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Using Belotero Under Eyes: The Best Treatment for Dark Circles and Puffiness
Date: 24 Oct 2025
Authors: Melanie Elmer
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Tired eyes are one of the most common aesthetic concerns among patients today. Even with plenty of sleep, hydration, and skincare, many people still struggle with dark under-eye circles, hollowness, or puffiness under the eyes – issues that can make them look fatigued, aged, or stressed.

That’s where Belotero, a premium line of hyaluronic acid (HA) dermal fillers, comes in. Known for its soft, smooth texture and natural integration with the skin, Belotero has become a go-to choice among aesthetic professionals for delicate areas, particularly the tear trough (under-eye) region.

In this article, we’ll explore why Belotero is considered one of the best filler options for treating dark under-eye circles and under-eye puffiness, how it works, what makes it stand out from other fillers, and what professionals should know to achieve the most natural, refreshed results for their patients.

Understanding the Under-Eye Area: Why Dark Circles and Puffiness Occur

Before discussing how Belotero helps, it’s important to understand what causes under-eye concerns in the first place. The tear trough – the area between the lower eyelid and upper cheek – is one of the most delicate parts of the face. The skin here is thin, translucent, and prone to early signs of aging.

Common Causes of Dark Under-Eye Circles and Puffiness

In most cases, the most visible signs of aging beneath the eyes (namely, circles and puffiness) appear due to the following reasons:

  • Volume loss: As we age, fat pads in the midface shift downward, and collagen production decreases. This creates a hollow or shadow under the eyes that accentuates darkness;
  • Thinning skin: With reduced elasticity and firmness, underlying blood vessels become more visible, contributing to dark pigmentation;
  • Genetics: Some patients naturally have deeper tear troughs or darker pigmentation, regardless of lifestyle;
  • Fluid retention: Lack of sleep, allergies, or dehydration can cause puffiness, emphasizing uneven texture and shadowing;
  • Lifestyle factors: Stress, smoking, and poor nutrition can worsen the appearance of tired eyes.

For many patients, no amount of topical cream or concealer provides lasting improvement. This is why injectable dermal fillers – particularly soft, smooth, and precise ones like Belotero – have become a leading solution for rejuvenating the under-eye area.

What Is Belotero?

Belotero is a family of hyaluronic acid-based fillers manufactured by Merz Aesthetics, a trusted name in medical aesthetics. It’s designed using an advanced Cohesive Polydensified Matrix (CPM) technology that allows the filler to integrate seamlessly into the skin for a smooth, natural look and feel.

While allowing a patient to avoid plastic surgery (or, at least, postpone it), Belotero dermal fillers create real results while requiring little to no recovery time. They effectively improve the overall appearance of a patient by addressing the skin’s health and minimizing fine lines and wrinkles (including lip lines, smile lines, and other lines and wrinkles). Additionally, Belotero cosmetic injectables provide a patient with long-lasting results when it comes to the enhancement of the undereye area.

Unlike some other HA fillers that remain in discrete “gel pockets,” Belotero blends evenly with the skin’s natural tissue. This makes it particularly suitable for superficial injection areas, such as fine lines and periorbital region lines, where smoothness and subtlety are crucial.

Belotero’s Most Popular Formulations (Belotero Balance, Soft, Intense, and Volume

Dermal fillers produced under the Belotero brand are available in several formulations. Although they all aim to provide a patient with a more youthful appearance, the treatment areas they most effectively treat might differ – while some Belotero dermal fillers work well when smoothing fine lines, others do an awesome job when addressing delicate tissues, filling hollow areas, or eliminating chin wrinkles. Here is some additional information regarding the best Belotero’s dermal fillers for different areas:

  • Belotero Balance (or, in other words, the basic version of Belotero): Ideal for fine to moderate lines and tear troughs;
  • Belotero Soft: A gentler option for delicate skin and subtle smoothing;
  • Belotero Intense and Belotero Volume: Designed for deeper folds and facial contouring, typically used in the midface, not directly under the eyes.

For under-eye rejuvenation, Belotero Balance or Belotero Soft are the preferred choices among aesthetic practitioners due to their soft consistency and natural integration.

WORTH KNOWING:
To ensure optimal results after the Belotero treatment, a real patient should thoroughly follow the post-procedure recommendations of their healthcare provider. For instance, it is important to avoid strenuous exercise and direct sun exposure for the first several days after undergoing the treatment, no matter whether it has been applied to reduce wrinkles or restore volume of the face.

Why Belotero Is Ideal for the Under-Eye Area

The under-eye region is notoriously challenging to treat. It requires finesse, precision, and a filler that can deliver volume without causing lumps, swelling, or the unwanted bluish tint known as the Tyndall effect.

Here are some reasons why Belotero stands out as a top choice:

#1. Exceptionally Smooth Consistency

Belotero’s cohesive gel texture allows it to spread evenly beneath the thin under-eye skin, minimizing irregularities and blending seamlessly into the surrounding tissue. The result is a natural, refreshed appearance rather than a “filled” look.

#2. Reduced Risk of Tyndall Effect

One of the most common filler complications under the eyes occurs when the product sits too close to the surface, creating a bluish hue. Belotero’s formulation integrates fully with the dermal layers, reducing this risk significantly.

#3. Precise, Natural Correction

Because of its low viscosity and excellent adaptability, Belotero allows practitioners to fill delicate hollows without over-volumizing. It smooths shadows rather than puffing up the area, which is key to achieving subtle rejuvenation.

#4. Hydrating and Skin-Improving Properties

Hyaluronic acid naturally attracts and retains moisture. As Belotero integrates, it helps rehydrate and plump the skin from within, improving texture and elasticity over time.

#5. Long-Lasting, Yet Soft Results

Although longevity can vary by patient, Belotero Balance typically lasts around 6 to 12 months under the eyes – long enough for patients to enjoy lasting improvements without looking “overdone.”

#6. Excellent Safety Profile

With a smooth formulation and precise injection techniques, Belotero carries a low risk of side effects or post-treatment irregularities, especially when administered by trained professionals.

WORTH KNOWING:
In most cases, a body responds well to the Belotero treatment. However, the individual results of each patient might substantially differ, strongly depending on their health and lifestyle peculiarities. In this regard, it is worth mentioning that it is a task of a healthcare provider to define whether a patient is going to be a good candidate to the treatment and give answers to all the questions a patient might have.

Treatment Overview: Using Belotero for Under-Eye Rejuvenation

Below, you will find a detailed overview of the treatment of the under-eye area with Belotero dermal fillers. Check out the main points worth paying attention to.

Patient Selection

Not all patients are ideal candidates for under-eye filler. Those with mild to moderate hollowness and minimal skin laxity tend to achieve the best results. Belotero works particularly well for patients whose circles around the eyes are primarily caused by shadowing and volume loss, rather than pigmentation alone.

Preparation and Consultation

Before treatment, a thorough consultation is essential. The practitioner should assess facial anatomy, discuss patient expectations, and review any medical conditions or allergies. Pre-treatment instructions often include avoiding alcohol, blood thinners, and anti-inflammatory medications for several days to minimize bruising.

Injection Technique

Belotero is typically injected using either a fine needle or a microcannula, depending on the practitioner’s preference and the patient’s anatomy. The injection plane is usually deep dermal or pre-periosteal (just above the bone), where small, precise amounts of product can fill hollows effectively without overcorrection.

Because Belotero is soft and integrates smoothly, practitioners can layer it evenly, allowing for gradual, controlled enhancement. The goal is not to “fill” the area but to reduce shadows and restore smooth transitions between the lower eyelid and cheek.

Aftercare

Patients are usually advised to avoid touching the treated area, wearing makeup, or engaging in intense exercise for 24 hours. Mild swelling or bruising can occur but typically resolves within a few days. The final results are visible once any minor swelling subsides, leaving the eyes looking brighter and more youthful.

Comparing Belotero Injections with Injections of Other Under-Eye Fillers

While several HA fillers can be used for tear trough correction, Belotero stands out for its smooth texture and natural integration. Here’s how it compares conceptually to a few other popular choices (without using a table format):

  • Belotero vs. Restylane: Restylane is slightly thicker and offers more structure, which can be beneficial for midface volume but carries a slightly higher risk of lumpiness under thin skin. Belotero, by contrast, spreads more evenly and provides a softer finish – ideal for the tear trough;
  • Belotero vs. Juvederm Volbella: Juvederm Volbella also has a fine, smooth texture suitable for under-eye use. However, Belotero tends to integrate more seamlessly, reducing the likelihood of surface irregularities, especially in patients with very thin skin;
  • Belotero vs. Teosyal Redensity II: Teosyal Redensity II is another excellent filler designed specifically for the tear trough area, containing vitamins and amino acids. Belotero, however, remains a top choice for practitioners seeking a more cohesive gel that provides subtle, smooth blending without visible transitions.

Ultimately, the “best” filler depends on practitioner experience, patient anatomy, and desired results – but Belotero consistently earns praise for its reliability, soft texture, and safety in this delicate area.

Expected Results: What Patients and Providers Can Anticipate

After a Belotero under-eye treatment, patients typically notice an immediate improvement. The hollow or shadowed area becomes smoother, and the transition between the eyelid and cheek looks more continuous.

Over the following days, as the filler settles and integrates, the results become even more natural. Most patients report:

  • A brighter, well-rested appearance;
  • Less visible dark under-eye circles caused by shadowing;
  • Reduced puffiness or hollowness;
  • A softer, more youthful under-eye contour.

The results are subtle yet transformative. When done correctly, Belotero does not alter facial expression – it simply restores a refreshed, rejuvenated look.

Maintenance treatments are typically needed once or twice a year, depending on individual metabolism and lifestyle factors.

Potential Side Effects and Safety Considerations

As with all injectable treatments, side effects are generally mild and temporary. Patients may experience slight redness, swelling, or tenderness at the injection site. Bruising is also possible but can be minimized with careful technique and proper aftercare.

Severe complications such as vascular occlusion are extremely rare when performed by skilled professionals familiar with facial anatomy. Using authentic, properly sourced Belotero products is critical to safety and efficacy – counterfeit or low-quality fillers pose significant risks and should always be avoided.

Tips for Achieving the Best Results

For healthcare professionals looking to provide optimal outcomes with Belotero under-eye treatments, here are key recommendations:

  • Use conservative amounts. The under-eye area requires minimal volume; overfilling can lead to puffiness.
  • Inject slowly and evenly. This ensures smooth product distribution.
  • Select the right formulation. Belotero Balance or Soft are best suited for tear trough correction.
  • Combine treatments when appropriate. For comprehensive rejuvenation, combine Belotero with midface fillers or skin boosters for improved structure and hydration.
  • Always use genuine products. Purchase only from trusted medical suppliers to ensure product authenticity, sterility, and optimal patient safety.

Conclusion: Purchase Belotero Fillers and Other Dermal Fillers on FillerCloud

When it comes to treating dark circles and puffiness under the aging eyes, Belotero offers one of the most natural, effective, and safe options available. Its unique formulation allows it to blend seamlessly into the skin, restoring a refreshed, good-looking appearance without heaviness or discoloration.

For certified healthcare professionals seeking to provide patients with premium results, sourcing authentic products is key. FillerCloud, a trusted Canadian supplier, offers genuine Belotero fillers and other leading brands at competitive prices – ensuring quality, safety, and consistent performance in every treatment.

Help your patients look as vibrant as they feel – discover and order authentic Belotero and other professional-grade dermal fillers today from FillerCloud.

FAQ
  • What is Belotero and why is it ideal for treating dark under-eye circles?

    Belotero is a hyaluronic acid-based dermal filler manufactured by Merz Aesthetics using Cohesive Polydensified Matrix (CPM) technology. It’s ideal for under-eye treatment because its smooth consistency integrates seamlessly into thin skin, reducing shadows and hollowness without creating lumps or a “filled” appearance.

  • What causes dark circles and puffiness under the eyes?

    Dark circles result from volume loss due to aging, thinning skin that reveals blood vessels, genetics, fluid retention, and lifestyle factors like stress and poor sleep. The tear trough area’s delicate, translucent skin makes these issues particularly visible.

  • Which Belotero formulation is best for under-eye treatment?

    Belotero Balance and Belotero Soft are preferred for tear trough rejuvenation. Balance treats fine to moderate lines and hollowness, while Soft is gentler for delicate skin and subtle corrections.

  • How does Belotero prevent the Tyndall effect under the eyes?

    Belotero’s formulation integrates fully with dermal layers rather than sitting in gel pockets near the surface. This seamless blending significantly reduces the bluish discoloration (Tyndall effect) that can occur with other fillers in thin under-eye skin.

  • What results can patients expect from Belotero under-eye treatment?

    Patients see immediate improvement with final results appearing as swelling subsides. Benefits include a brighter, rested appearance, reduced dark circles from shadowing, less puffiness, and smoother under-eye contours. Results last 6-12 months.

  • How does Belotero compare to other under-eye fillers?

    Belotero spreads more evenly than Restylane (which is thicker) and integrates more seamlessly than Juvederm Volbella, especially in very thin skin. Its cohesive texture provides natural blending ideal for the delicate tear trough area.

  • Who is an ideal candidate for Belotero under-eye treatment?

    Ideal candidates have mild to moderate hollowness with minimal skin laxity, and dark circles primarily caused by shadowing and volume loss rather than pigmentation issues. A consultation is essential to assess suitability.

Information Sources:
  • Merz Aesthetics - "Belotero Balance Injectable Gel: Prescribing Information" - 2021
  • Jones D, Tezel A - "Belotero Balance: a review of scientific evidence and clinical experience" - Journal of Drugs in Dermatology 2013
  • Merz Aesthetics - "Belotero Balance Injectable Gel: Product Information and Clinical Data" - 2021
  • Raspaldo H et al - "Volumetric rejuvenation of the tear trough with hyaluronic acid-based fillers: review of anatomy and treatment techniques" - Journal of Drugs in Dermatology 2015
  • DeLorenzi C - "Complications of injectable fillers, part 2: vascular complications" - Aesthetic Surgery Journal 2014
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