Am I a poor candidate for under eye fillers? (Photo)

Question

I have twice tried restylane to correct my under eye puffiness, but have not been happy with the results. I was told I was not a good candidate for under eye fillers and sometime down the line should look into surgery to correct the issue. I am just looking for another opinion. Thanks.

Jason Emer, MD · Answer

Keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Brett S. Kotlus, MD, MS, FACS · Answer

Hi,Based on your photo you have a prominent under-eye fat pad.  You're not the ideal filler candidate but it's still possible to receive a partial improvement with filler by adding volume below the fat pad to disguise the height discrepancy between the bulge and the upper cheek.  You would receive a more complete improvement with blepharoplasty which is a surgery that directly addresses the fat bulge by removing it or shifting it.

Mehdi Sina, MD · Answer

Hi,Fillers are not appropriate to treat puffiness, in fact, because restylane absorbs water from nearby tissues, it can create a little extra puffiness. It is hard to tell from the picture you provided if you have a deep tear through (fillers are appropriate here), but I do not think so. Surgery is typically reserved for patients that have a significant fat pocket herniating underneath the eye, I do not see that either. I recommend an in patient examination, sometimes something as trivial as allergies can cause bothersome puffiness. Best of luck,Mehdi Sina, MD

Paul C. Dillon, MD · Answer

My recommendation would be fractional laser followed by a hydroquinone to lighten the skin.  Your "bulging" is minimal in my opinion but I do think that you could benefit from skin tightening as well as some lightening of the skin.

Shaun Patel, MD · Answer

You are not the ideal candidate for fillers given the swelling and fat herniation but you would still notice some improvement with filler. I think a better option for you would be to meet with an oculoplastic surgeon to discuss your surgical options.

Am I a poor candidate for under eye fillers? (Photo)

Answers (6)

Answer: Under the Eye Fillers

Answer: Under the Eye Fillers

Answer: Undereye filler versus blepharoplasty

Answer: Undereye filler versus blepharoplasty

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Am I a poor candidate for under eye fillers? (Photo)

Answers (6)

Answer: Under the Eye Fillers

Answer: Under the Eye Fillers

Answer: Undereye filler versus blepharoplasty

Answer: Undereye filler versus blepharoplasty

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.