Tear trough fillers are cosmetic injections that offer a way to smooth the areas around the eyes, making tear troughs and eye bags less obvious, while restoring a youthful aesthetic. The area between the lower eyelid and cheek is often heavily affected by the ageing process or genetics.
The type of under eye filler
There are permanent fillers that will last indefinitely. Fillers like silicone, acrylic, and calcium. I don't recommend any of these for under the eyes. The vast majority of under eye fillers being used today are made from a string of sugar molecules called hyaluronic acid.
Juvederm and Restylane are currently the longest-lasting and most durable dermal fillers on the market. Juvederm and Restylane are families of hyaluronic acid fillers with numerous possible formulations. Each collection has numerous products catering to different cosmetic needs.
Unlike temporary and semi-permanent dermal fillers, permanent dermal fillers aren't decomposable, which means they can't be broken down as quickly by the body. They're usually formulated to be injected into parts of the body that consist of thick skin such as the nasolabial folds and can last up to five years or more.
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.
Our qualified Cosmetic Doctors use a premium range of dermal filler. A tear trough treatment starts from $409to $449 for 1ml, depending on the product used.
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.
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.
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.
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.
It's also important to remember that tear trough fillers are temporary. You'll need repeated treatments if you wish to maintain the effect. Many people repeat the injection every 1 or 2 years.
If you have puffiness
“In some patients, they have depleted fat pads, and they require more volume from filler to fill the crevice,” explains Dr Ewoma. “However, a lot of people have fat pads that are bulging, and are too big and baggy. When that is the case, filler is absolutely going to make it worse.”
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.
If a patient has bags that significantly fluctuate with factors such as sleep, alcohol, or salt intake they may not be a candidate for under eye filler. This type of bag is typically lymphatic related and is very responsive to fluid within the tissues. Filler is known to be hydrophilic, meaning it loves water.
"Theoretically, all filler has the ability to migrate," says Dr. Diamond. "That is why it is so imperative that non-surgical injectable services are performed by experts with the anatomical knowledge to prevent this from happening.
Radiesse (calcium hydroxylapatite) and Sculptra (Poly-L-lactic acid) are commonly considered semi permanent fillers but typically last 18-24 months and they do reabsorb with time. Artefill (Polymethacrylate) is the only FDA approved permanent (Non-absorbable) filler on the US market today.
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.
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.
Depending on the filler used, you can enjoy a younger looking face for 2 years but that should depend on your priorities. The results of either of the aforementioned fillers can vary from one person to the next.
Botox and dermal fillers work differently which is why they're best used in specific parts of the face. A filler is great for restoring facial volume under the eyes, while Botox is effective for smoothening the dynamic wrinkles like glabellar lines and crow's feet.
Since they're transparent, easy to smooth, and less likely to clump, hyaluronic acid fillers are the most common filler type used in the under-eye area. Hyaluronic acid provides the shortest result of all the fillers but is considered by some practitioners to provide the most natural look.
Answer: Filler
From your photo it appears you will have the best result from a combination of treatments. Fillers can be used for the cheeks and under the eyes to give a lift as well as smooth facial contours.
In most patients, the swelling is much better after 4-5 days, but there can be milder swelling which takes weeks to resolve completely. Under eye fillers can often look lumpy after the procedure. The lumpy appearance usually continues to improve over the 2-3 weeks after the procedure.