Under eye bag filler treatment - why are the results so different on both sides? (Photos)
Doctor Answers 4
In filler application, it is best to stick to the doctor who resonated with you and shares your aesthetic sense
I can certainly help you with this concern. To give you a little about my background — I am a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. As a surgeon with a background in eye surgery and specialty training in plastic surgery, working with the eyes is certainly a big part of my practice, and I treat patients from all over the world for everything from under eye hollows, puffy bags, and droopy eyelids.
Nowadays, the brand names of injectables and lasers have become the centerpiece of the procedure; however, when you really understand what medicine is about and the nature of these procedures, you’ll realize the true star is the physician who actually performs the procedure.
In your case, you recognized the difference in quality of treatment between your first doctor and the subsequent doctors. I think that the subsequent doctors you met with were certainly trying to achieve comparable results to the first, but probably felt like they were doing the best they could with your situation. Perhaps from their perspective, there was no further benefit to be added, so the explanation of having no bone to fill in the area of your concern may technically be true. Keep in mind that procedures like this entails an understanding between the doctor and the patient who have shared values, shared perspectives, and a shared understanding of desirable outcomes.
There is certainly an art to doing fillers, and regardless of the anatomy, it is about what works for the individual. In our practice, we usually use Restylane or a slightly thicker hyaluronic acid filler with platelet-rich plasma when filling under eye hollows. Platelet-rich plasma is a concentration derived from your own blood and contains healing and growth factors that do wonders for the improvement of skin quality, particularly for the delicate skin under the eyes. According to wound healing studies, the synergy between platelet-rich plasma and hyaluronic acid filler is very significant. The combination works well and is a great way to address volume and skin quality issues at the same time, so this is something you can consider.
Going back to your issue with regard to finding the right doctor who understands the volume correction you need, it is important to understand that when you visit several different doctors, they will give you many different solutions. These are all based on their different experiences and different perspectives when it comes to performing the procedures and using the products. In fact, I have met with patients who received different types of treatments — thermal tightening, injectables, etc. — to tackle the same problem.
Ultimately, you need to find a doctor you are comfortable with. It’s easy for a doctor to look at your photo and say that you need a little more here are there, but it makes more of a difference when you have a doctor who really gets you and understands what you want to achieve. A lot of patients will choose less expensive treatment options, or doctors who are working on a high volume of patients, and they won’t get the kind of results they’re looking for. Rather than chasing the procedure itself, try to do some research and choose a doctor who you feel will be able to resonate with your cosmetic goals.
I hope that was helpful and I wish you the best of luck!
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