Should I get Bellafill injections for my dark circles?

Question

I'm 23 years old. I've had dark circles for as long as I can remember. I'm frustrated with the way it looks. I talked to a doctor in my area about fillers and they recommended bellafill. It would cost me about $1100 for each syringe; however the doctor recommended half a syringe on each eye. I'd like to get more opinions on what I should do. Or if they're are better methods out there for correcting dark circles for a long lasting result. Also, would it be best to go for full syringes on each side?

William Groff, DO · Answer

At my practice, we usually do not recommend Bellafill for use under the eyes. The skin there is very delicate and there is a high chance of irregularities when injecting Bellafill in that area that would be difficult to correct due to the long-lasting nature of the filler. I would recommend visiting another board-certified dermatologist for a second opinion about the best way to treat your circles. Dark circles may require multiple types of treatments for the best results depending on the individual as well. Even if you do decide to risk Bellafill injections, I would advise having a reversible hyaluronic acid filler such as Restylane injected first to make sure that you like the results before committing to Bellafill.

Jason Emer, MD · Answer

this is one place I do not like to inject this filler.  I suggest something like voluma for long term if you want something that lasts "longer" in this area, however, you need a formal assessment as in my practice we do mid cheek injections to improve the trough with a more robust filler like bellafill and then do superficial filling with belotero, silk or voluma to the troughs.  No filler is currenty approved for injection into this area so you will get differences in opinion.  Best, Dr. Emer.

Scott C. Sattler, MD, FACS · Answer

I prefer the use of HA fillers like Juvederm and Voluma for mid face volume correction. Filler injections in this zone of the face are typically in the tissue plane just about the facial skeleton to avoid bumps and irregularities.

Michael I. Echavez, MD · Answer

My opinion is that I would not use Bellafill under the eyes to help improve dark circles.  The skin is very thin in that area and it is possible to get long term irregularities under the eyes.  I find that one of the hyaluronic acid fillers works better under the eyes.  If you have never had any filler in that area before, I would also recommend using a hyaluronic acid filler first to see if you like the result before even considering anything else.

Andrew Pichler, MD · Answer

Your issue is rather common and usually genetic in origin. Having said that there are a number of approaches you could try, all require persistence and ongoing treatment. I agree with previous comments that avoid Bellafill. Hyaluronic acid fillers such as restylane or juvederm are the best. There is however no guarantee that they will improve the dark circles much. You also need to use bleachers, such as hydroquinone, kojic acid etc. Also consider chemical peels. See an experienced cosmetic skin specialist.

Stephen J. Ronan, MD, FACS · Answer

Occasionally I do treat under-eye circles with Bellafill for the right patients. I love the results and think Bellafill is a nice alternative to more temporary fillers. The results are very natural and long lasting.

William J. Seare, MD (retired) · Answer

Bellafill is an excellent volume filler.  However, it is only approved by the FDA for correction of the naso -abial folds and acne.  However, most of us have been using the Artefill® and which is now Bellafill® for treatment in other areas.  Since it is permanent, it should only be used by a very experienced injector.  I have been a trainer for Artes which is the company that originally marketed Artefill®.  I even developed a lifelike silicone composite facial mask for use to train inexperienced injectors.  The FDA finally removed its requirement for "hands on" training before a physician could get the material supplied to them. The under eyes are the most difficult place to inject.  I would recommemd that you find a very experienced injector, specifically with Artefill® or Bellafill® to do your procedure.  I would also recommend that you start slowly by injecting 1/4 to 1/2 cc at the first several injections and proceed if you get an "incremental improvement" which is the moto for my practice

Brian Windle, MD (retired) · Answer

Bellafill
is actually a very good alternative for under your eyes and from what can be
seen from your pictures, it would be an excellent choice.  I have used it extensively for just this problem
and have found it to give a very natural, smooth correction. I
have added a link to photos of patients I have treated and a video on filler
safety issues.  Make sure you find
someone who has experience with injecting Bellafill under the eyes and uses a
micro cannula.I
hope that helps.Best
regards.

Should I get Bellafill injections for my dark circles?

Answers (8)

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