Is Bellafill a safe under eye filler?

Thank you for your question! Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer​​​​

Dear patient, I have had to remove Bellafill injected too close under the eyes by another surgeon. It is exceedingly difficult to remove Bellafill once the body has had a chance to make Collagen around the small plastic beads. Small irregularities and and bumps are readily visible under the eye. I would agree with your surgeon that Huyaluronic acid fillers are much better suited for the tear trough area. 
In my experience Hyaluronic acid fillers such as Restylane and Juvederm last much longer under the eyes than elsewhere. I have discussed this with other Dermatologist who agree and have noticed the same. The other benefit of hyaluronic acid fillers is that it can be dissolved if Tyndel sign or irregularities occur.

Injections under the eyes for so called "bags" should only be done by very experienced injectors.  Bellafill cannot be reversed and is not indicated for under the eyes.  Personally I like Restylane under the eyes either by injection with a needle or cannula.