How safe is it to get fillers in the eye trough?

Question

How safe is it to get fillers in the trough? I was told by one doctor that this procedure could obstruct blood flow to the eye and cause blindness. Does the filler last longer in this area than in the nasolabial area?

Nima Shemirani, MD · Answer

Hi @DNE.  I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Elham Jafari, MD · Answer

Hi and thank you for your question! The area under the eyes is rich in blood vessels and other sensitive structures and performing injections in that area requires a higher level of expertise and skills. I commonly perform filler injections in most areas specially under the eyes and in the tear troughs with flexible cannula that can helps greatly with reducing the risk of complications. Please make sure to work with a cosmetic doctor with high level of experience in doing injections under the eyes and you should be fine! I hope it helps and good luck!

Jason Emer, MD · Answer

This is a safe procedure. You'll want to see someone meticulous. Keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Matthew Bridges, MD, FACS · Answer

Filler injections under the eyes is generally quite safe.  As with anything, there are rare risks.  I use a blunt cannula for injection under the eye, which i feel is safer than sharp needle injections. The idea is that you are less likely to inadvertently inject into a vessel using a blunt cannula.  Filler under the eyes can last quite a while, as in up to a year or more. I would definitely only ever have hyaluronic acid injected, ie Restylane, and not other things like Radiesse.

Peter N. Butler, MD, FACS · Answer

This area is frequently treated with various fillers, but there are certainly risks (more so than other areas). This area tends to carry swelling for a quite some time, so a product like Restylane tends to work the best. Restylane is known to cause less water absorption, thereby reducing fluid retention under the eyes. This area is also more likely to bruise, so taking recommended herbal supplements, and discontinuing any medications known to thin the blood is a good idea. In regards to blindness, there have been reported cases of retinal artery occlusion leading to blindness from this procedure. In my opinion, the risk is too high, and I prefer avoid filler under the eyes in light of this new evidence.

Shaun Patel, MD · Answer

Undereye (tear trough) filler injections are safe and effective in experienced hands. I perform this procedure everyday and so I making that claim based on experience. My preferred filler for this area is Restylane and I use a microcannula to minimize bruising and swelling but also other complications such as vascular injury.

Maurice M. Vick, Jr., MD · Answer

Go to an experienced injector to treat this area. I treat the eye troughs frequently several times a day. I like Vollure microdots deeply injected in small quantities. This area must not be over injected to avoid puffiness. I like to use a two treatment approach waiting 2 weeks between treatments. Vollure is said to last a year or so. Best Wishes, Maurice Vick MD

Faraz Valaie, MD · Answer

Hi,Thanks for the question!This is a very great question. While vessel blockage always is a possibility, however in experienced hands, the chance is very minimal. Hope this helps!

Chad Pfefer, MD · Answer

In experienced hands this procedure is incredibly effective.  We usually combine different treatments such as PRP/microneedling, lasers and fillers.  In inexperienced hands this procedure often goes wrong and makes the eye bags worse due to either filler migration or pigmentary changes.  Do your research and find the best provider in your area for this.

Paul Blair, MD · Answer

In experience hands, injection of fillers is safe.  Find an experience injector.  A filler may last longer in this area as compared to the nasolabial folds.  Once again, find an experience provider and your risks should be minimal.

How safe is it to get fillers in the eye trough?

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