For patients seeking subtle rejuvenation under the eyes without surgery,

under eye filler (tear trough filler) presents an ideal solution.

Double board-certified facial plastic surgeon Dr. Nicholas Karter offers under eye filler at our Wethersfield, Connecticut, practice to help you look youthful and refreshed.

What Is Under Eye Filler Treatment?

Under eye, or tear trough filler treatment, is a nonsurgical procedure that restores lost volume, smooths hollows, and reduces the appearance of dark circles beneath the eyes. Using hyaluronic acid-based dermal fillers, we create a refreshed, well-rested look by artfully blending the under eye area with the cheeks. Dr. Karter uses a special “cannula technique” that enhances your comfort and results.

Why Choose Under Eye Filler?

  • Minimally invasive – This approach rejuvenates your under eyes using injections vs incisions.
  • Less downtime – With our cannula approach, patients benefit from less swelling and bruising compared to traditional filler needle techniques or surgery.
  • Enhanced safety – Using a cannula instead of needles reduces the risk of vascular damage and bruising, ensuring a safer experience.
  • Added Comfort – The blunt tip of the cannula minimizes discomfort during the procedure, making it a more pleasant, comfortable experience.
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Dr. Nicholas Karter

Meet Dr. Nicholas Karter

Dr. Karter is fellowship-trained, double board-certified facial plastic surgeon known for his exceptional results and patient-first philosophy. Learn what sets him apart below:

  • Voted "Best Plastic Surgeon in Hartford"
  • 15 Years of Facial Plastic Surgeon Experience
  • Certified by 2 Prestigious Medical Boards
  • Completed an Elite AAFPRS Fellowship
  • 4.8 Average Rating on Google
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Dr. Nicholas Karter credentials logos including Facial Plastic Surgery, Facial Plastic Surgeon Board Certified, ABOHNS, American Academy of Otolaryngology-Head and Neck Surgery and The Aesthetic Society
Facial Plastic Surgery logo Facial Plastic Surgeon Board Certified logo ABOHNS logo American Academy of Otolaryngology-Head and Neck Surgery logo UConn School of Medicine Facial Plastic Surgery logo Facial Plastic Surgeon Board Certified logo ABOHNS logo American Academy of Otolaryngology-Head and Neck Surgery logo UConn School of Medicine

Your Tear Trough Filler Treatment

Unlike traditional needle injections, our elevated treatment method uses a blunt-tipped cannula, reducing discomfort, minimizing bruising, and improving precision. The high-quality HA fillers used for under eye rejuvenation add volume, hydrate the skin, and provide natural-looking results.

After applying a local numbing agent, Dr. Karter gently inserts the cannula, allowing for the precise placement of filler to smooth and brighten the under eye area. The results are immediate, with minimal downtime—leaving you looking naturally refreshed and rejuvenated.

Your Tear Trough Filler Treatment

Unlike traditional needle injections, our elevated treatment method uses a blunt-tipped cannula, reducing discomfort, minimizing bruising, and improving precision. The high-quality HA fillers used for under eye rejuvenation add volume, hydrate the skin, and provide natural-looking results.

After applying a local numbing agent, Dr. Karter gently inserts the cannula, allowing for the precise placement of filler to smooth and brighten the under eye area. The results are immediate, with minimal downtime—leaving you looking naturally refreshed and rejuvenated.

Do’s & Don’ts Before & After Treatment:

  • DO openly communicate with our team about your aesthetic concerns and goals.
  • DO carefully adhere to Dr. Karter’s posttreatment protocol.
  • DO contact us if you have any questions or concerns after treatment.
  • DO maintain your look with follow-up treatments.
  • DON’T use any NSAIDs for at least 1 week before treatment.
  • DON’T exercise for at least 48 hours after treatment.
  • DON’T frequent swimming pools, hot tubs, or saunas for at least 48 hours after treatment.

A Reputation Built on Results

Dr. Karter is very personable, knowledgeable, friendly, and professional. Great experience with great results!
I had a great experience with Dr. Karter for my Botox treatment. I was very nervous but he made me feel completely at ease. He explained everything to me in great detail and even offered multiple products...
I don't even know where to begin. Dr. Karter along with Erin, the Patient Care Coordinator have changed my life. I have always been self conscious of my eyelids and under eyes for as long as I can remember....
Incredible Surgeon and Wonderful Experience I highly recommend Dr. Karter. Not only is he an incredible surgeon but my experience with all his office staff has been wonderful. I am just under 3 months...

Complementary Procedures

Patients often benefit from combining their under eye fillers with treatments that enhance other prominent facial features.

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Under Eye Filler FAQ

What does under eye filler treatment cost in CT?

The cost of tear trough filler in Connecticut varies depending on the type and amount of filler used and other individual factors. We can better understand your needs during your free phone consultation and give you an initial quote. For added convenience, we also accept financing through CareCredit®.


Who’s a good candidate for tear trough filler?

Typically, tear trough filler is best for patients experiencing hollowing under their eyes without the presence of under eye bags or puffiness. A thorough consultation with Dr. Karter is the best way to assess whether filler or lower eyelid surgery is right for you.


When do you see results?

The results of under eye filler are visible immediately after treatment, so you’ll notice reduced hollows and a more refreshed appearance right away.


Are there risks associated with under eye filler?

The most common risks after tear trough filler are bruising and swelling. However, Dr. Karter’s innovative cannula technique minimizes these side effects. In rare circumstances, patients may experience an allergic reaction, the Tyndall effect (bluish discoloration), or necrosis. A board-certified facial plastic surgeon performing or overseeing your injections is essential to your safety and results.


How long does tear trough filler last?

The longevity of tear trough filler treatment varies based on factors such as the type of filler used, your metabolism, and lifestyle habits. Generally, HA-based under eye fillers last between 9 and 18 months. To maintain your refreshed look, we recommend periodic touch-up treatments.

Request Your Complimentary Consultation

If you’re ready to explore your facial rejuvenation options with a top facial plastic surgeon in Connecticut, we invite you to request a consultation online or call Karter Advanced Facial Plastic Surgery at (860) 775-5595 to get started today.

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