{"id":17153,"date":"2021-03-26T13:06:38","date_gmt":"2021-03-26T20:06:38","guid":{"rendered":"https://www.realself.com\/news\/?p=17153"},"modified":"2023-10-12T16:51:59","modified_gmt":"2023-10-12T23:51:59","slug":"under-eye-filler-before-afters","status":"publish","type":"post","link":"https://www.realself.com\/news\/under-eye-filler-before-afters","title":{"rendered":"4 Things to Always Look for in Under-Eye Filler Before-and-Afters: Experts Say the Best Results Have These in Common"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p class=\"has-small-font-size\"><em>This story has been medically reviewed for accuracy by Nashville, TN board-certified oculoplastic surgeon <a href=\"https:\/\/www.realself.com\/dr\/brian-biesman-nashville-tn\">Dr. Brian Biesman<\/a> on November 3, 2020.<\/em><\/p><p>The eyes have long been likened to windows&mdash;but the eye<em>lids<\/em>, anatomists argue, may be even more revealing. It&rsquo;s here that we have &ldquo;the thinnest skin of the entire body,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/jason-d-bloom-bryn-mawr-pa\">Dr. Jason Bloom<\/a>, a board-certified facial plastic surgeon in Bryn Mawr, Pennsylvania. It&rsquo;s so diaphanous, it can hardly conceal the anatomy beneath. &ldquo;The orbicularis muscle [encircling the eye] can show through the [lower lid] skin as a darker, redder area,&rdquo; he notes. Similarly, the vast network of blood vessels residing here may radiate an inky indigo, especially in fairer skin types. And as the fat pads around the eyes wear thin, the resulting volume loss exposes shadowy hollows that no eye cream can fix.&nbsp;&nbsp;<\/p><p>Given the tear trough area&rsquo;s irregular terrain and sheer quality, plumping hyaluronic acid <a href=\"https:\/\/www.realself.com\/injectable-fillers\">fillers<\/a>, such as <a href=\"https:\/\/www.realself.com\/nonsurgical\/juvederm\">Juv&eacute;derm<\/a>, <a href=\"https:\/\/www.realself.com\/nonsurgical\/restylane\">Restylane<\/a>, and <a href=\"https:\/\/www.realself.com\/nonsurgical\/belotero\">Belotero<\/a>, can often impart a sort of filter effect, leveling valleys for a more even tone, filling out crepey fine lines, and helping to boost collagen production in the long-term. &ldquo;One syringe can be so brightening,&rdquo; Dr. Bloom says. When this nonsurgical, no-downtime rejuvenation treatment is done right, &ldquo;patients get this wow result.&rdquo;&nbsp;<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CFcdMEkDcl3\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CFcdMEkDcl3\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CFcdMEkDcl3\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">You may recognize her from the office, but my young medical assistant was bothered by her undereye darkness, hollowing and shadowing. A single syringe of hyaluronic acid filler helped to restore volume and contour to her lid-cheek junction, giving her a more refreshed look. #undereye #filler #injectables #hellobrighteyes #aesthetics #hyaluronicacid #undereyefiller &#128065; &#128065; &#128293; @drjbloom @bloom.facial.plastics<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/drjbloom\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Jason D. Bloom, MD, FACS<\/a> (@drjbloom) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2020-09-22T15:56:14+00:00\">Sep 22, 2020 at 8:56am PDT<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Great filler treatment results start with good candidates&mdash;the best being those &ldquo;in their 20s and 30s with under-eye hollows, minimal skin laxity, and little to no lower eyelid puffiness,&rdquo; explains <a href=\"https:\/\/www.realself.com\/dr\/mitesh-kapadia-wellesley-ma\">Dr. Mitesh Kapadia<\/a>, a board-certified oculoplastic surgeon in Wellesley, Massachusetts. &ldquo;Trying to fill the wrong candidate often leads to an unnatural appearance.&rdquo; When imprudently applied, tear trough filler can make bags look bulkier and cause loose skin to turn lumpy.&nbsp;<\/p><p>When reviewing an injector&rsquo;s B&amp;As, look for these signs of authentic under-eye filler finesse.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in eye bags treatment?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=eye+bags+treatment\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-1-a-smooth-transition-from-lower-lids-to-cheeks\">1. A smooth transition from lower lids to cheeks<\/h2><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/B9UNk8Hn7X_\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/B9UNk8Hn7X_\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/B9UNk8Hn7X_\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">These photos show a woman in her mid-30s before and three weeks after filler injections to the lower eyelids and midface. Three vials of filler were used to produce this result.&#10240; &#10240; Before the procedure, there are mild under eye bags and hollowing in the inner cheeks, which give the patient a tired look. After adding volume to the midface and creating a smoother eyelid-cheek junction, she looks refreshed and less tired. She still looks like herself and doesn&rsquo;t look unnnatural. &#10240; &#10240; &#10240; &#128313;&#128313;&#128313;&#128313;&#10240; Appointments:&#10240; Wellesley Private Practice 978-393-5437&#10240; office@bostoneyelids.com&#10240; Boston at Tufts Medical Center 617-636-7771&#10240; Website: www.bostoneyelids.com&#10240; &#128313;&#128313;&#128313;&#128313;&#10240; Procedure: lower eyelid and midface fillers&#10240; Goal: reduce appearance of under eye bags&#10240; Costs: $700-$1800, $1800 for this patient (three vials of filler)&#10240; Lasts: 1-3 years&#10240; Downtime: varies, usually a few days&#10240; Anesthesia: topical numbing cream&#10240; &#128313;&#128313;&#128313;&#128313;&#10240; Photos used with patient permission and copyrighted. Do not redistribute or repost without permission. Individual results may vary. Prices subject to change. All surgical and non-surgical procedures involve some risk. A consultation is required to determine if a treatment is right for you.&#10240; &#128313;&#128313;&#128313;&#128313;&#10240; #oculoplastics #oculoplasticsurgery #oculoplasticsurgeon #blepharoplasty #boston #wellesley #plasticsurgery #antiaging #beforeandafter #eyelidsurgery #eyelift #eyelidlift #nonsurgicalblepharoplasty #eyelidplasticsurgery #eyeplasticsurgery #fillers #teartrough #undereyebags #eyebags #lookingtired #lookingold #plasticsurgeon #eyelidsurgeon #asoprs #surgeon #darkcircles #eyelidexpert #beautifuleyes<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/bostoneyelids\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Cosmetic Eyelid Surgery Expert<\/a> (@bostoneyelids) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2020-03-04T14:54:44+00:00\">Mar 4, 2020 at 6:54am PST<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>&ldquo;The only lower lid issue that&rsquo;s truly improved by filler is hollowing or a concavity that you see as a shadow,&rdquo; says Dr. Bloom. When filling the sunken spaces that typically manifest as dark under-eye circles, injectors should correct to 100%&mdash;and stop, he adds, creating an even plane from the bottom lashes to the tops of the cheeks. &ldquo;It shouldn&rsquo;t be concave, and it shouldn&rsquo;t be convex or rolling out&mdash;it should just be smooth.&rdquo;<\/p><p>While seconding the importance of an uninterrupted lid-cheek junction, Dr. Kapadia offers one small caveat: At the innermost corner of the tear trough, &ldquo;it&rsquo;s natural to have some degree of concavity, [and] trying to get rid of this completely often leads to an overfilled appearance.&rdquo;<\/p><p><em>Related: <a href=\"https:\/\/www.realself.com\/news\/concealers-almost-as-good-as-under-eye-filler\">15 Concealers Almost As Good As Under-Eye Filler<\/a><\/em><\/p><h2 class=\"wp-block-heading\" id=\"h-2-undetectable-filler-no-bulging-or-blue-tint\">2. Undetectable filler&mdash;no bulging or blue tint<\/h2><p>Beyond irregular contours, the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5300720\/\" target=\"_blank\" rel=\"noreferrer noopener\">Tyndall effect<\/a> is another dead giveaway of having under-eye filler. The skin at the injection site appears blue, due to the precise way light scatters when it hits the gel particles beneath. According to <a href=\"https:\/\/www.realself.com\/dr\/jessie-cheung-willowbrook-il\">Dr. Jessie Cheung<\/a>, a board-certified dermatologist in Willowbrook, Illinois, that blue tinge can result from overcorrection or, more commonly, from injecting dermal filler too superficially under the skin&rsquo;s surface. (Doctors say this commonly happens when inexperienced injectors use a blunt-tipped cannula versus a needle.)<\/p><p>Dr. Bloom says misplaced under-eye filler is one of the biggest problems he finds himself fixing. To inject filler into the proper plane, providers need to have a clear understanding of the unique way the tissues of the lower eyelid are structured. In every other area of the face, he notes, there&rsquo;s a layer of fat separating skin from muscle. But under the eyes, &ldquo;the skin and muscle are literally attached to each other, and then there&rsquo;s fat underneath,&rdquo; he explains. The goal is to inject filler below that skin-muscle composite&mdash;rather than aiming to implant it between those two bound layers&mdash;so &ldquo;the muscle acts as a buffer between the skin above and filler below,&rdquo; says Dr. Bloom. Tyndall is less likely when there&rsquo;s muscle intervening between HA and thin skin.<\/p><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-3-consistent-lighting-and-posing-in-the-before-and-after-photos\">3. Consistent lighting and posing in the before and after photos&nbsp;<\/h2><p>While Tyndall can be glaring in person, you may not notice it in B&amp;As. In fact, all of our experts were quick to comment on the misleading nature of filler photography&mdash;how contrived angles and lighting can make &ldquo;less-than-stellar results look good,&rdquo; says Dr. Cheung. Lighting alone can dramatically influence the appearance of the lower eyelids. &ldquo;The most egregious cheat is when a before photo is taken without a camera flash and the after photo is taken with a flash,&rdquo; notes Dr. Kapadia. &ldquo;The flash reduces shadows, especially under the eyes, and makes everyone look better.&rdquo; Before and after photos should be taken in the same lighting conditions&mdash;ideally, with the same camera, on identical settings. In both shots, the patient should be looking straight ahead&mdash;gazing up accentuates the tear troughs, says Dr. Bloom&mdash;with their chin level.<\/p><p><em>Related: <a href=\"https:\/\/www.realself.com\/news\/under-eye-filler-dark-circle-risks\">Under-Eye Filler: A Quick Shot That Can Do Away With Dark Circles and Downplay Signs of Aging. What&rsquo;s the Catch?<\/a><\/em><\/p><h2 class=\"wp-block-heading\" id=\"h-4-no-persistent-lumps-bumps-or-swelling\">4. No persistent lumps, bumps, or swelling&nbsp;<\/h2><p>While lumps can sometimes be blamed on poor above-muscle placement&mdash;which creates &ldquo;an unnatural-looking worm of filler that can&rsquo;t blend, no matter how hard you massage it,&rdquo; says Dr. Bloom&mdash;more often than not, the wrong type of filler is what&rsquo;s fueling unyielding nodules and unrelenting swelling. What&rsquo;s more, this is an off-label procedure&mdash;no fillers are FDA-approved for use in the tear trough&mdash;so filler manufacturers can&rsquo;t offer formalized training on how best to treat the under-eyes.<\/p><p>While most injectors use only HA gels&mdash;which can be dissolved with a shot of the enzyme <a href=\"https:\/\/www.realself.com\/hyaluronidase\">hyaluronidase<\/a> if problems arise&mdash;each HA is built differently, its unique structure and properties making it more or less suitable for the delicate under-eye area.<\/p><p>The higher the concentration of HA in a facial filler, for instance, the more water it pulls in from the surrounding tissues. &ldquo;When a filler is extremely hydrophilic, it can create this baggy, pillowy area in the infraorbital hollow,&rdquo; explains Dr. Bloom&mdash;which can linger for years after injection. While he says &ldquo;there is no be-all and end-all filler for this area,&rdquo; he typically uses <a href=\"https:\/\/www.realself.com\/restylane\">Restylane-L<\/a> under the eyes because &ldquo;it has a relatively low HA concentration, which makes it not swell as much [as some other fillers].&rdquo; Restylane-L also has &ldquo;almost no rate of delayed nodules and is easy to dissolve,&rdquo; says Dr. Bloom, which gives injectors and patients peace of mind.<\/p><p>Dr. Kapadia prefers the thinner HA <a href=\"https:\/\/www.realself.com\/restylane#restylane-silk\">Restylane Silk<\/a> but also acknowledges &ldquo;that the perfect filler for this area hasn&rsquo;t been invented yet.&rdquo; Some HAs are known to swell a ton; others have a reputation for breeding lumps&mdash;savvy injectors know to avoid them.&nbsp;<\/p><p>Regardless of filler type, certain patients are genetically prone to a specific type of swelling called <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3244361\/\" target=\"_blank\" rel=\"noreferrer noopener\">malar festoons<\/a>&mdash;&ldquo;pockets of fluid and fat over the cheekbone, which cause the skin to puff and sag at the junction of the lower eyelid and the cheek,&rdquo; says Dr. Cheung. &ldquo;Filler can worsen an existing malar festoon&mdash;we think, as a result of too much pressure on the lymphatics&mdash;but when injected too superficially, it can also create a festoon in someone who&rsquo;s never had one before.&rdquo;&nbsp;<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/B5Tav24Bz_Z\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/B5Tav24Bz_Z\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/B5Tav24Bz_Z\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">One of the most common things I see is patients developing malar edema after having HA fillers injected. This happens because of multiple reasons 1. Certain fillers are more hydrophilic than others. This is seen with specially with Juvederm family of fillers but I&rsquo;ve seen it with many other types as well. Remember when these fillers expand they also expand the natural tissue. 2. Certain patients have a propensity for developing this condition. Meaning they have fluid retention, or had small amounts of it which was unrecognized before treatment for this depending on the patient involved Treatment options include A: Possible controlled removal of the HA B: Combination of Morpheus and Co2 laser to melt and tighten the tissue C: and at times surgery maybe necessary because these has been too much expansion and deflation of the natural tissue which needs a surgical treatment. Join us today Nov 25th at 5pm PST. For a q&amp;a session with @beautybrokerofficial<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/kamiparsamd\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Kami Parsa MD<\/a> (@kamiparsamd) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2019-11-25T21:25:27+00:00\">Nov 25, 2019 at 1:25pm PST<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Attempting to camouflage festoons with filler, as one might do with ordinary under-eye bags, is generally a mistake. Since HA attracts water, it can magnify these mounds, causing stubborn bags to overtake the midface. &ldquo;This is one of the most common under-eye filler complications that I treat,&rdquo; she adds. To minimize festoons, she injects hyaluronidase, to break down any existing filler, and uses <a href=\"https:\/\/www.realself.com\/nonsurgical\/thermage-flx\">radiofrequency<\/a> energy to &ldquo;reduce excess fat while tightening the skin.&rdquo;<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in dermal fillers?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=dermal+fillers\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>When reviewing an under-eye injector\u2019s before-and-afters, look for these signs to ensure the best results.<\/p>\n","protected":false},"author":118,"featured_media":17189,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9075],"tags":[19777,35],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Good Under-Eye Filler Results: 4 Things to Always Look For | RealSelf News<\/title>\n<meta name=\"description\" content=\"When reviewing an under-eye injector\u2019s before-and-afters, look for these signs to ensure the best results.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https://www.realself.com\/news\/under-eye-filler-before-afters\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"4 Things to Always Look for in Under-Eye Filler Before-and-Afters: Experts Say the Best Results Have These in Common\" \/>\n<meta property=\"og:description\" content=\"When reviewing an under-eye injector\u2019s before-and-afters, look for these signs to ensure the best results.\" \/>\n<meta property=\"og:url\" content=\"https://www.realself.com\/news\/under-eye-filler-before-afters\" \/>\n<meta property=\"og:site_name\" content=\"RealSelf News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/RealSelf\/\" \/>\n<meta property=\"article:published_time\" content=\"2021-03-26T20:06:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-12T23:51:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https://www.realself.com\/news\/wp-content\/uploads\/2020\/10\/UnderEyeFiller.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Jolene Edgar\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:site\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jolene Edgar\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https://www.realself.com\/news\/under-eye-filler-before-afters#article\",\"isPartOf\":{\"@id\":\"https://www.realself.com\/news\/under-eye-filler-before-afters\"},\"author\":{\"name\":\"Jolene Edgar\",\"@id\":\"https://www.realself.com\/news\/#\/schema\/person\/4cd51d0aba24d439056309d1affa6942\"},\"headline\":\"4 Things to Always Look for in Under-Eye Filler Before-and-Afters: Experts Say the Best Results Have These in Common\",\"datePublished\":\"2020-10-13T00:00:00+00:00\",\"dateModified\":\"2023-10-12T16:51:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https://www.realself.com\/news\/under-eye-filler-before-afters\"},\"wordCount\":1833,\"publisher\":{\"@id\":\"https://www.realself.com\/news\/#organization\"},\"image\":{\"@id\":\"https://www.realself.com\/news\/under-eye-filler-before-afters#primaryimage\"},\"thumbnailUrl\":\"https://www.realself.com\/news\/wp-content\/uploads\/2020\/10\/UnderEyeFiller.jpg\",\"keywords\":[\"Eye Bags Treatments\",\"Injectable Fillers\"],\"articleSection\":[\"Face &amp; 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