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5 Things I wish I'd known about undereye/tear trough filler

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5 Things I wish I'd known about undereye/tear trough filler

VainHippie1
$625
This was my first time having any kind of filler or treatment; I've never had botox or anything like it, but my undereye bags were driving me crazy. I spent months researching because I was anxious and I tend to be a perfectionist about haircuts, etc. I knew this was a tough area to treat so I settled on a very reputable oculoplastic surgeon; I wanted someone who was familiar with the anatomy of the face and eye. Here's what I wish I had known beforehand:
1. A surgeon is not necessarily the best injector; this is a numbers game and I think it's most important to find someone who has done hundreds of tear trough injections, even if they're a dermatologist or maybe even a PA. The surgeon injected me and I ended up overfilled and lumpy in one eye and pretty badly bruised on the other eye. The overfilled eye is actually casting a new shadow underneath the place where my original circle was -- it looks weird. I have no doubt that my doctor is an excellent surgeon, but I think he spends more time with a scalpel than a needle.
2. I wish I had asked for a specific amount of filler. The doctor I went to has a reputation for being conservative, and photos of his eye surgeries are very subtle. My last words before he injected were "I would rather have to come back for more than have too much." He split one syringe of Restalyne between my two eyes, but my left eye (the first eye he did) clearly got way more, and that is where I now have lumps and weirdness. The right eye, I'm guessing, got about 1/3 of a syringe and it looks fine. And my bags were fairly pronounced.
3. Microcannula would have been better. I initially was only looking at doctors who used the microcannula technique, but I changed my mind after talking to the receptionist at this surgeon's office. The injection was gentle and painless, but I got a bad bruise that lingered and was a bigger deal than I initially thought -- there was really no good way to cover it with makeup, and I looked like I'd been punched. Plus, my thinking now is that any highly experienced injector will probably be comfortable using the microcannula or will give you a specific reason why they aren't.

4. I would have done my cheeks first. Because of my budget, I had to choose one area to treat, so I chose my eyes. In retrospect, I think I would have gotten more bang for my buck by doing my cheeks. I'm now planning to fill my cheeks anyway in hopes that it will soften/diminish the shadows and lumpiness caused by my undereye treatment.
5. Since my treatment, I've found doctors on Real Self who don't have photos of this treatment on their own profiles, but who have answered a lot of questions about it; I think that's a good way to feel out how experienced someone is -- look at their answers to questions on this site.

I am not planning on dissolving my filler because I don't want to make things worse. I don't feel like I was disfigured -- the eye looks fine in certain light; but overall I think I look slightly worse than before. When I was researching, I mostly read positive reviews because I sort of assumed that anyone who had a bad outcome just hadn't researched properly. I was wrong. This is an incredibly complicated area to treat, especially if you are older and have wrinkles and sagging and other things going on with your face. That said, I do think there is a slight improvement in my right eye, which received less filler. Good luck!

Replies (24)

March 16, 2017
If I had read this before, I went through the exact same thing. Reputable Ocuplastic surgeon does not equate best filler doctor.
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March 18, 2017
Whatever you do, don't have it dissolved. A PS dissolved mine in the teat trough a few weeks ago and I have since been having sever eye pain and have now been diagnosed with dry eyes, to the point where my Dr won't give me a prescription for contacts. My eyes were fine before and it was a little bump under each eye from filler I had 6 months ago.. It also made my eyes look creepy and shriveled up and most of all, they hurt... The enzyme did something to the fluid in my eye and now I'm suffering. He was also a board certified, diamond injector, so this whole speech on this site about finding someone who is board certified,,, yaddy da.. is BS.. They can mess up your face the same and won't care if they do.. You will be lumped in the 1% that has issues or are considered the difficult client.. Just let if wear off naturally.. and also be aware that there have been reports of blindness from filler in the eye and it's not FDA approved for this area.. If you were to go blind from the filler migrating, they would not care.. You signed a waiver.. Better to just age naturally, eat healthy, exercise and get non invasive facials and acupressure facial massage..
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March 18, 2017
Sorry for all the typos, I can't edit this reply..
March 20, 2017
Thanks, that's really good advice, I'm so sorry to hear about your experience.
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March 22, 2017
Yes now my right side lip is droopy due to needle nerve damage on the buccal branch of the facial nerves, which I guess can happen but of coarse is never talked about during the appointments. My right lip doesn't raise now when I smile. It's been 3 weeks and was told the nerves usually come back ,but will have to be patient. All because I wanted to dissolve a tiny lump of old filler in my tear trough. I would have been better off dealing with the tiny lump.. So irritated, I'm done with PS.. seriously!
March 22, 2017
I agree. I had mine done in a plastic's surgeons office by a nurse practitioner. She was a master injector with Allergan and had been performing injections for 8 years. I started small and went for a touch up as well. Also, she injected some in my cheeks and it gave the treatment a supple look. I really wish you the best, it's always disappointing when don't get the results your were expecting. Hopefully If you choose to do it again you will get a better result!
March 22, 2017
You are so right! I went to an ocular surgeon as well. He has a stellar reputation as someone who literally saves people's eyesight and performs very intricate eye surgeries. But he was awful with the needle. No cannula and no numbing cream at all. He did my cheeks and tear troughs. Too much in the cheeks, not enough under the eyes. I went back and he put more under the eyes, charging me full price. The left eye looked Ok but the right had a crease in it and still does. I went to a plastic surgeon and he tried twice to fill out that crease and failed. I have a little hole under my eye when I smile that drives me crazy. I didn't dissolve it. I just hope I can find someone who uses a cannula and can figure out why that one area simply will not fill. I spent a lot to look worse. Sigh. The next person I go to will have years of experience and will use a cannula. I am researching now and will continue until I am sure I chose the right injector.
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March 27, 2017
I bet I can guess who the doctor was... I know because I a similar outcome, and I'm still dealing with the after affects. You can click on my profile to see pics and my review from years ago. Filler under eyes is so very tricky and this guy should give it up or let his nurse do it all.