Fillers for dark under eye circles - What happens when they dissolve? (photo)

Response to: Fillers for Dark Under Eye Circles

Hello, and thank you for your question. It's understandable to want effective solutions for dark under-eye circles, and fillers can be a viable option for many. Here are some insights into your queries:

What Happens When Fillers Dissolve?

When fillers are absorbed by the body, the treated area gradually returns to its pre-treatment state. Typically, the skin does not become slack like a deflated balloon once the filler dissolves. Most fillers stimulate some collagen production, which can help maintain skin firmness even after the filler has metabolized. However, individual results can vary depending on factors such as skin type, age, and the specific filler used.

Does the Filler Migrate?

Fillers are designed to stay in the area where they are injected. However, improper injection technique or the use of certain fillers might lead to migration. It is crucial to have the procedure performed by an experienced and qualified practitioner to minimize this risk.

Effectiveness on Dark Circles vs. Hollows:

Fillers are generally more effective for addressing hollows under the eyes rather than pigmentation issues causing dark circles. By filling the hollows, they can reduce the shadowing effect that contributes to the appearance of dark circles, making the area look brighter and more youthful. If pigmentation is a significant concern, combining fillers with other treatments, such as topical creams or laser therapy, might be necessary.

Impact of Makeup on Filler Longevity:

Regular application and removal of makeup, such as concealer, should not significantly affect the longevity of the filler. However, it's essential to use gentle products and techniques to avoid irritation or unnecessary stress on the skin.

I hope this helps clarify your concerns. For the best results and personalized advice, I recommend consulting with a board-certified dermatologist or a qualified cosmetic surgeon who can assess your specific needs and provide tailored recommendations. Best of luck with your decision!

From the photos you may want to consider a lower blepharoplasty with fat grafting. This would fill the under eye hollows and remove excess skin for a more youthful look and even contour. The dark area will improve with this technique as part of the appearance is due to shadowing. If you choose to go the filler route the filler will not stretch out the skin, but you will continue to age normally. I encourage you to begin by visiting a board certified plastic surgeon near you to learn more. I've included a video I hope you find helpful.

Hello, I completely understand your concern with your undereyes, especially as a male who isn't accustomed to wearing makeup and having to use concealer. I can see how it might help a bit but doesn't fully cover everything to your satisfaction.
Thank you for sharing your photos; they are very informative and can help other patients with similar concerns. The undereye area can present several issues such as darkening, hyperpigmentation, hollowness, skin laxity, and/or lesions like syringomas or xanthelasmas. In your case, since you exhibit all these conditions, a multimodal approach with progressive results will offer the most beneficial long-term outcomes.
I recommend starting with a thorough in-person analysis and medical consultation. Prioritizing the removal of syringomas with a CO2 laser is essential, and improving the overall area with fractional CO2 laser can be done in the same session, along with IPL and vascular laser treatments for the pigmentation. Subsequent sessions may be necessary to continue addressing the pigmentation with IPL and vascular lasers.
Fillers might also be needed, but it is essential to approach this comprehensively, improving the cheeks first, then addressing the lid-cheek junction with fillers. These fillers tend to last longer than the product specifications suggest, especially since regenerative procedures are applied first. Concerning your question about the need for dissolving fillers, it's unlikely to be necessary, but if it is, the skin should not appear worse than before, especially with the prior regenerative procedures.
An alternative to CO2 resurfacing could be using SylfirmX pulsed wave to improve everything but the syringomas, which need to be removed with a CO2 laser.
I hope this explanation helps you make more informed decisions regarding your concerns.