Dr. Maiman says that under-eye fillers are great if you need to fill up lost volume—meaning you have noticeable tear troughs and physical hollows beneath your eyes—but they aren't necessarily an instant fix for all dark circles. “Filler won't help pigmentation.
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.
Benefits of Under-Eye Filler
The reason these results are even seen is due to what hyaluronic acid injections—such as Belotero, Juvederm, and Restylane—actually do for the under-eye area. “Hyaluronic acid injections plump fine lines and wrinkles, smoothing the overall complexion and adding volume,” Engelman says.
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.
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.
Under-eye bags cannot be treated with Botox as it can make the bags look worse due to fluid retention. Dermal fillers are used to fill the tear-troughs. Botox is used to treat prominent wrinkles such as frown lines and crow's feet, which worsen when the muscles in these areas move.
Early fillers used purified collagen to restore and rejuvenate the skin. The dermal fillers mentioned are not permanent, and breakdown in the skin over time. “Since the results are only temporary you can expect your pre-treatment wrinkles to re-appear after the effects of the fillers resolve,” explains Dr. Hanson.
Fillers work by tissue expansion, similar to how a sponge expands when absorbing water. Fillers expand the facial tissue to add volume in the targeted areas. Lines around the eyes and hollows or dark circles under the eye can be plumped up with fillers for a more youthful appearance.
CO2 laser resurfacing is another excellent, non-surgical way to achieve immediate results in creating a more youthful looking eye area. CO2 therapy improves skin tone and texture, and tightens the skin around the eyes to diminish the appearance of fine lines and wrinkles.
“Proper placement of mid-face and lower face filler should not significantly affect the smile,” he shares. With that said, “if an overly firm filler is used or if the region is overfilled, an unnatural appearance can result as the lips push against stiff surrounding tissues,” he adds.
Filler can have the opposite effect on eye bags, making them bigger and err, blue.
"Botox in the crow's feet can help reduce the tension around the eyes and relax the wrinkles, which can help improve the appearance but will not remove the eye bag," Dr. Shafer says. Like filler, Botox is only temporary and will need to be injected every three to six months to maintain results.
The effects of eye fillers typically wear off after 9 to 12 months, which means it's time for a touch-up. As fillers injected for touch-ups usually last longer than those injected for the first treatment, people who return for a second treatment often wait a longer time between treatments.
FDA warnings about unapproved fillers
Using injectable filler for large-scale body contouring or body enhancement can lead to serious injury, including long-term pain, infection, permanent scarring or disfigurement, and even death.
"By putting fillers under the eyes, you can actually lift and shift the skin," says Dr. Marmur. "We add filler so that your skin has something to slide over smoothly instead of creating a wrinkle.
But the good news is that dermal fillers, also known as injectable filler treatments, are a great solution to this, as they give you a tighter, more refreshed look. So how many years younger can dermal fillers make you look? Dermal fillers can actually reduce perceived age by 5 to 10 years.
The best candidate is a patient who has hollowing or darkening under the eyes. They have good skin thickness and elasticity that will allow for a natural augmentation under the eye. Some bruising can be expected after this procedure along with some swelling.
Under-eye fillers can address wrinkles and fine lines and, because they fill the hollowness under the eyes, they can even out the sunken appearance of the under-eye area, Dr.
A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it's rare for people to need future touch-ups.
Also known as collagen-induction therapy, microneedling uses tiny needles on the top layer of skin to trigger your body's natural production of collagen and elastin to plump up your skin's appearance. Dermal fillers gently lift the area to improve dark circles and reduce the appearance of eye bags.
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.
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.
In most cases, you can manage under eye hollows at home. To take care of them without invasive treatments or a visit to the doctor. Stay hydrated. Not getting enough water or drinking too much alcohol can dehydrate you.