I notice every time iI see videos with under eye fillers the patient always has their eyes wide open. Is this a must?

Typically, it is better to have your eyes open and looking up during treatment because the eye bags come forward and you can see the trough and orbital rim more.  I suggest going to someone who does filler injections with cannula, it works very well in this area, has almost no pain and the swelling and bruising is minimal.  Best, Dr. Emer.

Hi Alexis,Of course not.  We actually ask our patients to close their eyes during injections around the eyes and the face.  It helps when the patient looks upwards prior to injection to see where the maximum area of hollowness is located, but not necessary during injection.  The lower eye lid area is a delicate and unforgiving area so do choose your injecting physician most carefully.  Good luck and be well.Dr. P

Hi Alexis. It is not necessary to have your eyes open during filler injections in the tear trough areas. Sometimes with the eyes open, or looking upwards it will accentuate the tear trough area and help guide precise placement. Also, if a patient has really long eyelashes it can get in the way of the injections and for that reason sometimes it is needed to keep your eyes open briefly. If you are freaked out by needles then I recommend finding an injector who uses the microcannula technique. It helps make the injections much more comfortable and is associated with less risk of bruising and swelling. Hope this helps answer your question!

Most of my patients prefer to keep their eyes closed during the treatment.  I do ask them to open their eyes intermittently so I can evaluate the results as the session proceeds but the treatment usually takes no more than 15 minutes and when the needle or cannula is being used, you can keep your eyes closed.  After the first few minutes, the area is entirely numb so most patients are very comfortable and sometimes I'll ask patients to look up when we're doing the final layering of the product but this is only helpful some of the time and only if the patient is comfortable doing so.  We also give patients medicine to relax orally if they are nervous such as xanax and vicidin if needed so the experience is not a scary one.  The skin is also numbed and ice is being applied by the assistant as I inject so it's more scary to think about the procedure at home than when you're actually having it, patients will tell you.  We are also in the process of installing nitrous oxide (laughing gas, used by dentists) for patients who are very nervous during these types of procedures but usually that treatment would be for longer procedures that are more involved such as lasers, ulthera, etc.Make sure to see an injection specialist who is familiar with the eye area as this is an off label treatment and complications can occur, especially with inexperienced and non board certified providers.Best of luck!

Most patients instinctively close their eyes when having filler for the tear trough area. Your physician will probably ask you to open your eyes every now and then for assessment but you do not need to see the needle or cannula.

It's perfectly fine to close your eyes during the injections. However, it is helpful to evaluate your undereye eye during/ after the treatment from all positions and with your eyes open and closed. However, if you're more comfortable with your eyes closed while the injections are being performed, that is OK. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Alexis, of course you can close your eyes during the injection if that makes you feel more comfortable. It would help, however, at some point during the treatment to see you upright and with eyes open so that we can see how the filler will look on you after the treatment. This can be done without a needle or cannula in the skin.I usually use a microcannula, which is not a needle because the tip is blunt, to place filler under the eyes. This prevents bruising or trauma to small nerves. This would probably make you feel a lot better about the procedure.If I can answer any more questions, please let me know. All the best, Dr. Clark

Eye bags are due to herniated fat and filling the area is not going to remove the bags and will not likely camouflage them successfully.  Fillers are used to camouflage the tear trough depression.

Yes, filler can be placed in the under eyes with your eyes closed gently and not squinted shut.  The physician may have to put in a little more effort to pull the skin taut while doing so.  When the patient has their eyes open and looks upward the skin pull taut and it is easier to access the tear trough.

It is fine to keep your eyes closed while filler is being placed, in fact most people prefer it. In between injections, however, your physician may have you open your eyes to more accurately gauge filler placement. Just let your physician know you don't like needles and the syringe can be moved out of your field of vision.