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.
They fill in the hollows under the eyes and integrate with the skin to smooth it out and reduce the appearance of wrinkles and shadows. If you have wrinkles, fine lines, dark circles, or bags under the eyes, fillers can help minimize their appearance so that your skin looks more youthful.
Botox injections in the crow's feet can help address under-eye bags as well, but similarly to laser treatments, they will only address the surrounding skin and won't get rid of the bags themselves.
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.
The simple rule? “Lines of expression need botulinum toxin. Lines at rest need filler.” Dr. Schulman says that while Botox is a great choice for hitting those “crease points” where muscles contract, fillers are best for deep lines that are present even when facial muscles are not contracting.
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.
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.
The overall aim for soft tissue filler injections in the under eye area is to improve rhytids (wrinkles) and thinning under eye skin (which leads to sagging), and to decrease bulging under eye fat as well as the tear trough depression.
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.
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.
According to Dr. Liotta, people who don't have very deep hollows can use one syringe of filler split between each eye, whereas those with significant hollowing may need one full syringe on each side.
In certain cases, such as prominent eye bags, malar oedema or festoons, fillers can accentuate the problem and cause the appearance of a swollen under-eye. Extremely rarely, fillers can be injected into a blood vessel which can cause tissue necrosis or even blindness.
With today's cosmetic technology, patients of all ages can have facial rejuvenation with injectables. The primary aim for patients over 60 is to soften lines while maintaining natural-looking results.
Dermal fillers carry the possibility of more risks and side effects than Botox. Severe side effects are rare. Moderate side effects usually go away within two weeks. However, serious adverse effects have been connected to the use of unregulated, needle-free injection devices for dermal filler procedures.
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.
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.
Getting Botox under the eyes is sometimes referred to as getting “jelly roll” Botox. The “jelly roll” refers to a slight bulge of muscle that appears under the eyes in some people when they squint or smile. Botox works by relaxing this muscle, thus producing a smoother skin surface and no bulge.
At what age should you stop using Botox? There is no upper age limit for people who want to have Botox. In fact, many women enjoy the refreshed look they can get from Botox and complementary treatments when they are in their 60s or older.
There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.
The longevity of under-eye filler, or tear trough filler, really depends on the type of filler that is used, how much is injected, and the individual's physiology. Generally, most fillers like Juvéderm will last anywhere from six to twelve months. However, some fillers may last up to eighteen months 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.
Issues in this area are often associated with looking tired. Non-surgically, tear troughs can be treated with dermal fillers injection in the mid-cheek to support the lower eyelid. Patients generally require 0.5ml to 1ml of tear trough filler to get a fresh-faced look.
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.