Lightening this area can make you look more refreshed. Manhattan (212) 265-8877 There are always exceptions but in general I don’t use these fillers for the under-eyes. I find it to be safe and effective and it’s success depends very highly on the technique being used. Hereditary eye bags – the science and theory of outsmarting eyelid genes. Volume deficiency at the upper cheek is treated differently than the tear trough. While it is more durable compared to other more readily biodegradable fillers, it has potential complications such as forming lumps or being visible under the skin. I frequently perform under-eye fat grafting but usually in conjunction with cosmetic eyelid surgery to blend and provide volume support to the areas around the eyes (temples, under the brows, under-eye hollows, and cheeks). ... Injection methods will also vary depending on the patients' natural shape and end-goal. I explain why later. Its popularity is due to eye bags being one of the most common aesthetic issues since it is most frequently due to genetics, not aging, so many young people are dealing with under eye bags. The bruising is temporary, and can last about a week. Since there is no external incision, there is no chance of a telltale external scar of surgery. More filler volume can be placed with Structural Volumizing than traditional filler placement as the weight sits atop the bone structure, and muscle retains the desired shape far better than fat and soft tissue. Fat transfer/fat grafting can be used to treat volume loss beneath the thicker skin of cheeks and midface, but results are generally less predictable, and require more extensive treatment than injectable fillers. Uneven appearance. Under eye fillers in comparison have a smooth texture, are highly malleable when initially placed, do not require a blood supply, are safely accepted by the body, and can be dissolved or safely absorbed by the body. I still choose Restylane-L as the best under eye filler because of it’s great behavior profile. I had a little dissolved but it burned a lot and was super scary.. can I be sure that all of this filler will dissolve? Revision surgery to remove fat transferred under the eyes is a complex and costly procedure. In such cases, adding filler to the cheeks can make the eyes look less hollow, and the whole face more balanced and youthful. Ultimately, if you carefully choose an expert in under-eye filler treatments, she or he will select a filler or combination of fillers that works well for them based on their experience and skill. ALL ABOUT JUVÉDERM ®. Under-eye filler, also known as dermal filler, is an injectable that's inserted into the under-eye area to fix dark circles and signs of aging. Lip augmentation is a cosmetic procedure that can give you fuller, plumper lips.. In areas where fat repositioning is not appropriate, an injectable filler can be used improve the hollowness, whether it’s a thicker filler like Juvederm Voluma or Juvederm Ultra Plus at the cheek, or a softer filler like Restylane, Restylane Silk, or Juvederm Ultra at the orbital rim and tear trough. Beyond fixing her daily share of filler-related lumps and asymmetries incurred by other injectors, ... For the transparent under-eye area, injecting a fine layer of a … Think of the hollow tear trough as a valley, while the eye bags are a mountain next to the valley – by filling the depth of the valley with a filler, the mountain next to it won’t appear so large. This is the thinnest, softest version of Restylane but it also has the highest swelling capacity. e-Majalah Edisi 1/2020 . A softer filler is appropriate as lower eyelid skin is the thinnest in the body at 0.5mm of thickness, and can move flexibly with facial expressions – softer hyaluronic acid fillers don’t affect the appearance of the eyes like thicker filler or facial implant. The transcutaneous blepharoplasty technique is also more prone to complications such as eyelid retraction (pulled down eyelids) and ectropion (everted lower eyelids) as it can compromise lower eyelid support structures. This may go against recommendations of other doctors who may say that almost any case of eye bags can be addressed with filler. It’s an acceptable choice but in my opinion not as versatile as Restylane. First, it was under-eye fillers, and then, I had a liquid facial at 39. Structural Volumizing places long-lasting fillers such as Juvederm Voluma or Juvederm Ultra Plus at the bone level to address bone loss due to aging, providing foundational volume. Expect filler treatment for under eye bags to be repeated every 3-6 months. Tear trough filler can help fix the problem area under the eyes. I process the fat in a sterile, closed system, I place conservative amounts of fat in the deepest level with very small fat parcels in each location. They Volbella is softer and Vollure (also known as Volift outside the U.S.) is stiffer. An ultra-hydrating eye cream that manages to moisturize without weighing down the delicate skin under your eyes. With thicker skin in the cheeks, fat transfer/fat grafting is also an option to add volume, but the nature of fat does make it less predictable. The most common complaints of young people about eye bags are they make them seem more tired, weary, and older than they actually are. The concentration of these growth and healing factors stimulate collagen, stimulate the creation of new blood vessels, improve circulation, and improve skin thickness and volume. Polymethyl methacrylate is a semi-permanent filler. Adding under eye filler to the tear trough without cheek volume to support it may cause the eyes to look puffy and unnatural. Is one type of filler the best for under eyes and tear troughs? PRP improves the quality and health of lower eyelid skin affected by pigmentation issues and iron deposits that cause discoloration. It is not very stiff and it tends not to lump up or cause discoloration but the downside is that it doesn’t provide great lift if there is a deep tear trough. Related: 15 Concealers Almost as Good as Under-Eye Filler I found that adding additional crack filler to the mixture leads to more lumps. The whole procedure, and any additional touch-ups can be performed in just a few minutes. Blueish discoloration. These thicker fillers for the cheeks also last much longer than tear trough fillers – up to 1-2 years, respectively. The inconsistent texture of fat visible in thin eyelid skin, and its unpredictability in taking to a blood supply can cause poor results in filling hollow eyes. Fillers can paradoxically add more volume to the under eye area where fat is already causing large eye bags, so an attempt to camouflage the puffiness often makes the situation worse. The upper cheeks can have a volume difference from natural asymmetry of one side from the other, or from volume loss due to aging. Oculoplastic surgeons are best trained to manage these issues and in NYC I frequently correct under-eye filler problems. A hollow tear trough can make eye bags appear larger. This filler is popular for under-eyes because it’s very forgiving for the injector. First, it was under-eye fillers, and then, I had a liquid facial at 39. Fat grafting is a double surgical procedure: one to harvest the fat, and one to place it. A second surgical fat transfer procedure is likely needed due to natural absorption of the fat by the body, and the texture and shape inconsistency of fat. However, transferring fat is deceptively complex and unpredictable for several reasons. It’s a low risk but I haven’t seen this type of problem with Restylane or Belotero. There is a perception that lower eyelid hollowing is best treated with transferring/grafting a person’s own fat. There are many other treatments for improvement of the under eye area, including skinbooster, eye wrinkle injections and RF microneedling, PRP and full field or fractional ablative laser resurfacing. I’ve used Juvederm Ultra for under-eye filling in the past and I’ve mostly switched away from these for this area because they swell more, are more likely to spread out causing the treatment to be less accurate and the product to end up in a different place than where it was meant to be injected. I performed under-eye and cheek fat injections with a lower eyelid lift surgery to smooth this woman’s under-eyes, Swelling that lasts longer than a few weeks. These days, an injectable dermal filler is the most commonly used method of lip augmentation… Continuity and contour due to hollowness under the eyes and upper cheek can be restored in minutes with dermal fillers. Skin at the cheek is much thicker than thin eyelid skin, and the cheek is also backed by the more rigid cheekbone. All of our services will be delivered in line with the UK government's social distancing measures and fully compliant with all PPE … Backfin – some larger lumps coming from, you guessed it, the back of the shell, whiter meat, does well in crab cakes, feathery texture. (This involves micro-injections of filler and Botox in specific areas of … During tear trough filler treatment, a filler called Restylane is injected into the fragile under eye skin. To paint the board mix roughly 3 parts crack filler to 1 part water (I'm guessing because I added water until I had a medium paste as seen below). Add the water to the crack filler, not the other way around and stir well with a spoon. As a specialist of the eyelids known for his results in both eye bag surgery and injectable fillers, Dr. Prasad frequently counsels his patients to understand that fillers are not appropriate for all eye bags cases. Fat can also be quickly absorbed by the body, so anywhere from 30-70% may be lost due to absorption, making an additional volume enhancement procedure necessary. Will my face ever be the same before this nightmare? Cosmetic fillers to treat under eye bags is one of the most sought treatments in cosmetic medicine. Every person is different and you need to discuss the best options for you with your doctor. It has the right balance of stiffness, cohesivity, duration of effect (about a year under the eyes), and relatively low swelling. I had Restylane-L and Restylane Lyft in cheeks, mid face, under eye area… I ABSOLUTELY HATE how I look I had 2 and a half syringes on each side of my face.. Currently the best fillers for the under-eyes for the vast majority of people are made of cross-linked hyaluronic acid (HA) gel. My slight hesitation in giving these my highest rating is that a low incidence of inflammatory nodules (bumps) have been reported to occur after 4 months with Volbella. Fillers that include HA are a top choice for patients—over 90% of filler patients receive an HA dermal filler. Before I describe the best under-eye fillers I want to share the list of fillers I don’t use under the eyes. Softer tear trough fillers made of hyaluronic acid, such as Restylane or Juvederm Ultra, can relieve the tired, hollow look under the eyes. Fat grafting is less predictable than filler because some of the cells being injected will not survive, but even at a 50% survival rate the benefits can be very worthwhile. e-Majalah Edisi 4/2020 . e-Majalah Edisi 3/2020 . They cause less swelling than the older variety of Juvederm products and are good options for shallow (Volbella) and deeper (Vollure) injections under the eyes. Many surgeons are reluctant to do under-eye fat injections and may even criticize this procedure. These include the Restylane family, the Juvederm family and Belotero. Note: This blog post is my opinion based on my extensive experience and specialized training in oculoplastic and cosmetic surgery but I discuss off-label applications for FDA-approved fillers. The Private Clinic is a multi award winning medical group with clinics located across the UK. A particular benefit of using a hyaluronic acid filler is that if the need arises, the procedure can be reversed. “Touch ups” due to fat absorption requires another surgical procedures. If there is a problem with a lump or a bulge or a discoloration (tyndall effect) or a bubble from the filler, I can take it away with an enzyme injection that dissolves the filler. They are soft, pliable, and most importantly, reversible. Hyaluronic acid—a naturally occurring substance in the body—is the most common type of filler used to get a plumper pout. Do under eye fillers really work to fix the tear trough and dark circles ? Fat also needs to be transferred to readily available blood supply in the area. It is important to often leave some fat behind and sculpt it for contour as to not leave the under eye area looking hollow. The Risks of Medical Fillers: Buford cautions about a theoretical risk of tiny lumps of filler and skin that form under the skin and that require surgery to remove. Contact us by filling out the contact form below, and we’ll get back to you. Garden City, Long Island (516) 742-4636 It tends to look lumpy and can also create long-term swelling. These fillers have a different type of crosslinking than regular Restylane making them more “flexible” which can be of benefit in areas with a lot of facial movement (especially around the mouth). Eye bags can be treated without surgery using injectable fillers, but only in cases where the eye bags are slight. JUVÉDERM ® is a long-lasting, non-surgical option that contains a modified form of HA. A Deep Dive on Dissolving Fillers: what is the enzyme and is it safe?