Removing tear troughs / dark circles with hyaluronic acid

Bye bye, dark circles!

The treatment of tear troughs or dark circles with hyaluronic acid is a non-surgical method to improve the appearance of the eye area. Hyaluronic acid is a natural substance that occurs in the body and is known for its moisturizing properties. The treatment involves injecting the hyaluronic acid into the skin under the eyes to add volume and correct the appearance of dark shadows or sunken areas. This can help to reduce a tired or aged appearance and achieve a fresher and more awake look.

Treatment duration

15 minutes








6 - 18 months


Hyaluron (filler) - What is it?

Hyaluronic acid is a natural substance that occurs in our body and plays an important role in regulating the skin's moisture and elasticity. It is a component of connective tissue and ensures that the skin looks plump and firm.

In the field of aesthetic medicine, hyaluronic acid is often used for wrinkle treatment and lip augmentation. Due to its unique properties, it can bind moisture and increase the volume of the treated areas. It fills in wrinkles and lines and gives the skin a smoother and more youthful appearance.

The effect of hyaluronic acid treatment is immediately visible and usually lasts for several months. As hyaluronic acid is a natural component of the body, it is broken down by the body over time and therefore needs to be replenished regularly to maintain the desired results.

Treatment with hyaluronic acid is generally well tolerated as it is a substance that is already present in our body. Nevertheless, possible risks and side effects should be discussed with an experienced doctor before treatment.

Treatment procedure

The treatment of tear troughs or dark circles under the eyes with hyaluronic acid usually takes place in several steps.

  • First, the affected area is thoroughly cleaned and disinfected. (We only use hyaluronic acid products that already contain an anesthetic to increase comfort during the treatment. Therefore, the use of an anesthetic cream is not necessary).
  • The exact position where the hyaluronic acid is to be injected is marked. The hyaluronic acid is then injected into the tear trough or dark circles using a fine needle. Care is taken to ensure that the preparation is evenly distributed and a natural result is achieved.
  • Slight swelling, redness or bruising may occur after the injection, but these usually subside on their own after a short time. To optimize the result, it may be necessary to repeat the treatment after a few weeks.

Treatment with hyaluronic acid is comparatively uncomplicated and usually only takes a few minutes. The effect lasts for different lengths of time depending on individual factors such as metabolism and lifestyle, but usually lasts for several months to a year.

It is important to note that each case is individual and the exact course of treatment depends on various factors. A thorough consultation is therefore essential to determine the best treatment plan for you.



The shelf life of hyaluronic acid can vary from person to person. In general, however, the effect of the dark circles treatment lasts for around 6 to 18 months. After this time, the hyaluronic acid is gradually broken down by the body and the dark circles return to their original state.

It is important to note that the shelf life of hyaluronic acid depends on various factors, such as the individual's metabolism, the amount of hyaluronic acid used, the injection technique and the patient's lifestyle. Smoking, excessive sun exposure and certain medications can accelerate the breakdown of hyaluronic acid and therefore shorten its shelf life.

In order to maintain the results in the long term, regular refresher treatments may be necessary. Dr. Conrad will be happy to create a treatment plan according to your individual needs and determine the optimal time for follow-up treatment.

When will the result be visible?

Results can be seen immediately after the procedure and improve over the following 12 weeks.

Is the treatment painful?

Hyaluronic acid injections can be associated with some discomfort, but most people find the treatment well tolerated. A topical anaesthetic cream can be used before the injection to minimize possible pain. We only use hyaluronic acid products that already contain an anesthetic to increase comfort during the treatment.

There may be a slight feeling of pressure or stinging during the injection, but most patients report that this is well tolerated. Some also experience a slight burning or tingling sensation, but this quickly subsides.

After the treatment, the respective areas of the face may be slightly swollen and sensitive for a few hours or days. This is usually temporary and will subside on its own. It is recommended to apply cooling compresses or ice packs to the treated areas to reduce swelling and possible discomfort.

Rules of conduct after treatment with fillers

Rules of conduct exist on numerous websites, which have historically arisen since the days of discovery of hyaluronic acid. Most of them have no scientific basis.

Our recommendations include:

  • Do not smoke for at least 4 hours after treatment
  • Make-up only from the following day
  • No intensive competitive sport, sun, sauna or solarium for at least 24 hours

Make an appointment and let us advise you. We look forward to your visit.

Possible risks

Highly effective innovative hyaluronic acids currently represent by far the safest and most effective treatment option in the filler area of aesthetics. Although hyaluronic acid is in principle a substance produced naturally in the body, side effects can nevertheless rarely occur:

  • Redness, swelling, bruising
  • Irritation in the treated area
  • Inflammation / Infection
  • Nodule
  • In extremely rare cases, hyaluronic acid can also clog vessels and lead to tissue loss. In this case, the hyaluronic acid must be dissolved again with an antidote known as hylase.

Treatments with hyaluronic acid as a so-called filler therefore belong in the hands of certified experts in this field.

Make an appointment and let us advise you. We look forward to your visit.

Which combination treatments are possible?

When treating dark circles under the eyes with hyaluronic acid, various combination treatments are possible to achieve optimal results. Some possible combinations are

  • Dark circles and tear trough: Dark circles often occur in conjunction with a pronounced tear trough. In this case, hyaluronic acid can be injected into both the dark circles and the tear trough to achieve a harmonious and natural correction. (see also Eyelid lift without surgery with NCTF® 135 HA)
  • Dark circles and volume enhancement: For deeper dark circles, a combination of hyaluronic acid to treat the dark circles and a volume build-up in the cheek or mid-face area can be useful. This improves the overall appearance of the face and the dark circles appear less prominent.
  • Dark circles and Botox treatment: In some cases, fine lines or crow's feet may also be present around the eyes. A combination of hyaluronic acid to treat dark circles and a Botox treatment to smooth out wrinkles can be an effective solution here.
  • See also: Cheek augmentation with hyaluronic acid, Browlift treatment with Botox®.

Every case is individual, so a detailed consultation should take place before treatment to discuss the best options for you. Dr. Conrad will be happy to discuss your personal ideas and wishes.

Before / After


David Conrad, MD

M. Sc. Aesthetic Medicine

After his time at the Freiburg University Clinic and a private aesthetic clinic near Zurich, Dr. Conrad rounded off his further training as a highly specialized doctor in aesthetic consultations at the laser clinic next to Prof. Dr. Raulin and at the Aesthetics and Skin Centre in Karlsruhe.

At the same time, he deepened his knowledge in the field of thread lifting and minimally invasive aesthetic treatments with a Master of Science in London.


Our intention? Simple!

To demystify the hype and hysteria of the skincare industry.


Mr. Conrad is very empathetic, friendly & authentic! A really great speaker with impressive expertise in the field of aesthetic medicine, hyaluron and Botox! We especially appreciated Dr. Conrad's openness and honesty! A clear recommendation

sophie T
one month ago

Marie-Luise Schacht
one month ago

luana schirosi
one month ago

Very competent doctor who takes the time to explain everything very clearly, beautiful, natural results. Can highly recommend him.

Dominik Marquenie
2 months ago

World class lecture! Dr. Conrad can break down even complex topics in a very understandable way and convey them well. I would definitely recommend him and will be back for the next workshop. - TOP !

St. S.
2 months ago

I can recommend Dr. Conrad without reservation. He is very nice, competent and patiently answers all questions about the treatment.

Jochen Reichel
2 months ago

Everything is great!

Cuba A
2 months ago

The frown line is smoother than ever! I am super satisfied! Absolute recommendation!

I felt very well looked after here. Very good advice without pressure and lots of information about how injections and botulin work. That also made my decision easy. I'm really happy with the result and will be back =)

Pepita Grillo
3 months ago

I highly recommend Dr. Conrad, I am always satisfied with his knowledge, his skin treatments and his wonderful attention. Now I don't live in Karlsruhe, but I travel 5 hours to get an appointment with him. After the treatment I can see my skin noticeably better, and the effects last for a very long time, thus stopping the effects of aging.

Perwin Alo
5 months ago

Super friendly and competent doctor! I can recommend Dr. Conrad to everyone.

S. Timo
one year ago

Super doctor, respect for what he has already achieved at such a young age! Dr. Conrad always has an open ear and explains all open questions precisely and, above all, very clearly! I can only recommend him.

Leon Lutschinger
8 months ago

I was able to get to know Dr. Conrad as a DGBT speaker for Botox and filler courses. He impressed me with his professional expertise and extensive experience in the field of aesthetic medicine. I can recommend him wholeheartedly as a practitioner.

J. D.
one year ago

Dr. Conrad is a very friendly, empathetic and competent doctor who has earned my complete trust. I visit the practice regularly for fillers and botulinum and have been consistently satisfied. Above all, the fact that Dr. Conrad focuses on natural, realistic results appeals to me personally. You are very well advised by him and feel that you are in good hands before, during and after every treatment.

Lilia Röder
one year ago

Dr. Conrad takes his time, always listens to me carefully and you can just feel that he loves his work. Thank you for finally curing me of my migraines after more than 20 years! I am thrilled with the results every time. A clear 5 stars for Botox and hyaluronic acid in Karlsruhe

Birgit Schmitt
one year ago

Thank you for a unique, absolutely natural result. Until now, I had great respect for Botox and hyaluronic acid, but Dr. Conrad knows how to empathize with the patient and achieve an absolutely discreet, aesthetic result according to my own wishes. He really explains every step in detail so that I feel I am in good hands.

Claudio Greinke
9 months ago

Dr. Conrad was recommended to me by my best friend because I have been suffering from acne scars on my cheeks for a long time. He took his time and screened my skin. Together we decided to use professional microneedling together with a skin booster to correct the scars and the result is simply brilliant! Thank you so much again!

Eva Koch
one year ago

Really great, super friendly doctor who has the absolutely perfect, professional touch for me when it comes to aesthetics! The consultation is great, he knows exactly what looks good and implements it! I have never been as satisfied as with Dr. Conrad and have had Botox and hyaluronic acid injections for many years. I can recommend him with a clear conscience.

David Maas
one year ago

Dr. Conrad was not only very professional, but also very empathetic and helpful. An absolute expert who I can highly recommend. I went to Dr. Conrad for a Botox treatment and am very satisfied. Dr. Conrad took a lot of time for my concerns and gave me excellent professional advice Overall, the atmosphere on site is simply very relaxed and friendly. I will gladly come back again.

I am more than thrilled with the result! Detailed consultation, pleasant and relaxed atmosphere and highly recommended. Dr. Conrad takes a lot of time and conjures up a natural result.

Andreas Reichel
one year ago

Dr. David Conrad did an excellent job of taking away my nervousness, fear and concerns. Well informed, I decided to follow his recommendations. Great result, I am very satisfied.

3 months ago

Very respectable practice - they were very kind. Would recommend

one year ago

The absolute best doctor for aesthetics! I am always amazed by Dr. Conrad's expertise, empathy and the natural results of my Botox and hyaluronic acid treatments!

Jasmin Thiel
one year ago

I have trusted Dr. Conrad in the field of aesthetic treatments for over 2 years. Thank you for your honesty and consistently outstanding results! The next appointment is already scheduled :)

Udo Konstantin
10 months ago

My wife has already been to Dr. Conrad several times. He is very personable, takes a lot of time and treats you individually. He is an expert in his field.

Li M
5 months ago

One of the best doctors. Very competent ... I am extremely satisfied with the result.

R. Blumenröhr
5 months ago

Very pleasant atmosphere, very friendly and detailed advice, very good work. Highly recommended!

Benedict Britten
5 months ago

Very good doctor. Good information and treatment. Highly recommended.

Tanja B.
one year ago

The result of my cheek treatment with hyaluronic acid is super natural and subtle. I can only recommend Dr. Conrad to all my friends!

one year ago

We really appreciate working with Dr. David Conrad. His expertise, his advice and medical consulting, his treatments and his lectures are always at the highest level and it is great fun. Thank you.

Jan-U. Schweitzer
one year ago

A really great doctor. He has a great deal of specialist knowledge and expertise, especially in aesthetics. Works with very high-quality products. Also gives lectures on toxin and hyaluron treatments.

georg Eilert
one year ago

Professional, excellent practice organization, honest, empathetic and a unique eye for natural results! My trusted doctor in Karlsruhe for over 2 years! Keep up the good work!

Thomas Maulhardt
one year ago

I have associated Dr. Conrad with reliability, expertise and care for many years. I can recommend him unreservedly!

Alfons Conrad
one year ago

Amazing customer service, very quick response rate and most importantly super natural results. This guy knows what he is talking about and practices top-notch aesthetic medicine! Keep it up, man!

Very nice young doctor. Knows exactly what he is doing. Very attentive and competent. I am very satisfied.

Max Adams
one year ago

A very emphatic doctor with comprehensive advice who knows his trade. Highly recommended for Botox and fillers!

Nina Kucun
5 months ago

Super competent and recommendable doctor!

one year ago

Doctor I trust. Best advice, best results. Absolute recommendation.

Carolin Rude
11 months ago

Beautiful practice, great doctor, very nice and competent!

Barbara Scholten
one year ago

Doctor with professionalism and humanity. I am delighted with the results achieved and feel wonderful.

Fayhaa Ba
7 months ago

Very good artz, respect full I am satisfied with the result

Verena Berndt
one year ago

Super pleasant to talk to, very professional, great results!

Super doctor, nice competent advice.

Andreas Meyer
one year ago

Best dermatologist in the field of Botox. SUPER FINAL RESULTS !!!!

Louis Schmitt
one year ago

Alexander Seer
one year ago

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