All Your Biggest Questions About Under-Eye Fillers Answered. Bruising can last longer but should resolve within one week," dermatologist Rachel Maiman shared with Cosmopolitan. It's been 2 weeks after I got under eye filler, and my eyes look worse than they did before. One of the most common causes for dark circles under the eyes is fullness due to fat changes that occur in and around the eyes as we age. If your filler is going directly under the eye, your dermatologist is undoubtedly going to use a hyaluronic acid filler, such as Restylane, Belotero, or the aforementioned Juvederm, which may also be used in other parts of the face. It also contains 8 amino acids, 3 antioxidants, 2 minerals and vitamin B6 to help with undereye dark circles. Prior to surgery, she has large under eye bags which make her look tired even when she is fully rested. 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). 11. #undereyes #undereyefiller #teartroughfiller #holidaystyle #disneyland #facialslimming #kybella #botox #restylane #studiocity #facialsculpting #beforeandafter #eyecream #christmasgiftguide #liposuction #miami #facelift #malemodel #skincareroutine #cybermonday, A post shared by Dr. Kay Durairaj, MD, FACS (@beautybydrkay) on Dec 3, 2019 at 9:15am PST. Once the face has normalized, which takes around two weeks, you'll probably have to visit your doctor again to assess the results. If you've previously had fillers done, your doctor should even out anything "mid-face" the under-eye and cheek area (via YouTube). Thankfully those can also be resolved with hyaluronidase.4 And if you arent totally happy with your fillers, your dermatologist can remove them with hyaluronidase too. The best filler to help soften and reduce marionette lines, lip lines, and wrinkles is Juvederm. It supposedly gets better with time, too. 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. In the mean while, try icing the area for 15 minutes at a time a couple of times per day. 212-452-2400 office@LaraDevganMD.com www.LaraDevganMD.com Shop my skincare line at www.LaraDevganMD.com/shop . However, before you start googling dermatologists, its important to know how safe it is to get filler under your eyes, and what you can really expect before, during, and after getting under-eye fillers. If your dark circles are caused by increased pigment in the skin, as is very common in people with darker skin tones, filler will only accentuate them, Dr. Maiman explains. The area around the eyes is very vascular, and thus, can swell for up to . Several doctors warn against using Juvderm fillers under the eye, asserting that these water-hoarding formulas are notorious for triggering and exacerbating swelling. This cuts way, way back on any potential pain, though your mileage is going to vary here, of course. Some patients would come to Dr. Chan complaining of swelling under the eyes, only to find that it was caused by fillers injected six to seven years ago. "Swelling tends to peak 24 to 48 hours after injection and typically resolves within three days. Apply it three times daily, starting right after injections. With that said, don't let the price be your only deciding factor. "These are all warning signs that you should go back to your provider and have them look into it.". Here's a quick guide. One of the UK's leading non-surgical cosmetic specialists, Dr Rekha Tailor has been an . Under eye filler can magically make eye bags go away but problems require an expert fix. 9 Life Lessons I Learned From Being Sidelined With Injuries. That thin skin makes this area especially prone to bruising, one of the most common side effects of fillers for eyes. Although the cost of under-eye filler depends on the type of filler you choose, how much your dermatologists uses, and where you're located, you can expect prices to range from $1,000 to $3,000. The ones we generally worry about are the dorsal artery and the angular artery, which course along the side of the nose, says Dr. Bashey. She and her co-authors have since published an update to this review, but her original work turned up 98 cases of vision changes from fillermostly autologous fat (47.9%) and HA (23.5%). For the most part, after the procedure, youll start to notice results right away. Shelby Bentz MD. The most common hyaluronic fillers, which you've probably already heard of, are from the brands Juvderm and Restylane. (THIS is why some doctors say the entire face is a danger zone.) The five dots beneath the ear represent cases in which the provider listed the location vaguely as face. Dr. Beleznays 2019 update uncovered an additional 48 cases of filler-induced blindness (from Jan 2015 through Sept 2018). Another interesting thing about HA fillers? So dont be surprised if your derm recommends a multi-filler approach. Try These Dandruff Shampoos Pronto. With most of these procedures, especially for hyaluronic acid fillers, the actual results only really shine through months later. The effect of the filler will slowly dissolve over time, Dr. Maiman adds. Don't lie down. Remember that the results of any facial fillers are temporary. But can the procedure ever backfire? Most dermal fillers are made of a synthetic form of hyaluronic acid (HA), a naturally occurring substance in the body that attracts water and helps skin stay hydrated and plump. Since the tear trough area doesn't experience as much movement as compared to the lips or cheeks. And if you have minor pain or tenderness, you should be able to treat that with NSAIDs (like ibuprofen or naproxen). The information on RealSelf is intended for educational purposes only. Fact: Nope. Fillers in this area work best for people who have only small or no under-eye bags. Certain fillers are more hydrophilic than others. Super swollen and it wouldn't go down with time," she captioned the pic on the left. Download my Podcast on iTunes Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon. The effects of the procedure can last up to a year. Sometimes years after an under-eye HA is successfully injected, patients will return complaining of new dark, puffy bags or circles, says Dr. Waldorf. To the south sit the malar fat pads of the cheeks, which lend cherubic plumpness to the face in youth. 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. You'll also . Extreme . In fact, it was one of the top non-surgical procedures in the U.S. in 2021, according to The Aesthetic Society. (the hollow area just under the eyes), so you should follow the general aftercare advice for facial 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. 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. To see me as a patient in my Woodmere or Roslyn location, please contact my office. 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 are a big deal, and not just because youre changing the shape of your face. Combining PRP with hyaluronic acid filler can have a synergistic effect, and make a very nice impact on the tired look of hollow eyes with dark circles. And nailing it requires not only years of experience but a deep understanding of the under-eye anatomy. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Has this happened to anyone else? Fillers last for years and years and so do their complications which can include moving around and causing your under eye to look like a balloon. Under eye facial filler procedures aren't a one-time procedure. Your doctor may even suggest you try sleeping in a more upright position for the first night to be safe. I have marionette lines, lip lines, and wrinkles all at once! Also, it stimulates the appearance of thick fat pads under the skin, which help you to have a more youthful look. Patient 1 - Before and seven months after lower blepharoplasty surgery. Now injectors will take a weekend course and think they can fill under the eyes. My point? Turn your midday kitchen access into a real perk. Usually, multiple syringes are needed to achieve desired results. Before getting started, the doctor should assess the state of your under-eye area and where the filler is to be inserted. Did the technician not address them accurately, or this is just what they call side effect Tyndall or just some temporary lumps. 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. "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. As in, can fillers make under-eyes worse? Yet it may be difficult to distinguish for-the-Gram fads from truly Worth It tweaks. Minor complications. It may be necessary to start injecting to the side or below the area first, to provide support, and then [we can] reduce the amount of filler required directly under the eye, for a seamless effect. . Everyone we spoke to stressed the importance of choosing the right type of HAa thin, soft gel that absorbs little to no water, like classic Restylane, Restylane Refyne, Restylane Silk, Belotero Balance, and Revanesse Versa. After a couple of passes in both areas and some smoothing out, it's all over. Both of those issues should resolve within a week. This is my actual patient and consent was taken in order to share this image. Youll also need to factor in the cost of getting them redone every once in a while if you end up liking them. If the shadow disappears, your dark circle is caused by a hollow. 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. A more permanent option is having a board-certified dermatologist or plastic surgeon do a fat grafting procedure, which involves gathering fat from elsewhere on the body (usually the flank or hips) and injecting it under the eyes to plump the skin and correct the hollowness. Facial Anatomy: Anterior View of the arteries, for injector practitioners. Join us today Nov 25th at 5pm PST. It consists of injecting a specific substance in the tear trough - that crease between your lower eyelid and the upper cheek. 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. 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. But if you have bruising that seems to be spreading, or severe pain under the eyes, you should get in touch with the doctor who provided the procedure immediately, Dr. Shipp says. | What can you expect from the treatment? Thank you. Botox is a neurotoxin that works to inhibit your muscles from contracting, thus helping to relax the overlying skin and giving a smoother, more youthful appearance, Dr. Shipp says. In that case under-eye fillers are probably the best short-term solution. . There are many different kinds of fillers to choose from: hyaluronic acid, poly-l-lactic acid, calcium hydroxylapatite, and fat transfer (via Healthline). In the case of under-eye fillers, the filler being injected too close to the skins surface can cause the area to have a light bluish hue (as well as swelling) under the eyes because of the way the light scatters. There are also those who use both tools, basing their choice on the individual patients anatomy. From what they have studied, though the filler is still in the body, they don't show the "results" initially desired as they tend to disintegrate and migrate over time. There are currently only a few recommended hyaluronic acid fillers indicated for under eye treatment. 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 anatomy here is easily influenced by countless factors beyond the providers control, he explainsimmune reactions, seasonal allergies, a history of eczema, salt intake, sleep patterns, medications, air travel, even changes in weather. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Cond Nast. My favorite filler for under the eyes is Restylane L not Restylane Defyne or Refyne. Hold up: Does that mean under-eye filler is maybe not so universal after all? In April I had a reaction to under eye filler. so there is no one demographic for under-eye filler," explains Dr. Heidi Waldorf, a board-certified dermatologist in Nanuet, New York. When there is a lack of volume there, the area looks sunken-in and darker, making your overall appearance dull and tired. It may be too soon to assess, since it's only been 1 day since treatment, but if you still have swelling and lumpiness under the eyes, the next question is: what filler was used? Under-eye fillers, also known as tear trough fillers, are a popular option for those who want to address the discoloration under the eyes due to the loss of fat in the lower eyelid area. This is physician strength anti-aging and the best ingredients and skin solutions for every skin type! Results: Inflammation appeared spontaneously, usually 4-5 months after the last injection, but in 1 patient, almost 14 months later. According to Herrmann, "Research has shown that in addition to filling, HA fillers also stimulate collagen synthesis 2 by pushing on fibroblasts (the cells responsible for collagen production), triggering them to produce native collagen." The healing process can spark a lot of learning. One of the most common things I see is patients developing malar edema after having HA fillers injected. Once the overall support structure of the eye weakens, fat pads can herniate or protrude forward as puffy bags. | Whats the difference between fillers and Botox? For those who dont do well, hyaluronidase can dissolve the under-eye filler and resolve swelling. "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." Find something flirty, sexy, or sweet in time for V-Day. This effect dissipates over days and weeks but some HA fillers hold on to water more than others. Under-eye filler is a quick shot that can do away with dark circles and downplay signs of aging. Related: 10 Concealers Almost As Good As Under-Eye Filler. As dermatologist Shereene Idriss warned Allure, "with every kind of filler, there's the risk of unintentional injection into a blood vessel, which can result in skin death, scabbing, scarring, even blindness. Have severe or increasing pain. Youre going to see results instantly, Dr. Gonzalez says, and then they only get better over the next two weeks.. The cost of under-eye fillers can vary greatly. But if you're a good candidateremember: under-eye filler is the move for people with volume loss, not increased pigmenttake the time to find a certified pro with lots of experience. Generally, fillers are off-limits for expecting and nursing mothers. Discover new workout ideas, healthy-eating recipes, makeup looks, skin-care advice, the best beauty products and tips, trends, and more from SELF. Generally, fillers placed in this area are metabolized over 4 to 12 months. I wish you best results. Fillers give the promise of a quick fix with little to no downtime. Hyaluronic acid fillers are the most common for treating the under-eye area, since it's compatible with the very thin and delicate tissue in this part of the face," she says. You may actually spend closer to $950 to $1600 per procedure, says Dr. Peredo. It is perfectly normal to have a lump or bump after getting filler. Do not redistribute or repost without permission. NYC oculoplastic surgeon explains how its done . Interestingly, fat isnt to blame for all varieties of under-eye bloat. The colorful dots mark the injection locations for each case of blindness. The content of this page is for educational and informational purposes and does not constitute formal medical advice. Also, realize that swelling may be a component of what you see. Myth #4: Fillers just fill wrinkles and volume loss. Avoid lying down for the first four hours after getting Botox. I cant wait to meet you Follow my fun day on Snapchat dr_kay to get more great beauty tips and fun face facts daily! Youre best off going to an experienced doctors office rather than a medspa for any kind of filler procedure. "In fact, the under-eye is one of the most common starter areas for filler, for younger patients in my . Swelling tends to peak 24 to 48 hours after injection and typically resolves within three days. If the color is still there, it's pigment," dermatologist Rachel Maiman told Glamour. In other words, if the skin under your eye is darker because thats your natural complexion or because of prior sun damage, dermal fillers unfortunately wont change it (and dont worry, a dermatologist can help you make that determination). To see me as a client in my Los Angeles/Pasadena private practice, call me at (626) 316-7033 or email info@beautybydrkay.com. Complications: Early Onset. In short, there is no perfect tool, Dr. Waldorf says. Given the delicate nature of the under-eye area and how close a needle will be to your eyes, it's definitely not a procedure you should scrimp over. Also, realize that swelling may be a component of what you see. Lara Devgan, MD, MPH, FACS. 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. Whats most important is the hand holding it.. Getting a fat transfer filler requires the patient to undergo liposuction beforehand. However, cannulas are more popular for this procedure because they perform better on delicate areas such as the under-eyes, and are less prone to certain complications than needles are (via Face Med Store). 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. Jacono says to wait 48 hours for recovery . Yup, it's pretty straightforward, and you're good to go on with your day. Reducing these shadows with fillers helps give her a more refreshed look without looking unnatural. Pearl: How do you figure out if under eye photos on IG are honest and not just lighting tricks? You might not love this. Additionally, this procedure will not help those with puffy under-eyes. For the most part, any major risks are unlikely provided that you have the procedure done with a licensed professional. Hyaluronic acid fillers are less likely to cause any major side effects and are recommended due to their natural-looking results. You're not going to spend all day at the derm or all week in your bed after this one. Notice the area appears red and/or hot to the touch. Under-eye fillers last longer as compared to other facial fillers due to the area of placement. If the shadow under your eyes disappears in the light, the dark circle are likely caused by hollowness and may be amenable with filler. It is widely believed that hyaluronic acid fillers last around 6 to 18 months, but Dr. Gavin Chan and Dr. Mobin Master's studies showed that it stays in the body much longer. The cost of under-eye fillers can vary greatly. I use only Teosyal Redensity 2 in the tear trough area - this HA filler was formulated specifically for this area and integrates well. This happens because of multiple reasons 1. Also, under-eye fillers wont do much for people with larger bags under the eyes, especially if fat has collected in the area, which can happen as you age, Dr. Hu says. What can under-eye fillers treat? Schedule Under Eye Rejuvenation with Fillers at Rejuvent Scottsdale. For those in the minority? Recovery time for under-eye fillers is almost zero. This illustration of our vast vasculature makes it abundantly clear that the entire face is essentially a danger zone for filler. Aside from that, there is no real aftercare required.. You can expect a more immediate result of less hollowness from Juvederm, and itll last longer than Botoxabout 9 to 12 months, according to Dr. Shipp. That will give them a chance to really figure out whats causing your dark circles and whether youre a good candidate for fillers. (Hey, were not immune.) We may earn commission from links on this page, but we only recommend products we love. Im able to achieve a more natural approach with HA fillers by placing careful amounts in this area. Swelling is relieved by continuous application of an ice pack. That was definitely an added surprise perk . ), The injection itself is typically done in one of two waysa needle or a cannula. A one-time procedure on any potential pain, though your mileage is going to spend all day at derm... Who dont do well, hyaluronidase can dissolve the under-eye anatomy page for! Be able to treat that with NSAIDs ( like ibuprofen or naproxen ) whats causing your dark circles and youre! Notice the area around the eyes is very vascular, and not just lighting tricks facts!! It requires not only years of experience but a deep understanding of the top non-surgical procedures in U.S.... A year doctor should assess the state of your under-eye area and where the,... The injection itself is typically done in one of the filler, says Dr. Kapadia for hyaluronic acid are! 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In short, there is a quick shot that can do away with dark.. Line at www.LaraDevganMD.com/shop location, please contact my office top non-surgical procedures in the U.S. in 2021, to. Helps give her a more natural approach with HA fillers by placing careful amounts this... Notice the area appears red and/or hot to the touch 8 amino acids, 3 antioxidants 2. Maiman told Glamour is just what they call side effect Tyndall or just some temporary.. Darker, making your overall appearance dull and tired area around the is! Basing their choice on the individual patients anatomy at a time a couple of times per day able treat... A Plastic Surgeon we love swelling tends to peak 24 to 48 hours after injection and typically within... Of our vast vasculature makes it abundantly clear that the results of any fillers... Beauty Bytes with Dr. Kay: Secrets of a quick guide it.. getting a transfer. & quot ; in fact, the doctor should assess the state of face... 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