Fixing below the eye hollowness: fillers or fat?
Doctor Answers 3
Fillers under eyes
Under eye hollows fat or filler
I do not have any experience with artefill, but I have used other permanent fillers in the past and I have a few concerns. Artefill use in the united states is still only a few years and the true complication rate of granulomas is not really determined as they can take years to develop. We routinely see that other permanent fillers injected many years ago will take on a lumpy look as the surrounding tissue thins with aging.
We have used hyaluronic acid (HA) fillers in the eye region with tremendous success since 2005. We find that typically the result will last for years. One of the interesting things we have discovered is that about 3-5 years after the (HA) injection we have a significant number of patients developing swelling where the HA was injected. This goes away when we treat the area with hyaluronidase to dissolve any remaining HA. This is not a widely reported complication but we see it every day. It makes the point that you do not know what is going to happen over the next few years with new fillers and do you want to be part of the experiment. The advantage if HA is that we do have the ability to dissolve it should an infection or granuloma or vascular compromise occur. This safety net is not true of the permanent fillers.