After reading all of the information above, you may have decided to go the cosmetic procedure-free route. Whatever your case is, it would be best to get a second opinion from a licensed professional to ensure you're able to explore all possible options for your concerns. Not necessarily. Do the pros outweigh the cons? How many syringes you need in a session depends on your doctor, but you typically won't need a full syringe for one eye. 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. What makes it so appealing is that it claims to have little to no downtime, with the results visible as soon as the procedure is over. The benefits of fillers for under-eye wrinkles or dark circles include brightening of the skin and restored volume under the eyes, Desmond Shipp, MD, board-certified dermatologist and director of cosmetic dermatology at The Ohio State University Wexner Medical Center, tells SELF. Eye fillers are considered a cosmetic procedure and are typically not covered by medical or vision insurance. 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). That was definitely an added surprise perk . Im able to achieve a more natural approach with HA fillers by placing careful amounts in this area. I use only Teosyal Redensity 2 in the tear trough area - this HA filler was formulated specifically for this area and integrates well. Complications: Early Onset. 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. Ultimately, its worth it to have an individualized consultation with a qualified health professional (again, thats a cosmetic fellowship-trained and board-certified dermatologist, an oculoplastic board-certified ophthalmologist, or a board-certified plastic surgeon or dermatologist who has experience performing many of these procedures, according to Dr. Shipp) about what youre looking for from your fillers and what you can actually expect. I suggest you contact your injector to reassure yourself that things are moving along as expected and definitely make a follow-up appointment at 2 weeks to assess your results. With that said, some practitioners have differing thoughts on the matter and would suggest surgery as a better course of action. The advent of facial fillers such as Juvderm, Restylane, Belotero . I would first make sure that the one you received is indicated for the area. I absolutely look better rested after the treatment. But this procedure can result in complications, Dr. Peredo warnsits risky in that the exact right amount of fat needs to be injected; otherwise, if too much is injected, only another cosmetic surgery (where the fat is removed) can reverse that. When it comes to fillers, less is more. What can under-eye fillers treat? That's why I caught up with Rachel Maiman, MD, a board-certified dermatologist at Marmur Medical who actually performs the procedure herself, to find out everything there is to know. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. The answer is, unfortunately, yes. 64 Lovely Valentines Day Gifts for Everyone in Your Life. 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. 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. Testing revealed bacterial contamination in some bottles of EzriCare Artificial Tears. Avoid lying down for the first four hours after getting Botox. Under-eye filler is an injection of hyaluronic acid given in the area under the eyes. | What can you expect from the treatment? This effect dissipates over days and weeks but some HA fillers hold on to water more than others. Discover new workout ideas, healthy-eating recipes, makeup looks, skin-care advice, the best beauty products and tips, trends, and more from SELF. Total cost for most Restylane procedures runs between $275 and $700. Injectors are often tasked with improving not just hollows but also bags resulting from bulging under-eye fata much taller order, by all accounts. The Rejuvent Medical Spa and Surgery . Injectors tend to neglect this triangular divot, says Dr. Biesman, but injecting it makes all the difference from an aesthetic perspective.. It's also normal to feel the sensation of slight pressure as the volume of filler is slowly injected into tissues., Youre not going to spend all day at the derm or all week in your bed after this one. Blurring that border can make the whole face look fresher. In a few seconds, the fillers smooth out eye hollows and circles like they were never even there. Remember when I said under-eye filler lasts a while? Here's a quick guide. Fact: Nope. (You can find it in a product called Auriderm .) Do not redistribute or repost without permission. But there are still some major irreversible risks associated with under-eye fillers. 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. First of all, youre definitely not alone in noticing dark or hollow under-eyesthis common issue can be a result of genetics, the natural aging process, or lifestyle factorslike not getting enough water or sleep. If you do experience some swelling, though, dont sweat ityou can use a cold compress on your under-eyes for 5 to 10 minutes every hour to bring it down, Dr. Shipp suggests. Please help . Is Skin Cycling the Secret to Better Skin? Estimates vary widely, but under-eye fillers cost between $600 to $2,000 depending on where you go. The ingredients and instruments should be taken into consideration, as they will impact your side effects if any. | Can you treat sunken eyes without fillers? I wouldnt let anyone fill my under-eyes, and I wont do it to anyone else. It is perfectly normal to have a lump or bump after getting filler. But for some people, dark circles are actually a shadow effect that comes from volume loss, which can be corrected with filler.. Additionally, patients should avoid excessive heat and exercise for the first 24 hours to help with both swelling and redness. My favorite filler for under the eyes is Restylane L not Restylane Defyne or Refyne. Which filler is best for the treatment of under eye tear troughs? It wont work magic, but it is a (typically) more affordable, needle-free alternative to under-eye fillers worth considering. Thats why we asked a few top dermatologists what you should know ahead of making an appointmentthe expert advice below can help you decide whether or not under-eye fillers (or just a better eye cream) are the right move for you. Despite the broad appeal of this eye-brightening fix, tear-trough filler injections are not without controversy. "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. The exact target for under-eye filler depends on the patient: is there an isolated hollow at the inner corner or a more widespread depression spanning the length of the lower lid? The lifespan of the filler depends on a couple of factors such as how your body reacts and the type of filler used. Fillers in this area work best for people who have only small or no under-eye bags. Make sure you have a thorough medical consultation about your health history with your dermatologist before you start any cosmetic dermatological procedure (a board-certified doctor should do this automatically). 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). Whats most important is the hand holding it.. But patients will get results of varying quality, based on skin elasticity and other anatomical considerations. 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. The photos say it all. The main reason for putting fillers under your eyes is to fill a hole under the eye colloquially called, yes, a tear canal, tells SELF Noelani Gonzalez, MD, a board-certified . All surgical and non-surgical procedures involve some risk. You may actually spend closer to $950 to $1600 per procedure, says Dr. Peredo. Images are shared with patient consent. Brighter and softer for a more alert look This is an example of a tear trough augmentation & cheekbone augmentation procedure I did today injectables only and no downtime (though redness, bruising, and swelling are always possible). 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). Both of those issues should resolve within a week. . But, as we mentioned, it does degrade over time, meaning that your fillers will be temporary. This cuts way, way back on any potential pain, though your mileage is going to vary here, of course. My extensive knowledge of the facial anatomy guides me every step of the way when it comes to helping patients look and feel better than they ever have! 3. That thin skin makes this area especially prone to bruising, one of the most common side effects of fillers for eyes. Some patients find the popping sound unsettling, says Dr. Maiman. Since this filler has a higher amount of hyaluronic acid (HA) it works to keep your skin supple and moisturized, and it even boosts your collagen production (preventing future lines and wrinkles). The New Obesity Guidelines for Kids Are Appalling. 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. For the most part, after the procedure, youll start to notice results right away. Sometimes a subtle improvement is better than a perfect correction, because the correction may look odd but an improvement will look good.. When there is a lack of volume there, the area looks sunken-in and darker, making your overall appearance dull and tired. Still, all filler injections come with the possibility of adverse reactions, the risk of which is reduced significantly by doing your homework and going to an injector with appropriate credentials., Most of Dr. Maiman's patients choose to go with a topical anesthetic, which is left on for 20 to 40 minutes before the injection area is sterilized and the procedure takes place. In April I had a reaction to under eye filler. My point? I noticed there were clearly visivle lines under my eyes. . Made with #zbrush #c4d #redshift #botox #cosmeticinjector #injectorpractitioner #cosmetics #anatomy #art #anatomicalartist #muscles #medicalillustration #kybella #dermatology #dermatologist #plasticsurgeon #plasticsurgery #face #agedefying #medicaleducation #medicalschool #beauty #skin #aesthetics #aesthetician #kevincease, A post shared by Kevin Cease (@kevincease) on Jul 5, 2019 at 11:58am PDT, However, Dr. Biesman insists that the under-eye, when filled properly, is actually one of the safer areas to inject and that the relative risk of vascular compromise is surprisingly low., Dr. Beleznay, who has co-authored several studies on vascular compromise, confirms that while there is a risk of vascular complications under the eyes, there are more reports [of blindness] from the glabella [between the brows], nose, forehead, and nasolabial folds., Love this striking image from @drkatiebeleznays Avoiding and Treating Blindness: A Review of the World Literature published in Dermatologic Surgery in 2015. That being said, certain arteries are more perilous than others. No photographs were used in the making of this project. They can be dissolved with a hyaluronidase enzyme, which means you've got options if you don't end up loving your look. At Dr. Shafer's New York City-based practice (so potentially more expensive than a rural Midwest practice), one syringe of under-eye filler costs $1,200 and will take care of both under-eye . There is always some swelling after filler injection that can take usually 1-2 weeks to settle down. 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. I wish you best results. The best filler to help soften and reduce marionette lines, lip lines, and wrinkles is Juvederm. Its like the best concealer in the world you never have to wash off. Under-eye filler is a cosmetic procedure used for those with a sunken-in lower lid. We recommend waiting at least a week after dermal fillers before doing any strenuous exercisethis will avoid the risk of infection. You're not going to spend all day at the derm or all week in your bed after this one. SELF may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. 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. 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. fillers under the eyes often look lumpy after the procedure. Patient 1 - Before and seven months after lower blepharoplasty surgery. Aside from that, there is no real aftercare required.. But can the procedure ever backfire? Similarly, you will see the results of the injected filler almost immediately after the procedure. However, doctors who have been doing it for many years have preferences based on characteristics of the fillers. This is not to be considered as individualized medical advice. Lumps or bumps in the lips are more common because we have a lot of these little bumps anyway. Notice the area appears red and/or hot to the touch. 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. "These are all warning signs that you should go back to your provider and have them look into it.". This occurs when the filler is inadvertently injected into a blood vessel, which then obstructs essential blood flow, says Dr. Maiman. But they're also super appealingespecially if you've slathered eye creams and color-correctors over your dark circles to no avail. But after two weeks, any bruising and swelling should be gone -- and you should look great! Knowledge is powerand crackerjack injectors, wise to complications, know precisely how to defend against them. To avoid swelling, dermatologist Desmond Shipp recommends avoiding contact with the area for at least three hours and keeping an upright position, even when sleeping, if possible (via Self). That means you won't have to worry about your under-eye filler disappearing overnight. In that case under-eye fillers are probably the best short-term solution. Getting a fat transfer filler requires the patient to undergo liposuction beforehand. Another interesting thing about HA fillers? An equally critical spot is the lateral canthus, or the outer corner of the eye where the upper and lower eyelids meet. Removing the under eye bags helps her look awake and refreshed. Before you delve further into the best under-eye filler for your specific dermatological goals, lets discuss your options, namely hyaluronic acid fillers like Juvederm versus Botox. 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. 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. It is important to schedule a follow-up appointment to ensure that your results are as expected. Thats the moral of pretty much every aesthetics story, is it not? When you examine before and after photos, look at the light reflections in the persons eyes. With many products, especially any of the Restylane products, it is essential to NOTfill to completion as the product will undergo periods of swelling and retracting and then finally settle down at 2-3 weeks. There are currently only a few recommended hyaluronic acid fillers indicated for under eye treatment. Hope that helps. Youre best off going to an experienced doctors office rather than a medspa for any kind of filler procedure. Which is why were launching a new series on RealSelf: Everybodys Doing It. 11. A consultation is required to determine if a treatment is right for you. #oculoplastics #asoprs #boston #wellesley #teartrough #teartroughfillers #undereyefillers #darkcircles #darkcirclesundereyes #lookingtired, A post shared by Cosmetic Eyelid Surgery Expert (@bostoneyelids) on Nov 29, 2019 at 4:08am PST. The fillers smooth out eye hollows and circles like they were never even.! 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