Candidate for filler to restore lost volume? (Photo)

Question

39 years old. Pics taken this morning. Have had 1 under eye PRF treatment Oct 10. Never used fillers before. Wondering if fillers can restore my lost volume and open to cheek filler as well. Any advice appreciated thanks, wanting to improve under eye area.

Nelson Lee Novick, MD · Answer

Since the upper cheek region is a major physical support for the under-eyes, volume deficit in the cheeks typically leads to the development of infraorbital bags, sagging and crinkles/wrinkles  Accordingly,  the use of a robust HA volumizing filler for the cheeks would not only help to create a more ideal, feminine, heart-shaped oval face, but would secondarily improve the under-eye areas. What's more adequate volume in that area shields any darkness that is contributed by the underlying blood vessels. If necessary, a low viscosity, cohesive, malleable HA filler can be used directly in the infraorbital area for further improvement.  Additionally, a series of superficial peels may further tighten the skin there and lighten any darkness. On the other hand, the use of expensive PRF and PRP treatments and energy-based gizmos, like fraxel lasers, etc., are far more backed by heavy marketing and advertising hype and social meda buzz than hard science. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. And my last word of advice, don't suggest treatments to the person you are consulting with because you unfortunately may very well get exactly what you ask for. and then be in for a whole lot of frustration and disappointment and out a whole lot of money.  Let the doctor make his/her recommendations first. Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Based on the information you've provided, it seems like you could indeed be a good candidate for dermal fillers to restore lost volume in the under eye area and possibly the cheeks. Dermal fillers can be highly effective in adding volume to areas where it's been lost due to aging or other factors. They can smooth out hollows under the eyes, plump up the cheeks, and overall contribute to a more youthful appearance. Under eye fillers, often made from hyaluronic acid, can help to soften the appearance of under eye hollows and dark circles. However, it's important to remember that this area is delicate, and the procedure should be performed by an experienced provider.Regarding cheek fillers, they can provide a lifting effect to the face, restore volume, and improve the appearance of the under eye area indirectly. 
Keep in mind that while fillers can provide significant improvements, they are not permanent and typically last between 6 to 18 months, depending on the type of filler used and individual factors.

Vibha Gambhir, MD · Answer

Hello, and thank you for your inquiry! Based on your photos, yes, you are a good candidate for cheek filler. By adding cheek filler you will look less drawn down. Especially in the under eye area. You will look overall lifted. Good luck on your journey!

Atlanta Innovative Medicine · Answer

Yes, dermal fillers are an excellent choice for restoring lost volume under the eyes. Restylane tear trough treatments, especially Restylane and Restylane-L, are effective for targeting under-eye shadows and dark circles&mdash;these fillers are carefully formulated to provide subtle, natural fullness under the eyes, while also reducing rough or wrinkled textures to restore smoothness, fullness, and an overall more alert and youthful look. Additionally, Restylane-L includes lidocaine to reduce injection discomfort, making it a particularly popular choice for gently treating the sensitive skin around the eyes.

Stuart Diamond, MD · Answer

Hello S_W ! Filler would defiantly help with the loss in volume that i’m seeing in the photos you provided. Under eye filler is super common and can make a huge effect, that’s where I would recommend starting. As well as cheek filler; cheek filler really snatches the mid face and I believe would give you what you’re looking for.

Lara Clinic · Answer

Based on your photos alone, I would agree that undereye and cheek filler may be a great option for you. It's great that done PRF but it may not be as effective in reducing the hollowness and depth in the undereye area as filler would be. Typically I recommend PRF to help with pigment and fine lines in this area. 
You will need some filler in the cheeks to help support filler that's placed in the tear-trough/undereye area. With undereye filler, I recommend going slow and steady, meaning that its better to "under-do" them and come back for another session a couple months later. This will ensure that everything settles correctly and doesn't interfere with lymphatics in the area. 
Depending on how injectors or physicians in your area price filler, I could see you needing at least three syringes your first visit and then potentially another 1-2 to touch things up and get to optimal correction a few weeks later. However, this would be something that would have to be assessed in person.

Camille Cash, MD · Answer

Fillers are a useful tool to improve facial contours and address volume loss.  It is great that you mentioned under the eye as well as the cheek.  When addressing one area of the face it is important to also consider the areas adjacent to keep a natural transition.  See an expert injector near you for treatment.

Candidate for filler to restore lost volume? (Photo)

Answers (7)

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