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.
There are potential risks and side effects.
Common side effects include bruising and swelling, and nodules and bumps under the eye can occur. “Blindness is a rare side effect if the filler enters a blood vessel of the eye and occludes it,” she says, hence the importance of seeing a well-trained injector.
When too much product is used, swollen pockets under the eyes after fillers is a common complication. The area can appear puffy, with irregular lumps. Too much filler can also cause the Tyndall effect and blue discolouration of the skin.
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).
If you're getting a tear trough treatment, the artery your injector needs to be extremely cautious about is the infraorbital artery. There are categories for complications around the nasojugal groove that make it a “danger zone”: immediate or delayed complications.
Avoid caffeine for about 24 hours before your procedure and avoid other foods or drinks that have a dehydrating tendency, as this could slow the healing process. It's a good idea to reduce your salt intake for a couple of days before your appointment, especially if you're getting dermal filler.
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.
Restylane-L is the best under eye filler in the market while it's FDA-approved and helps to give that subtle change that will just slightly change the way you look.
If you're looking to a dermal filler to combat signs of aging, your mid-20s is often a good time to start. Your body starts to lose bone and collagen around age 26, so it's a good time to begin maintenance injections. By starting early, you'll use require less product than if you wait until your mid-50s.
The age that most women get dermal fillers is between 40 and 54. According to the American Society of Plastic Surgeons Annual Report, this age range received over a million soft tissue filler treatments in 2016, good for 17 percent of all procedures.
Among HA fillers, Restylane was the most common (54.7%), followed by Teosyal Pure (9.8%) and Juvederm Ultra XC (9.8%). Overall patient satisfaction rate was 84.4%, with overall long-term patient satisfaction (6+ months later) of 76.7%.
When you use dermal fillers (hyaluronic acid fillers), you can solve issues such as dark circles or plumping facial areas that have lost smoothness. Regardless of that, we recommend you use Botox for under-eye treatments to stop wrinkles and eye puffiness since fillers are better if you want to treat dark circles.
Using too much dermal filler can distort your face, make it look asymmetric and aesthetically out of balance, and in some cases, it can even make you look older than you actually are.
Patients should avoid using make-up or other skincare products for at least the first four hours following the treatment. Patients should also avoid exercise and alcohol for two days and are advised to stay out of extreme heat (e.g. saunas, sun beds, tanning) or coldness for two weeks.
Best Sleeping Positions After Filler Treatment
Sleeping on your back is the safest position after any cosmetic procedure. The first night after your treatment, sleep with your head elevated (propped up with an extra pillow) to help avoid/reduce swelling and to ensure that the newly-injected filler stays in place.
Under eye filler bruising
One of the most common side effects of dermal fillers is bruising. Even if you have never bruised before, it is always a possibility. Why? Because bruises are just a small hematoma; they occur when small blood vessels get punctured and leak into the soft tissue beneath.
Are dermal fillers safer than Botox? Dermal fillers and Botox are both extremely safe, provided they're administered by an experienced and qualified practitioner. Botox has been used for decades to treat prominent wrinkles. It's a prescription-only medicine and is certified for medical and cosmetic treatment.
Where Facial Filler Migration Occurs. In rare cases where there is facial filler migration, it typically occurs in two locations. They are most likely to migrate around the lips or under the eyes. It often is shown on social media as protruding [or receding] slightly, like an artificial trail of lumps.
Since the tear trough area is a hard area to treat with dermal filler, it's important that you're the right patient for this treatment. People who are not the right candidate for tear trough filler treatment have: Overly crepey, wrinkly or loose skin under the eyelid. A sizeable fat bulge under your eyes.
Tear trough fillers are made from hyaluronic acid, a naturally occurring substance which is known for its ability to attract water. Because of this, it is not suitable for people who are prone to fluid retention and puffiness under their eyes.
"Tear trough filler, for example, when injected too superficially, can migrate and cause lymphatic obstruction which can be present for years and years after the treatment date," shares Dr. Diamond. "It can cause a chronic and persistent problem that subjects a patient to explore remediation."
You can begin to consider fillers as early as your twenties, and these treatments can be effective at any age.
Results using a hyaluronic acid-based filler can last 12 months or even longer when treating the tear trough area under the eyes.