Bellafill is my preferred choice for filler under the
eye. You should be very careful about
who is placing it however. As a national
filler consultant, I see problems with all the fillers under the eyes an almost
all of the time it is due to injector error.
However, as a particulate filler that asks your body to create its own
tissue, Bellafill when “airbrushed under the skin” with a micro-cannula gives
wonderful results that at times can be remarkable.
Because it lasts so long, you should be aware of the risks
and benefits of these types of fillers.
I have added a video that may help you.
I have also added a web reference with a number of photos or patients who were treated with Bellafill under the eyes.
I hope that helps.
This is a technically difficult area to inject. I would suggest a "dilute" BellaFill (mixed 1:1 with lidocaine) placed just on top of the orbital rim. Inject no more than 0.5cc of dilute BellaFill for each eyelid and then touch up if more volume wanted. Be very careful to only use an injector experienced with BellaFill.
I would not recommend using Bellafill (formerly Artefill) under the eyes. My preference is to only use one of the hyaluronic acid fillers (such as Restylane) under the eyes. Because the skin of the under eye are is so thin, sometimes a visible irregularity can develop when filling the area and I find the hyaluronic acid fillers to be the least likely to cause any issue. Hyaluronic acid fillers can also be dissolved, if needed, unlike the other fillers.
Bellafill is a long lasting filler that is great in many areas of the face. It can be used in tear troughs and around the eyes but you have to go to someone who uses fillers in high volume and uses Bellafill in that area. Best thing is to be conservative and do a little at a time in this area. HAs are still preferred in most patients.
Bellafill (formerly Artefill) was FDA approved in 2014 as a
filler. It is promoted as a permanent filler because a portion of the filler is
made of microspheres of methyl methacrylate.. The large proportion(80%) is made
of bovine collagen. Collagen last less
than one year while the PMM is permanent. You need to be skin tested a month in
advance. The injections are meant to to sub-dermal meaning it is placed beneath
the skin. This leans itself to be a good filler for the tear trough especially
if it is injected just above the bone. As with any filler more is not always
better. Being conservative with the injection around the eye is a good idea.
Using a microcannula is another way to minimize the bruising.
Thank you for the great question. I do NOT recommend placement of Bellafill in this area. I use exclusively hyaluronic acid (HA) products in this area -- mostly Restylane and Belotero. If you are looking for a longer-lasting alternative for the tear troughs, I would recommend structural fat grafting. This is a minor surgery with a short recovery. Bellafill is fantastic for areas of the face with thicker skin -- the cheeks and nasolabial folds -- and even along the jawline.
I use fat, Bellafill and hyaluronic acids under the eye. Although the HA do attract water and have the possibility of a Tindall Effect that has not been a major problem for me. This may be because I place my filler very deep, just over the bone, which gives a very natural result. It is a great choice for a patient who wants to "try out" the filler. Fat is great because it is permenant but a little more involved to get with a little more down time. Bellafill has been a great office option for my patints as well.
Bellafill is now my favorite filler under the eyes because of its longevity, predictability and lack of Tindall effect. DO NOT go to a novice injector for this unforgiving area.
I suggest avoiding any permanent fillers in large quantities under the eyes unless they are done by a very meticulous surgeon using cannulas for injections. I use radiesse and fat in those areas and have good experience with Belafill as well, but it all depends on the individual person and their long term goals. I suggest going to a facial contouring specialist for treatment. Best, Dr. Emer.
Pigmentation in the under eye area is different than a tear trough. Don't expect this to improve but expect the shadows to improve. It can be used in this area by a very experienced injector. Because it is permanent, it needs to be conservatively.