Would Bellafill correct under eye hollows? (not tear trough).

Question

I have been researching solutions to my under eye hollows. I have gone to plastic surgeons and also to master injectors---they both say that fillers cannot fill the hollows. Yesterday, I read about Bellafil. Would that be a viable option for under eye hollows? Thank you.

Michael I. Echavez, MD · Answer

I do not recommend using Bellafill to fill in under eye hollowness.  The skin is very thin in that area and Bellafill can cause long-standing visible irregularities there.  I would recommend using one of the hyaluronic acid filers for that area.

Edgardo Zavala, MD · Answer

Although many physicians do not use Bellafil in this area if it is done correctly, using cannulas, not needles and deep below the orbicularis muscle it gives excellent and permanent results.

Jason Emer, MD · Answer

I don't recommend Bellafill under the eyes, due to the risk of long-term complications. These fillers (belotero, volbella, restylane silk) are good for under the eye, but keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Steven F. Weiner, MD · Answer

I think Bellafill is a great filler for the cheeks and undereye hollows. It should not be injected too superficially or in large quantities here. This must be done by an extremely experienced user in this area. I layer an HA filler in the tear troughs over the Bellafill for best results. Always use cannulas in this area.

Jean Keamy, MD · Answer

Bellafill is not recommend nor indicated for filling the hollow  under your eyes or tear trough.  Restylane is my personal favorite for that area.  Others include Belatero or Restylane Silk.

Navin S. Arora, DO, FAAD · Answer

Thank you for your question. I would not use Bellafill to treat your under-eye hollows. I recommend using dermal fillers such as Restylane or Belotero. Other options include laser resurfacing and PRP. Please make sure you get a formal evaluation from a board-certified dermatologist.

Brian Windle, MD (retired) · Answer

Bellafill may be the best solution there is for under eyelid hollows.  It is far more predictable than fat injections and lasts a long time (it is essentially permanent) and is your own tissue so you you do not even know it is there.  Finally, the safety profile for Bellafill (number of reported problems to the company per syringes sold) is the same as any other filler.
I have added a link to before and after photos of many patients who have had their under eye hollows treated with Bellafill.
I hope this helps.
Best regards.

Would Bellafill correct under eye hollows? (not tear trough).

Answers (7)

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