 19281055; PMCID: PMC2682392.
[8] Wolfgang G. Philipp-Dormston, David Eccleston, Koenraad De Boulle, Said Hilton, Helga Van Den Elzen & Myooran Nathan (2014) A Prospective, Observational Study Of The Volumising Effect Of Open-Label Aesthetic Use Of Juvéderm® Voluma® With Lidocaine In Mid-Face Area, Journal Of Cosmetic And Laser Therapy, 16:4, 171-179, DOI: 10.3109/14764172.2014.910079
[9] Li D, Xie Y, Li Q, Sun J, Jiang P, Jia Y, Murphy Dk, Li Q. Safety And Effectiveness Of Juvéderm Ultra Plus Injectable Gel In Correcting Severe Nasolabial Folds In Chinese Subjects. Plast Reconstr Surg Glob Open. 2017 Jan 16;5(1):E1133. DOI: 10.1097/GOX.0000000000001133. PMID: 28203492; PMCID: PMC5293290.
[10] Yan, Xiaoqing M.D.; Xu, Jun M.D.; Lu, Changsheng M.D.; Ma, Yongguang M.D.; Li, Wei M.D.. A Multicenter Study Of The Efficacy And Safety Of Restylane In The Treatment Of Nasolabial Folds In China. Plastic And Reconstructive Surgery 124(5):P 256e-257e, November 2009. | DOI: 10.1097/PRS.0b013e3181b98cbb
[11] Percec I, Bertucci V, Solish N, Wagner T, Nogueira A, Mashburn J. An Objective, Quantitative, Dynamic Assessment Of Hyaluronic Acid Fillers That Adapt To Facial Movement. Plast Reconstr Surg. 2020 Feb;145(2):295e-305e. DOI: 10.1097/PRS.0000000000006461. PMID: 31985621; PMCID: PMC7004449.
[12] Wu, Y., Sun, N., Xu, Y. Et Al. Clinical Comparison Between Two Hyaluronic Acid-Derived Fillers In The Treatment Of Nasolabial Folds In Chinese Subjects: Biohyalux Versus Restylane. Arch Dermatol Res 308, 145–151 (2016). https://doi.org/10.1007/s00403-016-1630-2
[13] Ho D, Jagdeo J. Voluma: A Systematic Review Of Clinical Experience. Journal Of Drugs In Dermatology : JDD. 2015 Sep;14(9):934-940. PMID: 26355610.
[14] Li D, Wang X, Wu Y, Sun J, Li Q, Guo S, Jia Y, Murphy Dk. A Randomized, Controlled, Multicenter Study Of Juvéderm Voluma For Enhancement Of Malar Volume In Chinese Subjects. Plast Reconstr Surg. 2017 Jun;139(6):1250e-1259e. DOI: 10.1097/PRS.0000000000003355. PMID: 28538556; PMCID: PMC5444429.
[15] Callan P, Goodman Gj, Carlisle I, Liew S, Muzikants P, Scamp T, Halstead Mb, Rogers Jd. Efficacy And Safety Of A Hyaluronic Acid Filler In Subjects Treated For Correction Of Midface Volume Deficiency: A 24 Month Study. Clin Cosmet Investig Dermatol. 2013 Mar 20;6:81-9. DOI: 10.2147/CCID.S40581. PMID: 23687448; PMCID: PMC3610404.
[16] Gold Mh. Use Of Hyaluronic Acid Fillers For The Treatment Of The Aging Face. Clin Interv Aging. 2007;2(3):369-76. DOI: 10.2147/cia.s1244. PMID: 18044187; PMCID: PMC2685277.
AMPLIFY YOUR RESULTS WITH...
Anti-wrinkle Injection (BoNTA)
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Learn More
PDO Lift
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Learn More
Pico Fractional Laser
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Learn More
