Once you fill under the eye with Belotero, will you have to keep filling? If not, will eye bags be heavier or wrinkle?

Belotero injections to the under eye last typically 6 months, and will need additional filler to maintain the results over time. I also combine multiple treatments such as lasers, microneedling/PRP that can tighten and rejuvenate the skin with fillers like Belotero or Restalyne to achieve optimal results. If at any time you are unhappy with the Belotero injections, treatment can be reversed with Hyaluronidase. I suggest a formal consult with a doctor who specializes in fillers and combination treatments for under eye "bags". Best, Dr. Emer

Individual genetics for aging and to some extent chronic sun damage are the primary causes of tear troughs, dark circles, and under eye bags. Fortunately, nowadays, we have excellent fillers that can help to camouflage these problems for long periods of times, sometimes up to several years after just one treatment. In my Upper East Side Manhattan practice, I typically choose Belotero Balance, since it possesses little likelihood of engendering the unwanted, bluish Tyndall Effect when injected superficially within the delicate tissues under the eyes. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I usually opt for Teosyal Redensity II). No doubt with time, follow up treatments will be necessary, but treating these problems in this fashion does NOT cause the problems nor does it cause them to be worse than they would have been with time. If anything, we currently believe that these kinds of treatments performed over time may actually slow the aging process and, if performed sooner than later, may actually lessen or significantly delay the need for more extensive and aggressive interventions, like surgery.   You would be well advised to seek consultation and treatment by a board certified aesthetic physician and make certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck to you in this and in your science studies. 

You have both under eye bags (orbital fat prolapse) and tear trough hollowness (dark circles). You have 2 treatment options, each with pros and cons. 1) Lower blepharoplasty (transconjunctival with fat repositioning) where the fat bags are partially removed and partially repositioned to fill the hollow area below them which give it much more smooth under eye area that is long-term.  2) Filler injection the hollow part to reduce the dark circles and camouflage the presence of the bags; the effect lasts about 1 year.  See following video and link. See an oculoplastic specialist.

You're very pretty and have great features! This makes your improvements quite easier because we have such great things to work with. 

Make sure you get a great night sleep for a couple weeks- then see if you're still having these under eye issues. If you have no allergies (which can also cause this discoloration). 

If all these are done and cleared and you still have the dark circles filler can work magic in this area. The results last 1-2yrs generally. 



Hope this helps and God Bless!

Dr. Robb

Diet, genetics, aging, and rest play a role in the appearance of the undereyes. In your case there is probably a combination of swelling and fat herniation under the eyes. A low salt diet and reduced alcohol intake can help with the swelling while fat herniation is usually camouflaged with filler injection or treated with surgery. I believe that filler injection would give you a nice result. The filler I would use is either Restylane or Volbella. You can expect the results to last 9-12 months. I find that Belotero is also a good filler in this area but does not last as long as Restylane and Volbella. Tear trough injection with fillers is one of the most commonly requested treatments at my Miami office.  The undereyes are a common cosmetic concern.

getting lots of rest and proper nutrition can affect the appearance of the skin. However, so can genetics. Fillers can also help as well. 

Thank you for the photos. Both filler and surgery can be used for your particular situation.  The quickest and simplest solution would be to have hyaluronic acid fillers such as Belotero to your lower eyelid area to smooth and lighten the shadows from hollowing in the area. If too much filler is injected, it can be quickly dissolved with hyaluronidase. There is minimal downtime but it will last for less than a year before you need more filler injected. For permanent results, you can have the excess bulging fat removed through small incisions behind the eyelid and have the fat repositioned as well so that the transition between your eyelid and the cheek is as smooth as possible. There is also a greater amount of downtime with surgery and fat repositioning/grafting - you can expect to be bruised and swollen for a few weeks but it is more of a permanent fix. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!

Johnson C. Lee MD Plastic Surgery

Firstly, genetics play a MAJOR role in dark circles. Ethnic skin types (including myself) have the genes for dark circles. Secondly, the natural ageing process can reduce fat and the supporting structures around the eyes. This is where fillers such as Belotero (excellent for around the eyes), Restylane and Juvederm Volblella can play a part. I also use lasers such as the gentle Picosure Focus to rejuvenate this area, and partially lighten the skin. Another one of my favourite combinations is the use of Clear and Brilliant in the 1927 wavelength, together with vitamin C. As the cause of dark circles are multifactorial, treating them with different methods gives the best outcomes. Dr Davin Lim. Brisbane. Australia.