Although most minor early complications can be avoided with proper injection technique and filler selection, even the most seasoned injector can induce bruising and swelling, which a patient may consider socially embarrassing. Which filler is best for the treatment of under eye tear troughs? For a q&a session with @beautybrokerofficial, A post shared by Kami Parsa MD (@kamiparsamd) on Nov 25, 2019 at 1:25pm PST. Fill out a request for an under-eye rejuvenation consultation below, or call (480) 889-8880. There are also those who use both tools, basing their choice on the individual patients anatomy. Hello, Since your treatment was just yesterday or a few days ago, it is too early to assess the results. Our experts go-to revolumizer for this part of the face is hyaluronic acid (HA); its temporary and can quickly be dissolved with an injectable enzyme called hyaluronidase, should something go awry or you simply not love the way it looks. Images are shared with patient consent. Lets talk tips and tricks for your face and beauty! You can find her on Instagram at @madgemaril, or in real life somewhere in a thrift store. I probably lose close to $10,000-plus per week, but I am very firm in saying no, the under-eye should not be injected. His reasons range from the rare risk of blindness (which can occur if filler enters and blocks the blood vessels feeding the retina) to the aesthetic eyesores that walk into his office daily. Sometimes years after an under-eye HA is successfully injected, patients will return complaining of new dark, puffy bags or circles, says Dr. Waldorf. Also, realize that swelling may be a component of what you see. Extreme . Lumps or bumps in the lips are more common because we have a lot of these little bumps anyway. Wearing tight pants and shorts concentrates the filler in one place and disrupts the shape of the hips. And while you can find under-eye filler for cheaper than that, Dr. Maiman stresses the importance of always seeing a legit, board-certified dermatologist or plastic surgeon for the procedureeven if costs a bit more. so there is no one demographic for under-eye filler," explains Dr. Heidi Waldorf, a board-certified dermatologist in Nanuet, New York. But for some people, dark circles are actually a shadow effect that comes from volume loss, which can be corrected with filler.. Join us today Nov 25th at 5pm PST. However, doctors who have been doing it for many years have preferences based on characteristics of the fillers. For most, recurrent swelling tends to wax and wane over the lifespan of the fillertypically a year or two, in this relatively immobile areaand can be largely controlled with antihistamines, steroids, and lifestyle adjustments. Visit www.beautybydrkay.com for more info! If the color remains, its pigment and filler is unlikely to be of benefit, she says. complications of the procedure is getting some filler injected into a blood vessel. Instead, the opposite effect can occur for those with dark circles who opt for fillers: The darkness will become more noticeable, and no one wants that. Related: 10 Concealers Almost As Good As Under-Eye Filler. Getting Juvederm under the eyes is a different scenario: Its a hyaluronic acid filler (the most common kind) thats injected directly under the skin to fill in space, rather than affecting the muscles. All the Weird Areas You Can Get Injectables, How to Use the Best Blackhead Removal Tools Safely, Got Flakes? Under-eye fillers address volume loss in the lower eyelids and the darkness under the eyes that happens due to it, but cannot help those who are dealing with actual pigmentation or dark circles (via Self). According to Dallas board-certified plastic surgeon Dr. Rod Rohrich, success also hinges on the judgment of your injector, since the key to excellent results in tear trough fillers is patient selection, he explains. Hope that helps. "Hyaluronic acid is an ideal filler material because it is safe and effective and can be dissolved easily with an enzyme called hyaluronidase," nurse Kristina Kitsos explained to Glamour, adding, "Other types of fillers like poly-l-lactic acid (Sculptra) and calcium hydroxyl-apatite, or Radiesse, should never be injected in the undereye area." With that said, some practitioners have differing thoughts on the matter and would suggest surgery as a better course of action. NYC oculoplastic surgeon explains how its done . The other most common side effect is swelling, Dr. Gonzalez says. If the filler is still present after 12 months, this may be . Be that as it may, procedures of any kind are worth your due diligence, regardless of whether they're non-invasive. . Despite the broad appeal of this eye-brightening fix, tear-trough filler injections are not without controversy. So if you're looking to address pigmentation, this isn't the procedure for you. When you examine before and after photos, look at the light reflections in the persons eyes. 64 Lovely Valentines Day Gifts for Everyone in Your Life. Estimates vary widely, but under-eye fillers cost between $600 to $2,000 depending on where you go. Injectors tend to neglect this triangular divot, says Dr. Biesman, but injecting it makes all the difference from an aesthetic perspective.. For more information on injectables and other cosmetic services we offer at Weiler Plastic Surgery in Baton Rouge, contact us online or give us a call at (225)399-0001. Notice the area appears red and/or hot to the touch. Its like the best concealer in the world you never have to wash off. I wish you best results. First, a little context: According to Dr. Maiman, the word "filler"also referred to as "dermal filler" or "dermal volumizers"is an umbrella term for the gel-like substances that are injected into the skin to correct volume loss. But there are still some major irreversible risks associated with under-eye fillers. SELF does not provide medical advice, diagnosis, or treatment. Youre best off going to an experienced doctors office rather than a medspa for any kind of filler procedure. If theres any question as to whether a patient will tolerate filler, because they have a hint of edema beforehand, I may treat them over more than one session, with very small volumes, to give the lymphatics a chance to adapt to the increased pressure on them, he says. To see me as a patient in my Woodmere or Roslyn location, please contact my office. You might not love this. And nailing it requires not only years of experience but a deep understanding of the under-eye anatomy. As we mentioned previously, dermal fillers are generally marketed as lasting from six months to a year, but all of the experts SELF spoke to for this story note that under-eye fillers tend to last longer than that (closer to 18 months) because the fillers are in an area of your face that moves less than, say, your lips. There are currently only a few recommended hyaluronic acid fillers indicated for under eye treatment. If you are still noticing the lumps at that time, I would recommend following up with your injector and they may be able to inject some hyaluronidase to dissolve the excess filler. It goes without saying that there are a lot of things to keep in mind when determining if under-eye filler is right for you (think: the cost, the potential side effects, the pain level). The purpose of my content is educational and informational. Super swollen and it wouldn't go down with time," she captioned the pic on the left. The information on RealSelf is intended for educational purposes only. This is the million-dollar question, says Dr. Sameer Bashey, a board-certified dermatologic surgeon who sees patients in New York City and Los Angeles. In this type of dermal filler procedure, hyaluronic acid filler is injected in the under-eye area, and because it fills in the space, fans say it improves the look of dark circles and/or sunken . If the skin is too loose, theres nowhere to hide the filler, says Dr. Kapadia. And, remember, it may be due to a combination of factors, like hyperpigmentation coupled with anatomy and lifestyle factors (dehydration and sleep deprivation, as we mentioned earlier, for example). The eyelids own evolving anatomy isnt solely to blame for shadows, however. Under eye filler instantly brightens dark circles and diminishes signs of aging. When it comes to the injection, there are two different approaches: Some doctors prefer to use the tiny needles that come with the fillers, while an increasing number of dermatologists and cosmetic surgeons are opting to use a cannula, a plastic tube that can be inserted directly into veins or tissue. Those with certain medical conditions aren't encouraged to get fillers as well. Myth #4: Fillers just fill wrinkles and volume loss. We may earn commission from links on this page, but we only recommend products we back. . This will help prevent the accidental migration of any of the neurotoxin and avoid bruising. This is to allow the face to normalize and to check how the filler sets in. When the topic of facial fillers gets brought up, lip fillers are probably the first thing that comes to mind. The answer is, unfortunately, yes. The effect of the filler will slowly dissolve over time, Dr. Maiman adds. Don't lie down. We may earn commission from links on this page, but we only recommend products we love. "In fact, the under-eye is one of the most common starter areas for filler, for younger patients in my . I got fillers under eyes treatment yesterday, but right after it was done, I recogniezed the area under my eye didnt improve much in appearence. I absolutely look better rested after the treatment. If a patient has true pigmentation, then the dermal filler wont help, she says. In most patients, inflammation improves much after 4 to 5 days, but there may be a milder swelling that takes weeks to fully resolve. No matter what, you should schedule a follow-up for two weeks after your treatment so your doctor can make sure everything is . This will also . Hold up: Does that mean under-eye filler is maybe not so universal after all? Ad Choices, Everything You Need to Know About Under-Eye Filler. Eye fillers are considered a cosmetic procedure and are typically not covered by medical or vision insurance. Thank you for your question and photo. Under Eye Filler Before & After. Not necessarily. If you have this type of hollowness or loss of volume in that area, you might have dark circles or shadowing under your eyes. Under-eye fillers last longer as compared to other facial fillers due to the area of placement. Translation: young people with tight skin. "Unlike needles, the blunt-tipped cannula does not usually injure blood vessels or nerves and thus minimizes bruising. You need tight skin to hold the filler back in place and keep it from pooching out and looking lumpy. . Some are more predisposed to it than others. Using the needle on its own is the classic approach, Dr. Hu explains, and the cannula acts like a dull straw, allowing the needle to pass through the tube, therefore only requiring one poke. SELF may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. Recovery time for under-eye fillers is almost zero. ", This is why finding a licensed and experienced professional is key. | What else should you know? If you search for solutions for dark circles under your eyes, the remedies youll find will range from at-home options like brightening creams to getting under-eye filler, like Juvaderm or Restylane, from a dermatologist. The ingredients and instruments should be taken into consideration, as they will impact your side effects if any. Dark circles are frustrating and many patients complain about looking tired and hollow around the eyes. It is completely normal for a patient to experience a post-procedural reaction to filler treatment under the eyes in the form of periorbital oedema or swelling. Do the pros outweigh the cons? There may be minimal swelling and redness for the first 24 hours. What's the best wrinkle fillers to get rid of these lines? According to Dr. Funt, theres a subset of patients, about 10% of the population, who have poor lymphatic drainage under the eyesand when treated with filler, they accumulate fluid. This condition, called malar edema, occurs when the filler compresses and stagnates the already sluggish lymphatic flow, causing a persistent puffiness right atop the cheekbones. Under eye filler is priced by the syringe. I am so against it, he tells us. Yes, these vascular events are exceedingly rare146 incidents of blindness recorded in the world since 1906but theyre also most definitely on the rise. As a medical advisor to filler manufacturers Allergan and Merz and someone charged with handling significant adverse events, Dr. Funt notes that the under-eye does have communication with the angular artery, which connects with the dorsal nasal artery, which flows into the ophthalmic arteryso while this area may not be as dicey as the nose, it does rank among the danger zones for blindness. Many of you have responded to my previous video about Under Eye Fillers asking what you could do instead. On to the main event. . This is my actual patient and consent was taken in order to share this image. Its also advisable to avoid heavy aerobic exercise for 24 hours post-procedure to minimize swelling, as well as high temperatures, since excessive heat could exacerbate redness and swelling, Dr. Shipp adds. The 3rd is post touch up filler where I now have a dark line on one side. As in, can fillers make under-eyes worse? Remember when these fillers expand they also expand the natural tissue. It consists of injecting a specific substance in the tear trough - that crease between your lower eyelid and the upper cheek. If you're looking to go to a licensed professional for less, you could try searching for an office outside of any major city, as the location can greatly affect pricing. One patient was injected at the same time with fillers manufactured by . By far the most common side effects in the under-eye area are bruising and swelling, due to the fact that it's a highly vascular location with robust blood supply," says Dr. Maiman. With the right filler and placement, the majority of people have good reactions and a normal metabolism of the product, he says. Once the overall support structure of the eye weakens, fat pads can herniate or protrude forward as puffy bags. (one week post-op) and Sept. 30 (three weeks post-op) on her . Fluid fluctuations are part of what makes fixing the under-eyes challenging for even the most seasoned injector, says Dr. Bashey. (Hey, were not immune.) Under-eye fillers can address wrinkles and fine lines and, because they fill the hollowness under the eyes, they can even out the sunken appearance of the under-eye area, Dr. Shipp adds. One vial starts at $275. Do your due diligence in researching your injector," Dr. Rene Moran advised Glamour. Its important to distinguish dark circles or puffy eyes caused by loss of volume or your basic anatomy (both of which can be hereditary) from under-eye wrinkles or dark circles caused by hyperpigmentation in the area, Jenny Hu, MD, board-certified dermatologist and clinical associate professor of dermatology at the Keck Medicine of USC, tells SELF. To the south sit the malar fat pads of the cheeks, which lend cherubic plumpness to the face in youth. Schedule Under Eye Rejuvenation with Fillers at Rejuvent Scottsdale. Fillers in this area work best for people who have only small or no under-eye bags. This illustration of our vast vasculature makes it abundantly clear that the entire face is essentially a danger zone for filler. The typical recommendation immediately after injection is to remain in an upright position and avoid touching the area for three hours or so to decrease the risk of swelling, Dr. Shipps says. In fact, the under-eye is one of the most common starter areas for filler, for younger patients in my practice., Dr. David Funt, a board-certified plastic surgeon in Woodmere, New York, goes so far as to call tear trough correction a universal treatmentone that can benefit young people who genetically have hollow eyes due to their bone structure as well as older folks as they start to get that V-shaped area of deficiency under their eyes.. The 1st photo is without any filler, the 2nd is after filler. But among the list, the most commonly used is hyaluronic acid. Answer: Filler under eyes. There are many different kinds of fillers to choose from: hyaluronic acid, poly-l-lactic acid, calcium hydroxylapatite, and fat transfer (via Healthline). The cause is unknown, but it appears that during metabolism, even two to five years after injection, some HA can migrate upward. From this more superficial position just below the skin, the HA can appear blue due to light reflection and cause swelling from water absorption, she adds. Before getting started, the doctor should assess the state of your under-eye area and where the filler is to be inserted. "It's so important to do your research when you are looking for someone to work on your tear troughs," Dr. Kay Durairaj shared with Refinery29, adding, "all of us have been placing filler in under eyes because of our experience. Typically, within a day or two, you might feel an irregularity in some areas where the skin is thinner, such as the lips or the lower eyelids. Some patients find the popping sound unsettling, says Dr. Maiman. Under eye help! But filler in this area can sometimes behave unpredictably, so make sure your injector has the know-how to navigate the ups and downs. When Dr. Anolik zaps bruises with his pulsed dye laser in the days following injections, he often sees them "vanish in a matter of hours," he says. Discover new workout ideas, healthy-eating recipes, makeup looks, skin-care advice, the best beauty products and tips, trends, and more from SELF. The tip of the cannula can just slide between layers of tissue without causing any potential nerve damage near the eyes.2. Fat transfer is another good option; however, it is more invasive than hyaluronic acid fillers. Meaning they have fluid retention, or had small amounts of it which was unrecognized before treatment for this depending on the patient involved Treatment options include A: Possible controlled removal of the HA B: Combination of Morpheus and Co2 laser to melt and tighten the tissue C: and at times surgery maybe necessary because these has been too much expansion and deflation of the natural tissue which needs a surgical treatment. Meet Us for a Consultation Schedule a no obligation visit today! Icing a few times after the procedure, on the day of injection, can help reduce both swelling and bruising, as can sleeping with an extra pillow under your head that evening. Generally speaking, the best outcomes are enjoyed by those who have good skin quality and true under-eye hollows, without significant eye bags or skin laxity, explains Dr. Katie Beleznay, a board-certified dermatologic surgeon in Vancouver, British Columbia. It's even more rare, but there have also been reports of vascular occlusion resulting in blindness due to blockage of the retinal artery. Is that scary? Bruising can last longer but should resolve within one week," dermatologist Rachel Maiman shared with Cosmopolitan. That thin skin makes this area especially prone to bruising, one of the most common side effects of fillers for eyes. Jolene Edgar Dec 13, 2019Updated on Jul 4, 2021. In that case under-eye fillers are probably the best short-term solution. Okay, keep that in mind for this next part. You could literally get it done during your lunch break and pop right back into the office as if nothing happened. 23 Songs for Everyone Who Loves a Late-Night Workout, Exactly How to Patch Test Skin Care Products to See If They Cause Irritation. With most of these procedures, especially for hyaluronic acid fillers, the actual results only really shine through months later. Patient 1 - Before and seven months after lower blepharoplasty surgery. Before you have the procedure done, youll have a consultation with your dermatologist or cosmetic surgeon, Dr. Gonzalez says. (Lets be honest, the last couple of years have been exhausting for many of us, and your skin is probably feeling it too). One of the most common things I see is patients developing malar edema after having HA fillers injected. Still, Dr. Kanodia argues that blindness stemming from tear-trough injections may be underreported and that theres really no concrete data on blindness from under-eye filler [because] if it happens, its kept quiet, he says. Prices subject to change. Under-eye filler, or any dermal (skin) filler, may seem like a drastic choice, but the truth is that it may be one of the few things that can actually change the appearance of your under-eye area for real, depending on whats causing your dark circles. 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