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The same holds true for filler injection in hollow under eye area, thereby eliminating or improving dark circles and tear trough deformity and eyelid bags. (Please note that if there is true excess lower eyelid bags (fat prolapse), then the best treatment might be lower blepharoplasty with fat removal/repositioning.) The effect of first time eyelid filler (hyaluronic acid gel types) injection lasts about 2 years, while subsequent injections can last even longer