EyeArt® Method (Tear Trough Fillers)
Tired-looking eyes, dark eye circles, fine lines, loss of volume under the eye, and poor skin quality can all benefit from tear-through fillers using Dr Ivan Puah's EyeArt® Method. It is a solution to address the appearance of dark lower eye circles, fill out hollowness and help you look less tired, more rejuvenated and youthful.
Common causes of tired-looking eyes and dark eye circles include skin thinning due to ageing, collagen loss and changes in the natural elasticity within the skin. Blood vessels, volume loss and dark shadowing, become obvious beneath the eyes (tear trough).
Other causes may include the following:
• Genetics
• Poor lifestyle habits such as smoking, drinking alcohol and caffeine
• Sleep deprivation
• Nasal congestions and allergies
• Poor nutrition and stress
• Weight loss
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.

An effective treatment at Amaris B. Clinic to treat tired eyes and dark eye circles is tear trough fillers with Dr Ivan Puah's proprietary approach, the EyeArt® Method. It involves injecting hyaluronic acid-based (HA) dermal fillers at strategic points and depths into specific areas around the eyes to fill up loss volume and to lift and support the area.
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.
In your body, hyaluronic acid fills the spaces between cells, protecting them by retaining water and serving as a sponge.
Considered a "natural moisturiser" hyaluronic acid performs different bodily tasks. For instance, it helps maintain healthy joint cushioning and hydrates the connective tissue. Hyaluronic acid can hold up to 1,000 times its weight in water, keeping our skin's smoothness (moisturising effect) and plumpness (volumising effect).
During the ageing process, the production of hyaluronic acid naturally decreases. The skin becomes drier, and its ability to retain moisture and maintain elasticity depletes. Today, the signs and symptoms of the skin's natural ageing process can be reduced by replacing the lost hyaluronic acid.
EyeArt® Method by Dr Ivan Puah involves:
Multi-layering
For an even and natural rejuvenation around the eye area.
Micro-droplet
Using very fine blunt cannulas instead of needles and his micro-droplet technique to reduce the risks of bruising and swelling.
Multi-dimensional
Through a multi-dimensional approach – lift the skin around the eyes, improve fine lines, and lighten dark eye circles.
There are many HA dermal fillers that medical practitioners offer in Singapore, such as Belotero[1], [2], [3], Juvederm[4], [6], [7], [8], [9], Restylane[5], [10] [11], [12], Voluma[13], [14], [15]. Each of these has its own characteristics and indicated purposes. For example, Belotero and Restylane Silk are used to 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 gone through stringent assessment, with proven track records and multiple clinical studies done, will benefit the patients.
Disclaimer: The HA dermal fillers listing is only for educational purposes. It serves to inform consumers about the available HA dermal fillers in Singapore and their indications of use with supporting clinical research and papers, as listed in the Reference section. It is not meant to promote the use of any of the above products specifically. HA dermal filler is marked as a medical device under HSA regulation. The appropriate use of HA dermal filler will require a clinical assessment of the patient's condition and informed discussion between healthcare professionals and the patient.
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 best 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.
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.
The treatment may take 30 minutes. You will most likely be able to continue your daily activities as soon as your appointment is over.
Nearly all our hyaluronic acid fillers are available with lidocaine to maximise your treatment comfort. The discomfort level is minimal.
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 BioRemodelling HA+ Injection can only be prescribed and carried out by registered and trained medical doctors in Singapore.
Dr Ivan Puah, medical director of Amaris B. Clinic, obtained a Graduate Diploma in Family Dermatology from NUS, and he has over 17 years of clinical experience in treating patients with skin laxity, wrinkles, fine lines, and with hyperpigmentation, acne scarring issues, and many others.
Dr Ivan Puah is also the appointed trainer-to-doctor by Merz Singapore and Allergan Singapore.
Wanting to proceed with a tear trough filler treatment with the EyeArt® Method is a personal decision. If you have tried various methods to get rid of the dark circle and hollowness but are not achieving the result that you yearn for, we welcome you to call us and schedule a consultation with Dr Ivan Puah to understand how EyeArt® Method can help you with your concerns.
For a better understanding of the dermal fillers we provide, please contact our medical team at 65364211 for further assistance.
[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.[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.