Would filler help w my under eye hollows/wrinkles? (Photo)

Question

I suffer from volume loss under my eyes which have made my under eye wrinkles more prominent, would filler improve the my appearance when smiling?

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Yes, hyaluronic acid (HA) fillers can be effective in addressing under-eye hollows and wrinkles. HA fillers can add volume to the under-eye area, reducing the appearance of hollows or dark circles by lifting the skin and improving its overall appearance. They can also smooth out fine lines and wrinkles by plumping up the skin and restoring its natural volume. I hope this helps and best of luck!

Nelson Lee Novick, MD · Answer

The short answer to your question is YES to your question. HA fillers in the hands of an experienced, board certified cosmetic dermatologist filler expert are routinely used to treat these kinds of issues with gratifying, typically immediate results and little to no significant downtime. 
That being said, a close up photo of the under-eyes in a non-smiling pose would have been extremely helpful to better assess the issue here.
What I can say is that generally speaking for younger individuals, the place to start would be with at-home use of prescription topical medications, such as retinoids, alphahydroxyacids, etc. complemented by perfodic in-office superficial peels with high concentrations of glycolic or salicylic acid, Jessner's Solution or low strengths of TCA. This kind of "prejuvenation" is precisely what I did for several of my daughters-in-law when they were younger with very gratifying results..
You would be wise to consult with an experienced, board certified cosmetic dermatologist Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Under-eye fillers, also known as dermal fillers, can be an effective treatment for addressing volume loss and wrinkles in the under-eye area. These fillers typically contain hyaluronic acid, which helps to add volume and smooth out the skin. Here are some points to consider:

Benefits of Under-Eye Fillers:
1. **Volume Restoration**: Fillers can restore lost volume in the under-eye area, which can reduce the appearance of hollows and make the skin look plumper.
2. **Wrinkle Reduction**: By adding volume, fillers can help smooth out fine lines and wrinkles, making them less noticeable.
3. **Improved Appearance When Smiling**: The added volume can improve the overall contour of the under-eye area, which may enhance your appearance when smiling by reducing the depth of wrinkles and hollows.
4. **Immediate Results**: Most people see an improvement immediately after the treatment, although there may be some initial swelling or bruising.

Considerations:
1. **Temporary Solution**: The results from fillers are not permanent. Depending on the type of filler used, the effects can last from 6 months to 2 years.
2. **Side Effects**: Potential side effects include bruising, swelling, and, in rare cases, lumps or irregularities.
3. **Expertise Required**: The under-eye area is delicate and requires a skilled practitioner to avoid complications such as the Tyndall effect (a bluish discoloration).
4. **Cost**: Fillers can be expensive, and since they are temporary, you'll need repeat treatments to maintain the results.

Consultation:
It's crucial to consult with a board-certified dermatologist or plastic surgeon who specializes in facial aesthetics. They can assess your specific situation, discuss your goals, and determine the best treatment plan for you. They might also suggest complementary treatments like laser therapy, microneedling, or topical retinoids to enhance the results.

Alternative Treatments:
- **Topical Treatments**: Retinoids and peptides can help improve skin texture and stimulate collagen production over time.
- **Laser Therapy**: Can help with skin tightening and reducing fine lines.
- **Microneedling**: Can stimulate collagen production and improve skin texture.

Under-eye fillers can significantly improve the appearance of under-eye hollows and wrinkles, especially when performed by an experienced professional. A thorough consultation will help determine if this is the right option for you and set realistic expectations for the results.

Camille Cash, MD · Answer

HA fillers can be used to help add volume and improve under eye contours.  You can also consider Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture and is safe for the under eye area.  I've included a video I hope you find helpful.

Darryl J. Blinski, MD · Answer

Based on your one nicely posted photo I would use micro Botox injections with HA filler for teardrop deformity proximately one syringe total fee would range from $1000-$2000.

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