Evaluation of the patient will include assessing skin thickness, elasticity, hollowness, bags present, and placement of the orbital rim. 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.
In some cases, facial filler injections that are placed underneath the eyes can lead to additional swelling, and can make a festoon pocket appear more evident or larger. At times, the festoon pocket may persist for a longer period even after an unwanted facial filler product is dissolved with hyaluronidase.
Tear trough filler is suitable for patients who have a visible hollow or groove under their eyes requiring volume replacement. Tear trough hollows can be genetic and so some people may notice them very early on in life and would therefore be suitable for a tear trough filler treatment in their early twenties onwards.
Patients with a history of extreme allergies might not be good candidates for certain types of injectable fillers because they could lead to an allergic reaction.
There are also occasions where patients who get fillers frequently do not respond as well to the same filler since the injected tissues start to develop channels, swelling or firmness. For instance, Radiesse can form tissue tracks after as little as 3 serial treatments.
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.
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.
Tear trough fillers are an increasingly popular non-surgical aesthetic treatment amongst younger people. However, individuals of any age can undergo the tear trough filler procedure if they seek a fresher, more rejuvenated look, and a break from tired looking eyes by restoring volume loss.
Specifically, the six danger zones are the glabellar area, temporal region, lip and perioral area, nasolabial fold area, nasal area and the infraorbital area.
You may not be an ideal candidate for tear trough filler if you have: Very thin skin. Dark circles caused by lifestyle habits or genetics. Medical conditions that add a risk of complications.
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.
Overall patient satisfaction rate was 84.4%, with overall long-term patient satisfaction (6+ months later) of 76.7%.
As we age, there is a natural decrease in fatty tissue under the lower eyelid and upper cheek area. The skin and muscles of the lower lid slowly lose elasticity and no longer remain tightly secured in place. These changes can eventually cause the tear trough depression to become puffy or bulge away from the face.
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 the filler is injected too close under the skin, it may bulge out and become visible." Plus, there's also the possibility, especially with fairer skin tones, that fillers could cause something known as the Tyndall effect, which is when hyaluronic acid fillers are injected into the superficial dermis or epidermis.
Can tear trough fillers move? Yes they absolutely can unfortunately - tear trough fillers can migrate to other parts of the face.
When doctors inject facial fillers between eyebrows and into smile lines, this can affect blood supply to the critical retina that interprets light. In a worst-case scenario, an eye could go completely blind.
The effects of the fillers will wear off after months or years, but the treated area is likely to return to its original state. The benefits of both Botox and fillers will be gone and you'll notice that those lines and volume loss will come back.
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®.
Undereye filler can last anywhere from 6 to 18 months.
“Because the area doesn't get a lot of movement—unlike, for example, the mouth, which talks and eats and moves quite a bit—it's one of the areas that holds on to filler the longest,” she explains. “The less movement, the longer it lasts.”
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.
Not sure if you've experienced under-eye volume loss? Dr. Maiman suggests holding a mirror in front of your face and looking up so the light hits your under-eye area directly. “If the shadow under your eyes disappears in the light, the dark circle are likely caused by hollowness and may be amenable with filler.