Under eye filler (Juvederm) is gone after 3 months. Is there another procedure I could have to remove my dark circles? (Photos)

Question

Hi, I had under eye filler 3 months ago and was told this would last for 12 months. She injected 0.5 ml. Why would this disappear so quickly bf is there by other procedure I could have to remove my dark circles? She suggested a skin booster but not sure. I wake up with bags and they generally don't improve during the day. Not sure if it's hollowness or a bag. Thnks

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

At least from the photos provided, the under eye problems appear to be typical tear trough formation secondary to age-related volume deficit in the supporting cheek regions below. If so, then the appropriate treatment would be to restore the volume to the cheek regions with the use of an appropriately robust HA volumizing filler injected into the proper region to achieve the goal, rather the use of an ordinary, less robust filler, such as plain Juvederm. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist and be certain to ask to see his/her personal before and after photos of under-eye filler treatments before agreeing to proceed. Best of luck.

Camille Cash, MD · Answer

From your photos it appears you have a few treatment options.  It does appear you are a good candidate for filler.  I'm not sure why it metabolized so quickly.  Perhaps you were undertreated?  Another option to consider is AccuTite. This minimally invasive procedure uses RF technology to tighten skin and improve the under eye area.  Surgically you could consider a lower blepharoplasty which would remove excess skin and correct the fat herniation.

Under eye filler (Juvederm) is gone after 3 months. Is there another procedure I could have to remove my dark circles? (Photos)

Answers (3)

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