What is the hardest, non-hydrophilic filler?

Question

I have undereye bags which have been successfully treated in the past with filler "columns" in the dipped area. However some fillers worsen the swelling even more, as they are hydrophilic. However the filler needs to be hard (high G') in order to keep its position. Question: What's the hardest, non-hydrophilic filler that could be used?

Daniel Ezra, MD, FRCS · Answer

Your question is very perceptive! Essentially, there is a trade of between the G' value and the hydrophilic nature of the gel. This means that the 'harder' gels are more hydrophilic. Foe example, Juvederm 4 Ultra would be quire 'hard', but it is very hydrophilic and should never be used in the tear trough area. The key thing for the tear trough is a low hydrophilic profile, which means a low G', unfortunately. You should ideally be using Belotero or Teosyal Redensity II for these areas. you need to accept that if you want to eliminate swelling, the filler will be softer. If done well this should not be an issue and you should still get a great result.
There is generally a very poor understanding of the physics of fillers among practitioners, but I hope this explains things for you.

Jason Emer, MD · Answer

These fillers (belotero, volbella, restylane silk) are good for under the eye, but 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

Daniel Barrett, MD · Answer

Dear matthowes, bags under the eyes is the number one complaint of people as we age.
To treat the area, it requires an experienced clinician and multimodal therapy based on severity. Sometimes surgery is the answer, other times a light filler with a peel or laser will do the trick.
Always make sure you know the credentials of your clinician and what products they are using. In most cases I use Radiesse.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Maurice M. Vick, Jr., MD · Answer

I do not recommend or use any fillers that are not Hyaluronic Acids under the eyes. They also must be thinner in consistency to avoid lumpiness. I like Restylane or Vollure that I make into micro dots and inject in tiny amounts with a deeply placed 31 gauge needle. Best Wishes, Maurice Vick MD

What is the hardest, non-hydrophilic filler?

Answers (4)

Answer: Under Eye Fillers

Answer: Under Eye Fillers

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What is the hardest, non-hydrophilic filler?

Answers (4)

Answer: Under Eye Fillers

Answer: Under Eye Fillers

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.