Though there is no FDA indication, dermal fillers are often used around the eyes, and the results can be quite impressive. Usually, these are injected in the tear trough areas. Voluma does, in fact, have an FDA approval for use to restore volume in the mid-face (or cheek) area. There is, however, a risk of lumps when using a filler under the eyes in the tear trough area although this is rare and, if present, goes away after a short period of time. Another risk is of having a bluish discoloration (Tyndall effect) as a result of having a filler injected in the tear trough area where the skin is thin. Some doctors recommend fat grafting over dermal fillers as the results can be better and longer lasting in many cases. In comparison to dermal fillers, fat grafting is generally more expensive and requires some amount of downtime and potentially IV sedation or general anesthesia.