Under eye fillers; any advice? (Photos)
Doctor Answers 7
I like thin HA fillers like Belotero for tear troughs. To maximize the likelihood of a favorable outcome, I recommend that you only get treated by a well-trained and experienced dermatologist or plastic surgeon.
Hope this opinion is helpful to you. Best of luck, Dr. Frucht.
Pigmentation under Eyes
Pigmentation under the eyes can be from a combination of factors including genetics among other reasons. The hemosiderin from bruising can also cause pigmentation as well as the tyndall effect from the injections themselves. Belotero is a great under eye filler and does not cause the tyndall effect. Please consult an experienced dermatologist for a formal consultation. Best, Dr. Green
Dark circles under the eyes
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Dark circles under eyes
I would like to add that in addition to the causes of dark circles that were already listed, another cause of dark circles post injection is from the breakdown of bruising. If you had a lot of bruising after the injection, the brown pigmentation is probably from the breakdown of heme which can stain the skin brown.
I would recommend going to a board certified dermatologist of plastic surgeon that does this procedure all the time. I would also recommend going to someone who used cannula instead of a needle (because the cannula is a blunt instrument and there fore less bruising.)
Dark circles under the eyes- Juvederm and other solutions.
In the US, we prefer Restylane in this area, however in Australia, Restylane and JUVEDERM VOLBELLA can be used. I do place the filler deep- namely on bone, this reduces the chances of a Tyndall effect (blue tinge).
Other ways to treat dark circles under the eyes include -
1. Treat any skin irritation - namely simplify your skin care regime- use a good eye cream
2. Low dose Q switch lasers
3, Microneedling and PRP
4. Low strength HQ creams.
Even with multiple treatment methods, dark circles can only be reduced, and not totally eliminated. Realistic expectations are crucial in treatment of this problem.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist
Filler under the eyes
If your brown coloration is due to seasonal allergies, taking an antihistamine like loratadine, fexofenadine, or cetirizine daily could help. If the pigment is due to the filler, Belotero has the lowest likelihood of causing the Tyndall effect and would be a better choice. If the pigment is due to natural pigment it is difficult to treat. Lasers are not very effective and could make the pigment worse. I highly recommend a high spf zinc or titanium based sunscreen daily and to reapply if in the sun. I wish you the best!
Undereye Fat Transfer Could be the solution
Fat Fill or Fat Transfer can support volume loss and help restore pleasing contours, with the additional benefit of improving skin quality. Here, the fat is harvested from some region of the subject’s body, processed and deposited in tiny amounts into regions around the eye. Good news is that Fat Fill to the undereye are a more natural and relatively permanent solution in comparison to fillers and economical as well.
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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.