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Herniated Fat Pads Under Eyes. Would Belotero Be Effective? (photo)

I have read about a new alternative to Restylane and other fillers, called Belotero. I have a serious case of herniated fat pads under eyes, and am curious whether injecting Belotero might disguise these. I also read that this is FDA approved. Is that correct? Thank you.

Doctor Answers (13)

Beletero for herniated fat pads?

+2
Nothing short of blepharoplasty can fully correct a weakened or defective orbital septum with herniation of fat.  But I have seen tremendous improvement in this problem with Beletero.  Beletero dies nit pull ir push the fat back, but it can smooth the furrows and hollow areas such that the fat is less apparent.  

You should undergo a careful pretreatment evaluation, including a history and examination, before having Beletero. and physicians will be cautious about injecting anyone with a history of puffiness under the eyes in the morning that improves during the day. Your dictir will also be cautious about injecting someone who has had surgery to the lower eyelids, as these patients can have compromised lymphatic drainage from their lower eyelids, making it difficult to for the periorbital muscle and lymphatics to eliminate the fluid that is attracted to some types of fillers. It might help also to limit the amount of filler injected in this area in one session.            

You can try the Beletero first to see if you are happy with the degree of correction, especially since it is very difficult to inject fillers under the eyes of someone who has already had lower eyelid surgery without getting some side effects, such as persistent edema. 
  


New York Dermatologist
5.0 out of 5 stars 5 reviews

Belotero Under The Eyes

+2

One of the more difficult treatments with facial filler is under the eyes and cheek additions.  Belotero has several properties which make is a good choice for this, although other HA products can be used her quite successfully as well.

 

Seek an experienced injector for this area.  Less is more as under the eyes as well.  80% treatment (slight undercorrection) under the eyes is better than 105% (i.e. slight overcorrection) as the margin for error here is quite slim.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 71 reviews

Belotero is a great choice for under eyes

+2

Belotero is a new FDA-approved filler with properties that make it ideal for treating under the eyes.  It is important to know that this is an off-label indication for the product.  It is approved for naso-labial folds.  This is a difficult injection, so make absolutely sure that you are going to a board-certified facial plastic surgeon, general plastic surgeon or dermatologist for treatment.

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Belotero - New FDA Approved Filler for Under Eyes and Other Areas

+2

Belotero would be a good option for injection under your eyes to help disguise your herniated fat pads and improve the appearance of this area. It is a soft, flowing filler that is usually injected superficially and can be molded to give the best results. Belotero is FDA approved for the same indication as other hyaluronic acid fillers such as Restylane and Juvederm. 

Hema Sundaram, MD
Rockville Dermatologic Surgeon
3.5 out of 5 stars 6 reviews

Belotero for under eyes

+1
Belotero is a newer hyaluronic acid; however, it's one of my favorites as it is currently the thinnest filler on the market (Restylane Silk, which will make its debut in 2015, maybe even thinner). It works great in thin areas such as around the eyes to camouflage fat pads and in lip lines. Around the eyes, we're getting more than a year in many patients. Around the lips, unfortunately, similar to the other hyaluronic acids, we are getting maybe 4 months.

Around the eyes, you really need an experienced injector.  It will not camouflage the bags completely however it can make a nice improvement in the area.  Belotero is not FDA approved around the eyes (but neither is any other filler and Belotero is still used in this area).

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Herniated fat pads under eyes

+1
Belotero is a great filler for under the eyes.  It is a hyaluronic acid filler that is less viscous than other fillers.  This makes it a great choice for under the eyes as it can appear less bumpy/lumpy. 

That being said, you need to be careful when getting filler under the eyes if you already have some bulging or puffiness there- sometimes fillers can worsen the appearance of this puffiness. 

I would recommend that you find an expert injector in your area who is experienced with under eye fillers.

Erica Linnell, MD
Seattle Dermatologist
5.0 out of 5 stars 4 reviews

Belotero for tear troughs

+1
Belotero would an excellent choice in your case. This product is not FDA approved for this particular indication. Careful placement of product in this area can ease the transition between the lower eyelid and the mid cheek area. 

Jennifer Ahdout, MD, FAAD
Beverly Hills Dermatologist
5.0 out of 5 stars 10 reviews

Belotero is a great new filler for the under eye area

+1
I love Belotero as a new filler for fine lines or suble delicate areas such as under the eyes. Find a board certified dermatologist who has a great deal of experience since this is a tricky area to treat.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 27 reviews

Belotero Under the Eyes

+1

Belotero is a great choice for under eye treatment of a nasally located depression or shadow.  This is the area below the fat pad.  By elevating the depression, you make the fat pad less noticible.  This is FDA approved.  An advantage of Belotero is that you don't need to significantly undercorrect like some of the other fillers.  This is because it causes less of an osmotic gradient and draws less fluid to the region.  Good luck.  You look like a good candidate. 

Steven J. Covici, MD
Springfield Oculoplastic Surgeon
4.5 out of 5 stars 12 reviews

Belotero is a great option for under-eye hollows

+1

Belotero is a new FDA-approved hyaluronic acid filler. Restylane and Juvéderm are also HA's, but each one has unique characteristics. Belotero is very well suited for use in the under eye area. It is very soft and blends into the area nicely. It won't look like a "tube" has been placed there. It also is hard to detect because it doesn't "show through" the thin skin of the under eye the way Restylane or Juvéderm sometimes can if it is placed too superficially. It isn't likely to cause excessive swelling because it doesn't draw in as much water as Juvéderm or Restylane.

Filler in the under eye area can be a very rewarding way to camouflage a protruding fat pad. Be sure to see a physician who is very experienced with placing filler in this area. It's not a place for a novice injector. 

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.