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.
Herniated Fat Pads Under Eyes. Would Belotero Be Effective? (photo)
Doctor Answers 17
Beletero for herniated fat pads?
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.
Belotero is a great choice for under eyes
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.
Belotero - New FDA Approved Filler for Under Eyes and Other Areas
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.
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Yes Boletero can easily and safely be injected in the under eye area even if you have fat pads. We do not inject the fat pads, as the only solution for this a surgical option but we can reduce the deep furrows under the fat pad to hide the fat pad protrusion. This will take away some of the "tired look". It must however be injected by a skilled injector because overcorrection in this particular situation will look awful!
Under eye bags
Fillers such as Belotero (and now, Volbella) can fill in tear trough deformities under the eyes. They are both FDA approved agents for injection. Fat pad descent, however, is best treated with a blepharoplasty that actually removes these bags. Injectable like Belotero may lessen their appearance, however, by smoothing the transition.
Belotero for herniated fat pads
Boletero works well in the right hands for lower lid depressions
Belotero for under eyes
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).
Herniated fat pads under eyes
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.
Belotero for tear troughs
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.