Is 21 too early for under eye fillers ?

Question

Hello there! I’m 21 and I’ve got terrible under eye dark circles (genetically). My dermatologist suggested I get Belotero fillers. Is it too early to start getting fillers? I’m afraid that my under eye will age fast once I stop getting them done and I’ll have no option than to keep getting them for the rest of my life.

Jason Emer, MD · Answer

Thank you for your question.There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Aldene McKenzie, DO · Answer

Thank you for your question. 21 y.o is not too young to get fillers done. It is especially useful for the hollows and dark circles under the eye. Because fillers are added to the tear trough area you can add it in if you want and there are no adverse effects if you don't. It is definitely possible and probably that you will fall in love with the results and want to continue long term but there are no adverse effects if you plan not to continue.

Kristin J. Tarbet, MD, FACS · Answer

Thank you very much for your question. Getting some filler under your eyes at the age of 21 is not too young. We perform fillers on many young men and women in their early 20s, so this should not be a problem.

Matt Tahsini, MD · Answer

HI there and thank you for your question. You are not too young for fillers. I suggest you find a very reputable doctor to administer the filler. You can get a short lasting filler to see how you like it then later a longer lasting one.  If done correctly, the results are amazing. Best wishes.Dr. T

Martie Gidon, MD, FRCPC, FAAD · Answer

Young people can genetically have tear trough hollows. If their appearance bothers you, fillers would be an appropriate treatment. Usually, the medial cheek needs to be treated first to give support to the area and then the tear trough is assessed to see if filler is needed there. This area should only be treated by an experienced physician to avoid any potential problems.

Patrick Flaharty, MD FAACS · Answer

21 years old is not too early to get fillers for hollowness under your eyes. The good news is that hyaluronic acid fillers like Belotero can nicely fill in this hollow area correcting the appearance of dark circles. In addition the filler in this area can last several years so you won't need to repeat this treatment very often. We've had filler last 5 and even 10 years in this area with just a single treatments. It is important that you find a physician who has extensive experience and uses the cannula technique which is safer with less risk of bruising.

Luis Mario Salazar, MD · Answer

Dark circles are caused for many reasons. If you understand your own case of having them and if there is some space to fill, HA fillers are one of the best options to start treating them. It requires a multiple treatment plan, including eye peelings, cosmeceutical creams to use at home and probably a laser treatment. Defenitely you need to see an expert to have the best results, set a good plan and go for it. HA fillers such as Belotero Balance or Teoxane Redensity II are one of the best option for that area. 
Best Dr Luis Salazar
AestheticSolutions

Jean M. Casello, MD · Answer

If the dark circles are a result of genetics it is often a result of pigmentation. Pigmentation can oftentimes be lightened with topical creams and laser therapy.These procedures may give some improvement or no improvement at all.  If the area under the eyes is hollow than dermal fillers may help to improve the look.  Dermal fillers will not cause you to age faster. You are correct however that if they help than you will need to continue having dermal fillers to maintain the correction. You may want to consider a more permanent solution given your age. Fat transfer may be a better option for you.

Leonard Grossman, MD · Answer

You are correct that the majority of people who have dark circles under eyes acquired them genetically. There are two reasons as to why someone may have dark circles. Reason number one is that there is increased pigmentation in the area around the eyes resulting in the dark circle. Reason number two is hollowness in the lower eyelid area which makes the eye cast a shadow onto the cheek creating a dark circle. If your problem is related to the pigmentation, then you need to be seen by dermatologist and understand that fillers will not help but there are lasers and creams that may lighten the skin in the area. If on the other hand your dark circle is created by the hollowness beneath the eye, then I would recommend having a small amount of fat grafting to restore the fullness in the lower eyelid and cheek area and that will correct your problems permanently. I hope this helps and good luck from New York City plastic surgery

Kristine Brecht, MD (license suspended) · Answer

You may get fillers after 18 y/o without parental consent.You are most definitely a candidate for fillers.Some fillers last longer than others. Start with a shorter term filler first, to make sure you like the look, then you can move into longer term fillers.Nothing is ever one and done, because our body continues to evolve over our life time.Remember to wear spf 30+  daily to your face, and sunglasses in the sun for additional protection!Best. Dr BrechtSeattle, Wa

Is 21 too early for under eye fillers ?

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