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Non-surgical eye and face contouring in Tunisia
Eyes and facial contour without surgery in Tunisia: dark circles, crow’s feet, brows, nose and profile

Eyes and facial contour without surgery in Tunisia: dark circles, crow’s feet, brows, nose and profile

In short: Many people who look tired or want a sharper profile do not need surgery. Botulinum toxin softens crow’s feet and can lift the tail of the eyebrow; hyaluronic acid filler can treat hollow under-eye circles, straighten the bridge of the nose, project the chin and define the jawline; plasma devices and peels can tighten slightly hooded eyelids or lighten pigmented circles. The limits are just as important: true eyelid bags, heavy excess skin and a large nasal hump remain surgical problems, and fillers around the eyes and nose carry a small but serious risk of blocking a blood vessel. In Tunisia, aesthetic medicine costs about 60% less than in Switzerland, and treatments can be combined with a short stay. This guide explains, area by area, what non-surgical treatments can and cannot do for the eyes and the facial profile, and how to plan them safely from Switzerland.

Updated November 2026. This article is general information and does not replace a consultation with a doctor trained in aesthetic medicine.

Contents

What changed in 2025 and 2026?

The products used around the eyes and for the profile are not new, but the evidence on how long they last, how they perform and how to manage their risks has improved. Several publications are useful for anyone considering treatment.

How long does filler really last?

On 25 September 2025, the American Society of Plastic Surgeons presented a study published in the October 2025 issue of Plastic and Reconstructive Surgery. Researchers used 3D scans to measure the volume of hyaluronic acid filler in 101 women aged 40 to 65, treated in eight facial areas with three different products. At twelve weeks, about 66% of the injected volume was maintained across the face, with about 79% in the midface and only 37% in the lips. Age, smoking and body mass index influenced how well volume was maintained. Patient-reported satisfaction improved in appearance and psychological well-being. The practical lesson: the immediate result includes swelling, the « real » result appears after two to four weeks, and areas with a lot of movement, such as the lips, lose volume faster than stable areas such as the cheekbones.

What does the latest evidence say about non-surgical rhinoplasty?

A systematic review published in Aesthetic Plastic Surgery in 2024 pooled 30 studies with 9,657 patients who had a nose reshaped with injections, mostly hyaluronic acid. Satisfaction was very high, at about 99%. Complications were frequent but mostly mild, such as redness and swelling. However, about 0.27% of patients had a serious vascular complication, an arterial occlusion that can lead to skin necrosis, blindness or stroke. The nose is one of the highest-risk areas for filler, which is why this treatment must only be performed by a doctor with in-depth knowledge of facial anatomy. A separate 2024 review in Skin Research and Technology described the complications of threads used to lift or shape the nose: visible or protruding threads, migration, infection, dimpling and granulomas.

Are there new botulinum toxins for crow’s feet?

Ready-to-use liquid toxins have been studied in phase 3 trials. In the READY-2 trial, published in Dermatologic Surgery in March 2025, relabotulinumtoxinA, a liquid toxin that does not need to be reconstituted, improved moderate to severe crow’s feet, with an effect starting within a day for a third of patients and a median duration of about 25 weeks. Two phase 3 trials of another liquid toxin, nivobotulinumtoxinA, published in the Aesthetic Surgery Journal in March 2025, showed efficacy for frown lines with or without crow’s feet. Availability of each product depends on approval in each country; ask which product is used and whether it is authorised.

Are biostimulators safe under the eyes?

Products such as poly-L-lactic acid or poly-D,L-lactic acid stimulate collagen and are increasingly used. Under the eyes, where the skin is thin, they can form nodules. A case published in the Journal of Cosmetic Dermatology in January 2025 described firm nodules three weeks after a poly-D,L-lactic acid injection in the tear trough, treated with radiofrequency. Hyaluronic acid remains the most commonly used product under the eyes, partly because it can be dissolved with hyaluronidase if needed.

Date Source What it means for you
2024 Aesthetic Plastic Surgery, 9,657 patients Non-surgical rhinoplasty: high satisfaction, rare but serious vascular risk
2024 Skin Research and Technology Nose threads: migration, protrusion and infection to know about
Jan. 2025 Journal of Cosmetic Dermatology Collagen stimulators under the eyes can cause nodules
March 2025 Dermatologic Surgery, Aesthetic Surgery Journal Liquid ready-to-use toxins effective for crow’s feet and frown lines in phase 3
25 Sept. 2025 ASPS, PRS October 2025 Filler volume at 12 weeks: high in midface, lower in lips

Analysing a tired look before treating it

« I look tired » is one of the most common requests in aesthetic medicine. Behind it lie very different causes, and treating the wrong one gives disappointing results. A good consultation starts with an analysis of the whole area around the eyes, not with a syringe.

What does the doctor look at?

  • Volume: hollowness in the tear trough (the groove between the lower eyelid and the cheek), flattening of the cheekbones, hollow temples.
  • Fat: bulging of the fat pads under the eyes (bags), which a filler cannot hide.
  • Skin: thinness, fine lines, crepey texture, excess skin on the upper or lower lids.
  • Colour: brown pigmentation, bluish or purple circles from blood vessels seen through thin skin.
  • Muscles: crow’s feet, the position of the eyebrows and how they move.
  • Bone structure: the shape of the eye socket and cheekbone, which changes with age.
  • Lifestyle factors: sleep, allergies, sun exposure, smoking.

Why does the light in the room matter?

Because overhead lighting exaggerates hollows and shadows. A good assessment uses different light angles and photos from the front and side. Ask to see your own photos with the doctor and to have the cause of each concern explained.

Can one treatment fix everything?

Rarely. A tired look often combines a hollow, a slight bag, some pigment and crow’s feet. The best results come from a plan that addresses each component in the right order, sometimes over several sessions. Medespoir’s page on MD Codes and facial harmonisation (in French) describes one such global approach.

Hollow under-eyes and the tear trough

What causes hollow under-eyes?

The tear trough is a natural groove where the eyelid meets the cheek. With age, the fat of the cheek descends, bone resorbs and the skin thins, so the groove deepens and casts a shadow. Some people have a deep tear trough from youth, for genetic reasons. Weight loss, including after GLP-1 medicines, can make it more visible.

How does filler help?

A small amount of hyaluronic acid, usually a soft product designed for this area, is placed deep against the bone or just under the skin with a needle or a cannula. It fills the groove, reduces the shadow and smooths the transition between eyelid and cheek. Results are often visible immediately, with some swelling for a few days. The effect typically lasts from several months to a year or more, as this area moves little.

Who is a good candidate?

People with a hollow tear trough, good skin quality and no significant bags. People with puffy eyes, fluid retention, thin translucent skin or large bags are poor candidates: filler can worsen puffiness or create a bluish tinge (the Tyndall effect) if placed too superficially.

Is it better to treat the cheek first?

Often, yes. Restoring support to the midface with filler on the cheekbones can lift the tissues and reduce the tear trough indirectly, so less product is needed directly under the eye, which is a delicate area. Medespoir’s page on hyaluronic acid injections (in French) describes the product and its uses.

What are the risks?

Bruising and swelling are common. Lumps, a visible bluish line, or persistent puffiness can occur and can usually be corrected by dissolving the filler with hyaluronidase. Vascular occlusion is rare but possible. Under the eyes, less is more.

Dark circles from pigment and blood vessels

Not all dark circles are hollows. Many are a question of colour, and filler does not treat colour.

How can I tell what type of circle I have?

  • Brown circles (pigmented) are common in darker skin types and are worsened by sun, rubbing and allergies. Gently stretching the skin does not make them disappear.
  • Bluish or purple circles (vascular) come from blood vessels and muscle seen through thin skin. They are more visible when you are tired. Stretching the skin often makes the colour more visible.
  • Shadows from hollows change with lighting and disappear when you look up towards the light.

How are pigmented circles treated?

With daily sun protection, prescription lightening creams, gentle peels and, in some cases, carefully chosen lasers. Treatment is slow and requires caution in darker skin, which can darken further after aggressive treatments. Our guide to lasers, peels and skin treatments in Tunisia explains these options.

And vascular circles?

They are harder to treat. Improving skin thickness with collagen-stimulating treatments, some vascular lasers, and in some cases a small amount of filler to create a thicker layer can help. Treating allergies and improving sleep also matter. Expectations should be modest.

Eye bags: when medicine is not enough

Can filler hide bags?

Sometimes, slightly, by filling the hollow below a small bag so that the transition is smoother. But when the fat bulges significantly, filler only adds volume to an area that already has too much, and the eye looks puffier. Large bags are a surgical problem.

What is the surgical alternative?

A lower blepharoplasty removes or repositions the fat of the bags, often through an incision inside the eyelid (no visible scar), sometimes with a little skin removal under the lashes. For excess skin on the upper lid, an upper blepharoplasty is performed. Our guide to facial surgery in Tunisia explains these operations.

Are morning bags different?

Yes. Puffiness that is worse in the morning and improves during the day is often due to fluid retention, salt, alcohol, allergies or sleep. It is not treated with filler and may be made worse by it.

Crow’s feet and lines around the eyes

How does botulinum toxin treat crow’s feet?

Crow’s feet are caused by the contraction of the muscle that closes the eye (the orbicularis). Small doses of botulinum toxin injected at the outer corner relax this muscle, softening the lines when you smile. The effect starts within a few days and is complete at about two weeks. It usually lasts three to four months, sometimes longer, as the READY-2 trial suggests for some products. Medespoir’s page on botulinum toxin injections (in French) describes the procedure.

Will I look frozen?

Not if the dose is adapted. The aim is to soften the lines while preserving a natural smile. Too much toxin, or toxin placed too low, can affect the smile or the cheek. A first treatment with moderate doses, and a check at two weeks, is a sensible approach.

What about fine lines under the eyes?

Crepey skin under the eyes responds poorly to toxin, which can sometimes worsen puffiness there. Treatments that improve skin quality, such as skin boosters (very fluid hyaluronic acid), microneedling, mild peels or certain lasers, are more appropriate.

Are there side effects?

Small bruises, a mild headache, and rarely a drooping eyelid or asymmetry if the toxin spreads. These effects are temporary. Avoid rubbing or massaging the area and lying down for four hours after injection.

Eyebrows: lift, shape and density

Can botulinum toxin lift the eyebrows?

Yes, slightly. The eyebrow is pulled up by the forehead muscle and pulled down by the muscles around the eye. Injecting toxin under the tail of the eyebrow relaxes the muscle that pulls it down, allowing a subtle lift of a few millimetres. This is sometimes called a « chemical brow lift ». It opens the eye but does not replace a surgical lift if the eyebrow is very low.

Can filler help?

Small amounts of filler under the tail of the eyebrow or in the temple can support a sagging brow and restore a youthful contour. This is delicate, because the temple contains important blood vessels.

What about threads?

Absorbable threads inserted under the skin of the temple can give a temporary lift to the tail of the eyebrow. The effect is immediate but often shorter than advertised, and complications include visible threads, dimpling and infection. Medespoir’s page on thread lifts (in French) describes the technique.

And for sparse eyebrows?

Micropigmentation (semi-permanent make-up) creates the appearance of fuller brows. Medical treatments may help in some cases of hair loss. An eyebrow transplant is a surgical option for permanent density; see our article on eyebrow and beard transplants.

Hooded upper lids and the « fox eye » look

Can slightly hooded eyelids be treated without surgery?

Mild excess skin on the upper eyelid can sometimes be improved with plasma devices. Medespoir’s page on medical blepharoplasty (in French) describes a technique using plasma (Plexr), which creates tiny points of sublimation on the skin to tighten it, without cutting. Small scabs form and fall off within about a week, and strict sun protection is needed afterwards. The effect is modest and suits mild cases. Significant excess skin, or skin that touches the eyelashes, requires surgery.

What is the « fox eye » look?

It is not a procedure but a look: an elongated eye with a lifted outer eyebrow and a slightly upturned outer corner. Without surgery, it can be approached with toxin to lift the tail of the brow, filler in the temple and along the brow, or threads. The non-surgical effect is subtle and temporary. Surgical options (temporal lift, canthopexy) produce a stronger, longer-lasting change. The most common disappointment is an overdone, pulled look, so ask for a natural result.

Is it safe to treat close to the eye?

Treatments around the eye require precision and experience. Protective goggles are used for devices, and injections must avoid the eye and the main vessels. Ask the doctor about their experience in this area.

Non-surgical rhinoplasty

Non-surgical rhinoplasty, sometimes called a « liquid nose job », uses hyaluronic acid filler to reshape the nose without surgery.

What can it correct?

  • A small hump, by filling above and below it so that the profile looks straighter.
  • A low or flat bridge.
  • A slightly drooping tip, by supporting it.
  • Small irregularities or asymmetries, including after a previous rhinoplasty, with caution.

What can it not do?

It cannot make a nose smaller, narrow a wide nose, remove a large hump, correct breathing problems or significantly change the nostrils. Filler only adds volume. For these goals, surgery is needed; see Medespoir’s page on rhinoplasty (in French).

How long does it last?

Often around a year, sometimes longer, because the nose moves little. Repeat treatments are needed to maintain the result.

Is it risky?

Yes, more than most filler treatments. The nose has a dense network of blood vessels connected to those of the eye. As the 2024 review showed, about 0.27% of patients experienced a serious vascular complication. The treatment should be performed only by an experienced doctor, who uses small amounts, injects slowly and has hyaluronidase available at all times. If you have had a previous rhinoplasty, the risk may be higher because the blood supply is altered.

What about nose threads?

Threads can be inserted to lift the tip or straighten the bridge. They are less common and carry specific risks: protrusion through the skin or inside the nose, migration, infection and granulomas, as the 2024 review in Skin Research and Technology described. Many doctors prefer filler alone.

Thinking about a treatment in Tunisia? Request your free personalised quote, sent within 48 hours. Send photos of your face from the front, side and three-quarter view, with a neutral expression and a smile.

Non-surgical profile balancing: chin, jaw, nose, lips

Profile balancing (sometimes called « profiloplasty ») looks at the face from the side and harmonises the nose, lips, chin and jawline. A small, receding chin, for example, can make the nose look larger.

Can filler project the chin?

Yes. Firm hyaluronic acid or calcium hydroxylapatite injected on the bone of the chin can add projection and length, improving the balance between nose and chin. Results usually last twelve to eighteen months. For significant chin deficiency, a surgical genioplasty or a chin implant gives a permanent result.

And the jawline?

Filler along the jaw and at its angle can define the jawline, which many men and women request. Botulinum toxin in the masseter muscle (the chewing muscle) can slim a square jaw and also treat teeth grinding. Our article on aesthetic medicine for men discusses jawline treatment in more detail.

What about the double chin?

Fat under the chin can be reduced with injections that dissolve fat (deoxycholic acid), with cold (cryolipolysis) or with minimal surgical techniques such as liposuction. The choice depends on the amount of fat and the quality of the skin.

How do the lips fit in?

Balanced lips complete the profile. In profile balancing, the lips are treated with restraint: a slight support of the upper lip can improve the nose-lip angle. Overfilled lips break the harmony. Medespoir’s page on profiloplasty (in French) describes the surgical and non-surgical approaches.

Area Main non-surgical treatment Typical duration Surgical alternative
Tear trough Soft hyaluronic acid About 9 to 18 months Lower blepharoplasty with fat repositioning
Crow’s feet Botulinum toxin About 3 to 6 months None directly
Brow tail Toxin, filler, threads Months Temporal or brow lift
Slightly hooded upper lid Plasma (Plexr) Variable, often over a year Upper blepharoplasty
Nose Hyaluronic acid About 12 months or more Rhinoplasty
Chin Firm hyaluronic acid, calcium hydroxylapatite About 12 to 18 months Genioplasty or implant
Jawline Filler, toxin in masseter Filler 12 to 18 months, toxin 4 to 6 months Jaw implants, bone surgery

Temples and cheekbones: the frame of the eyes

Why treat the temples?

Hollow temples, common with age and after weight loss, make the face look tired and the eyes sunken. Filler in the temples restores a smooth contour and can slightly lift the tail of the brow. The temple contains important arteries, so deep injection on the bone or with a cannula is used.

And the cheekbones?

Restoring volume over the cheekbone supports the lower eyelid and reduces the tear trough. It is often the first step in treating a tired look, before treating directly under the eyes.

Medicine or surgery: a comparison

Criterion Aesthetic medicine Surgery
Downtime Hours to a few days One to three weeks for social life
Duration Months to about a year and a half Years, often permanent
Reversibility Hyaluronic acid can be dissolved; toxin wears off Not reversible
Strength of effect Subtle to moderate Moderate to strong
Anaesthesia Topical or local Local, sedation or general
Long-term cost Repeated treatments add up One-time cost, sometimes revision
Best for Hollows, lines, early ageing, profile refinement Bags, excess skin, large nose or chin changes

When does it make sense to choose surgery instead?

When you need several syringes every year to approach a result that one operation would achieve more naturally. For example, large eye bags, heavy upper lids, a large hump or a very receding chin. A good doctor will tell you when medicine is not the right tool.

Safety: complications to know

What is a vascular occlusion?

It occurs when filler is injected into or compresses a blood vessel, blocking blood flow. The signs are immediate or early pain, whitening or a mottled, dusky colour of the skin, then possibly blisters and skin damage. If the blockage reaches the artery of the eye, it can cause sudden vision loss. A systematic review published in 2019 in Plastic and Reconstructive Surgery Global Open identified 190 reported cases of blindness after soft-tissue fillers; autologous fat accounted for about half and hyaluronic acid for over a quarter. Cases are rare relative to the number of treatments, but the nose, the area between the eyebrows and the forehead are the highest-risk zones.

What should the clinic have in place?

  • Hyaluronidase on site, to dissolve hyaluronic acid immediately in an emergency.
  • A doctor trained to recognise and treat vascular complications.
  • Knowledge of the product used, with its batch number recorded in your file.
  • A clear plan for urgent referral to an eye specialist if vision is affected.

What should I do if I notice something abnormal after returning to Switzerland?

Severe pain, a white or purple patch of skin, or any change in vision after a filler injection is an emergency. Go immediately to an emergency department, mention the injection and the product, and contact the clinic. For other effects, such as lumps or asymmetry, contact the clinic for advice through the remote follow-up.

Who should avoid these treatments?

People who are pregnant or breastfeeding, those with an active skin infection in the area, certain autoimmune or neuromuscular diseases (for toxin), known allergy to the product, or unrealistic expectations. Tell the doctor about all your medicines, including blood thinners.

The first two weeks after treatment

Most non-surgical treatments around the eyes and the profile have little downtime, but a few simple rules make a difference to comfort, bruising and the final result.

What should I do on the day of the injection?

  • Avoid make-up on the treated area for about twelve to twenty-four hours, to reduce the risk of infection through the needle points.
  • Do not massage or press on the area unless the doctor asks you to.
  • After toxin, stay upright for about four hours and avoid bending forward for long periods.
  • Avoid intense sport, sauna, hammam and alcohol for twenty-four to forty-eight hours, as heat and blood flow increase swelling and bruising.
  • Apply a cold pack wrapped in cloth for short periods if there is swelling, without pressing hard.

How long do bruises and swelling last?

Swelling after under-eye filler is usually at its peak on the second day and settles within a week, sometimes longer in people prone to puffiness. Bruises fade in one to two weeks and can be covered with make-up after the first day. After nose or chin filler, the shape is often slightly exaggerated for a few days. Judge the result at two weeks, not in the mirror on the evening of the treatment.

When can I wear glasses?

Light glasses are usually fine. After nose filler, heavy glasses resting on the bridge are sometimes discouraged for a few days, because pressure can move the product. Ask the doctor.

When is a touch-up done?

For toxin, an adjustment is assessed at about two weeks, when the effect is complete. For filler, small corrections are usually made after two to four weeks, once swelling has gone. If you were treated in Tunisia, send photos at two weeks through the remote follow-up; the team will tell you whether an adjustment is needed at your next stay.

How to choose who treats you

Injections are medical procedures. In Switzerland, as in Tunisia, the safety of a treatment depends above all on the person holding the syringe. These questions help you assess a doctor before you agree to treatment.

  • Who will inject? A doctor trained in aesthetic medicine, dermatology or plastic surgery, with documented experience around the eyes and nose.
  • Which product will be used? Its name, manufacturer and whether it is a hyaluronic acid that can be dissolved. Avoid permanent fillers in the face.
  • How much will be injected and in which areas? A precise plan is a good sign; « we’ll see on the day » is not.
  • Is hyaluronidase available on site? The answer must be yes, without hesitation.
  • What happens if there is a complication after I return to Switzerland? Who do I contact, and how quickly will they reply?
  • Will I receive a written record of the products, batch numbers and amounts? You need it for any future treatment.

Why are very cheap offers a warning sign?

Because the cost of a treatment reflects the product, the time spent on assessment and the doctor’s training. Offers that seem too good to be true sometimes involve unlicensed products, non-medical injectors or a rushed consultation. Social media « filler parties » and treatments in non-medical settings should be avoided completely.

Men and the eye area

More men in Switzerland ask about tired eyes, crow’s feet and the jawline. The principles are the same, but some details differ.

Do men need higher doses of toxin?

Often, because the muscles around the eyes and forehead are stronger. But the aim is different: most men want to look rested, not smooth. A natural result keeps some movement. A brow that is lifted too much can look feminine, so lifting the tail of the eyebrow is done with care in men.

Are under-eye hollows treated differently?

Men have thicker skin, which can hide small amounts of filler better, but they often have more pronounced bags. The same rule applies: if the problem is a bag, surgery is more effective. Our guide to aesthetic medicine for men covers male-specific treatments in more detail.

A realistic maintenance calendar

Non-surgical treatments are not one-off events. Planning their maintenance from the start helps you understand the real commitment and organise stays in Tunisia efficiently.

Treatment Usual interval between sessions Comment
Toxin for crow’s feet or brow lift Every 3 to 6 months Effect may last longer after several sessions
Toxin in the masseter Every 4 to 6 months at first Intervals often lengthen over time
Under-eye filler Every 9 to 18 months Top-ups with small amounts
Nose filler About every 12 months or more Avoid accumulating product
Chin and jawline filler Every 12 to 18 months Firm products last longer
Plasma for upper lids Often one to two sessions, then as needed Strict sun protection afterwards
Peels or lasers for pigmented circles Series of sessions, then maintenance Sun protection every day

Can I alternate between treatments in Switzerland and in Tunisia?

Yes, provided each doctor knows exactly what was injected before. Keep your written record with the products, batch numbers and amounts, and show it at every consultation. Mixing different products in the same area without this information increases the risk of lumps and makes complications harder to manage.

Treatment in Tunisia from Switzerland

Why combine aesthetic medicine with a stay in Tunisia?

Aesthetic medicine in Tunisia costs about 60% less than in Switzerland. Several areas can be treated in one stay, with a check before leaving. Some people combine a non-surgical treatment with a surgical procedure, for example filler in the temples with an eyelid operation, if the surgeon agrees.

How long should I stay?

For injections alone, a few days is often enough, but stay long enough for a check before you leave: swelling settles over a few days, and any adjustment can be made. Avoid flying on the same day as a filler treatment if possible. Toxin results are only complete after about two weeks, so the final check is done at home, with photos sent through the remote follow-up.

What is included?

The Medespoir package in Tunisia includes the consultation, the treatment, the hotel with full board for you and one companion, transfers and remote follow-up after your return. The flight, personal expenses, care received in Switzerland, travel insurance and bank charges remain at your own expense. Consultations and documents are in French. Swiss basic insurance does not cover aesthetic treatments.

What should I ask for before leaving?

  • The name of the products used, their batch numbers and the amount injected in each area.
  • Written aftercare instructions.
  • Contact details for remote follow-up.
  • Advice on when to have a top-up and what to do if you want to treat in Switzerland in the meantime.

And Turkey?

In Turkey, Medespoir confirms hair transplants. For aesthetic medicine, your quote states whether a treatment is possible and where. Both destinations remain considerably less expensive than Switzerland.

Four common requests and their plan

These scenarios are illustrations, not real patients.

« I look tired all the time »

Claire, 42, from Geneva, has hollow tear troughs, flat cheekbones and crow’s feet. The doctor proposes filler on the cheekbones, a small amount under the eyes and toxin for crow’s feet. She has the treatment during a short stay in Tunisia, with a check before leaving, and sends photos at two weeks. Her friends say she looks rested.

« I want a straighter nose without surgery »

Lucas, 29, from Zurich, has a small hump. Filler above and below it makes the profile straighter. He is told about the vascular risk and the signs to watch. He knows the result will need maintaining after about a year, and that a larger change would need surgery.

« My chin is too small »

Elena, 35, from Lugano, has a receding chin. Firm filler projects it and improves the balance with her nose. She considers a genioplasty for a permanent result in the future.

« My upper eyelids are a little heavy »

Michel, 55, from Lausanne, has mild hooding. The doctor explains that plasma tightening could give a modest improvement, but that his excess skin is close to the lashes and an upper blepharoplasty would give a better result. He chooses surgery.

Ready to plan your treatment? Request your free quote. For more information, see our guides to botox and fillers in Tunisia and aesthetic medicine in Tunisia in 2026, and Medespoir’s aesthetic medicine guide (in French).

Sources

  • ASPS, « Volumetric Study Shows Objective Effects of Hyaluronic Acid Filler Injections », 25 September 2025, study in Plastic and Reconstructive Surgery, October 2025: plasticsurgery.org
  • Song D. et al., « Nonsurgical Rhinoplasty: An Updated Systematic Review of Technique, Outcomes, Complications, and Its Treatments », Aesthetic Plastic Surgery, 2024: pubmed.ncbi.nlm.nih.gov
  • Park S. Y. et al., non-surgical rhinoplasty with nose threads: adverse effects and prevention, Skin Research and Technology, 2024: pubmed.ncbi.nlm.nih.gov
  • Ablon G. et al., relabotulinumtoxinA for lateral canthal lines, phase 3 READY-2 study, Dermatologic Surgery, 2025: pubmed.ncbi.nlm.nih.gov
  • Coleman W. et al., nivobotulinumtoxinA in two phase 3 trials, Aesthetic Surgery Journal, 2025: pubmed.ncbi.nlm.nih.gov
  • Seo S. B. et al., nodular reaction after poly-D,L-lactic acid injection in the tear trough, Journal of Cosmetic Dermatology, 2025: pubmed.ncbi.nlm.nih.gov
  • Chatrath V. et al., soft-tissue filler-associated blindness, systematic review, PRS Global Open, 2019: pubmed.ncbi.nlm.nih.gov
  • Medespoir (in French): MD Codes, medical blepharoplasty, profiloplasty, botulinum toxin, prices

Frequently asked questions

Can filler get rid of dark circles?

Only those caused by hollowness. Brown or bluish circles caused by pigment or blood vessels need other treatments.

How long does under-eye filler last?

Often nine to eighteen months, as this area moves little. It varies from person to person.

Is non-surgical rhinoplasty safe?

It is effective and usually well tolerated, but the nose is a high-risk area for vascular complications. Choose an experienced doctor who has hyaluronidase on site.

Can botulinum toxin lift my eyebrows?

Yes, slightly, by relaxing the muscle that pulls the tail of the brow down. It does not replace a surgical brow lift.

Can eye bags be treated without surgery?

Small bags can sometimes be camouflaged. Significant bags require a lower blepharoplasty.

How long does botox for crow’s feet last?

Usually three to four months, sometimes longer depending on the product and the person.

Can I fly after filler injections?

Usually yes, but it is better to wait a day or two and to have a check before leaving.

Can filler be reversed?

Hyaluronic acid can be dissolved with hyaluronidase. Other fillers, such as calcium hydroxylapatite or collagen stimulators, cannot be dissolved in the same way.

What signs after a filler need urgent care?

Severe pain, white or purple discolouration of the skin, or any change in vision. Go to an emergency department immediately.

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