The procedure typically involves injecting hyaluronic acid beneath your lower eyelids. This makes the area look fuller. Since the effects are temporary, you'll need to repeat the treatment every 1 or 2 years. It's also a cosmetic procedure, so it's not covered by insurance.
The way the under eye filler is placed
The truth is that all hyaluronic fillers stay in the body for longer than a year, sometimes they last for 5 years (I've seen it). Over time the fillers gradually degrade from as our body creates and enzyme called hyaluronidase that cleaves the bonds of the sugar chains in the gel.
Once under eye filler wears off it will not cause more wrinkles, but your skin will resume the appearance it had prior to the filler injections.
You may ask how long do the under-eye fillers last. The effect is temporary, so you may expect your filler to serve you for up to 6 to 18 months before you need another. You will see the results immediately. But you will only be able to assess full effects after 1 or 2 weeks.
Avoid drinking alcohol or partaking in strenuous exercise, as it may result in additional bruising. Until the swelling and redness have resolved, avoid intense heat in the treated area(s). This includes sunbathing, tanning, saunas, hot tubs, or hot wax. Also avoid extreme cold such as skiing or other winter sports.
According to the American Society of Plastic Surgeons, you can expect some bruising, since the under-eye area has thinner skin with lots of blood vessels. Swelling is common as well. There are other possible side effects: If the fillers aren't injected correctly, the area can end up looking more swollen and discolored.
Under-eye filler can help get rid of eye bags, dark circles, and fine lines around the eyes. The typical cost of under-eye filler is $1,000, but it could vary based on how much you need. But fillers aren't a permanent fix — you need to get them redone every 6-18 months.
Many plastic surgeons say that Juvederm and Restylane are the most durable and longest-lasting fillers available. Both contain hyaluronic acid and are good for smoothing wrinkles and lines. Hyaluronic acid carries 1,000 times its weight in water and makes the skin look young, supple, and soft.
Fillers are a great option for patients seeking a softer, more youthful look. However, if used improperly or over used, fillers can have negative long term consequences. In fact, patients who do not properly use filler could actually speed up their skin's aging process, resulting in older looking skin.
Over time, as facial movement increases in areas like the lips or cheeks, it causes the filler to break down and dissolve at a quicker rate. This makes the filler disappear faster in more active areas of the face.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
Although rare, complications from dermal fillers can be devastating. The most serious complications are vascular. Vascular occlusions can lead to necrosis (tissue death), scarring and, even more seriously, blindness. Indeed, dermal fillers have already led to 98 reported cases of blindness (Beleznay et al, 2015).
A very common problem that we see in our clinic is the worsening of malar bags as a result of previous tear trough filler treatment. As fillers tend to cause swelling, any patient with malar bags or festoons should avoid filler treatment, as this will only exacerbate the problem.
As well as stretching of the skin, excessive use of fillers can result in longer term damage including wrinkling of the lip and disturbance of the attachment of the facial fat pads and some degree of irregularity and ageing of the skin, he explains.
“Each syringe contains 1ml, which is the equivalent of one-fifth of a teaspoon's worth of volume,” says Zeichner. And while “in some cases it takes more than one syringe to achieve optimal results,” he notes, most patients require only a single syringe to fill the hollows beneath both eyes.
Most experts agree that patients in their mid to late twenties and thirties are at a great age to start treatments. By injecting the muscles that typically cause wrinkles around the mouth, eyes, and eyebrows before they start developing, you are preventing them before they happen.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an inexperienced or underqualified injector.
The tear trough which is lower on the eyelid skin adjacent to the beginning of the top of the cheek, can be filled below the muscle and gives a more natural appearance. It won't freeze your face when you smile because you should not get such a large volume that it interferes with your smile or lumps up.
However, the use of too much filler results in overly puffy cheeks which look unnatural and inappropriate for their age. The pursuit of the “apple cheeks” have also contributed to this syndrome. Overfilling in the cheeks and under the eyes obliterates the natural lid-cheek junction.
People with higher metabolisms will experience shorter filler results because their bodies will break the filler compound down faster than those with slower metabolisms. The same goes for other treatments such as BOTOX® and Dysport®.
Previously plump areas look deflated
If your pout isn't looking particularly plump anymore, there's a good chance your lip filler has faded. Similarly, if your cheeks do not appear as lifted, it could be time for another appointment.
Some dermal fillers have been studied to last close to two years. The three fillers that tend to last the longest are Restylane Lyft, Restylane Defyne, Restylane Refyne, Juvederm, Voluma, Radiesse, and Sculptra. Restylane Defyne is built for balance and used in the nasal labial folds and marionette lines.
Dermal Fillers
Restylane and Juvederm products typically last a bit longer than Botox: about four to six months. Other fillers, such as Perlane, are thicker and can last six to nine months. Radiesse can last nine months to two years.