I have had fillers under my eyes in the past, but they always look good for about three weeks and then start creating bigger bags under my eyes than what I had before. Is there any filler out there that will help give that lifted and smooth look under the eye, without creating too much fluid under they eyes? My mid cheek area has also started to deflate slightly. I do have a history of seasonal allergies and have tried Perlane, juvederm, and restylane in this area before. Thank you in advance!
July 16, 2014
Answer: Tear Trough and Cheek Fillers Thank you for your question. You bring up important considerations. The lower eyelids show even a hint of overfill and this can happen from the filler absorbing water after injection. While there are certainly very skilled injectors that use Juvederm (often diluted) and underfill initially with the understanding that it will plump further, in my opinion, this is still less precise than getting it right while the patient is still in my office. I prefer to use Belotero (Restylane is also a very good product that does not absorb water after injection). Both are silky smooth and don't form lumps with proper injection technique. In regards to your cheeks, you have several options here as the injection is done considerably deeper and thus the results are more forgiving than around the eyes. Voluma or Radiesse are common products to place in this area and can give you the volume replacement you desire. I have taken to blunt tip cannulas for this type of injection to reduce post injection swelling and bruising. Best of luck!
Helpful
July 16, 2014
Answer: Tear Trough and Cheek Fillers Thank you for your question. You bring up important considerations. The lower eyelids show even a hint of overfill and this can happen from the filler absorbing water after injection. While there are certainly very skilled injectors that use Juvederm (often diluted) and underfill initially with the understanding that it will plump further, in my opinion, this is still less precise than getting it right while the patient is still in my office. I prefer to use Belotero (Restylane is also a very good product that does not absorb water after injection). Both are silky smooth and don't form lumps with proper injection technique. In regards to your cheeks, you have several options here as the injection is done considerably deeper and thus the results are more forgiving than around the eyes. Voluma or Radiesse are common products to place in this area and can give you the volume replacement you desire. I have taken to blunt tip cannulas for this type of injection to reduce post injection swelling and bruising. Best of luck!
Helpful
July 16, 2014
Answer: Is there any type of filler for the upper cheek and eye trough that will not draw too much fluid to the eye? Voluma is typically a very nice option for the issues that concern you. It is injected along the cheekbone and in the apple portion of the cheek, depending upon where the volume loss is most pronounced. It also has the effect in many patients of softening the nasolabial fold area and the tear trough. It draws in almost no water and it's not actually placed in the undereye area and should avoid the issues you've experienced before. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
July 16, 2014
Answer: Is there any type of filler for the upper cheek and eye trough that will not draw too much fluid to the eye? Voluma is typically a very nice option for the issues that concern you. It is injected along the cheekbone and in the apple portion of the cheek, depending upon where the volume loss is most pronounced. It also has the effect in many patients of softening the nasolabial fold area and the tear trough. It draws in almost no water and it's not actually placed in the undereye area and should avoid the issues you've experienced before. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
