Is it possible to have tear trough filler with very thin and pale under eye skin/area?

You are absolutely a candidate for undereye filler.  There are some terrific fillers now available that will spread and fill perfectly for patients with similar under eye issues that you have described.  An experience injector will also not only inject the filler beneath the skin, but in your particular case the filler would work best in the layer of tissue underneath the muscle around the eye and a thinner layer beneath the skin.  Find someone who knows their peri orbital anatomy before having your eyelids or tear troughs injected.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Hello and thank you for your question.

Tear trough treatment can be accomplished with a combination of filler and PRP. Results are very natural and adding PRP helps especially when the skin is very thin. I am attaching the photo of a patient with very dark under eye lines and thin skin who received this treatment. 
Providing your photos would be very helpful.
Best from DaVinciMedSpa in Westchester County,

Dr. Popescu

You should start by consulting with a board certified plastic surgeon or dermatologist for an assessment of your skin type and the areas you would like improvement. Tear trough fillers can certainly enhance the area and revive your looks.  It is difficult to assess fully without a photo but an in person consult will give you answers.  Be sure to consult with someone that has vast experience and expertise in facial fillers.

Without a photograph, it is difficult to advise because not everyone is a candidate for filler and this may not even be because of your skin quality, but rather because of the underlying issue causing the appearance of the lower eyelids to be a certain way. Assuming the issue is volume insufficiency, it can be addressed with tear trough filler regardless as the filler is typically injected deep (above bone) so does not appear just underneath the skin anyway.

Thanks for your question. The patient with thin skin can still undergo filler injection. However, it must be laid deeply and l would use a cannula with a cross-linked filler like Belotero or Stylage S as these are less likely to appear blue under the skin. For further details you should arrange for an in person consultation.

thanks so much for your question 
Yes you can get fillers for under the eyes even with thin skin
Baltero soft or redensity II are Good options
Good Lick
Dr Lamia Wassef, Ottawa 

In this situation, a photo, or even better, an examination is required to give you good advice. Thin skin under the eyes can be helped with C02 laser and you  may get further improvement with the visible veins with the placement of some under eye filler. You are worried that is may not work or may make you look worse, which is a possible risk with any treatment. However, if you choose an expert provider with lots of experience treating the under eye region with various modalities they should be able to guide you towards a treatment that is likely to work for you. Best, Dr. Tkatch.

A photo would be very helpful to determine whether you would benefit from laser skin tightening as opposed to filler.  When injected carefully, filler should be able to improve your lower lid issues. Definitely see a board certified plastic surgeon or dermatologist who will perform the procedure personally.