Christy will assess your concerns, discuss your ideal outcome, and recommend the most appropriate injectable filler for you. It is important to note that Restylane fillers do contain Lidocaine for added comfort, so patients with specific allergies may be better suited to an alternative treatment or product.
Patients should notice an almost immediate improvement in their under-eye circles after Restylane injections, though the final results can take up to 1 — 2 weeks to become apparent as the fillers soften and settle into the area.
Because there is typically less movement under the eyes compared with other facial features, the filler often breaks down more slowly and lasts longer than in other areas. Christine Kirkendol Watson today! Images may contain models. Individual results are not guaranteed and may vary. What causes dark circles under the eyes? Measure content performance.
Develop and improve products. List of Partners vendors. While I've never shied away from testing face creams , chemical peels, and lasers —heck, I've even used my own blood as a serum —the prospect of getting injections and undergoing cosmetic surgery has always made me nervous.
Thanks to sunscreen, and the rigorous skincare routine I started at the age of 14 growing up in Australia, a country with a super-thin ozone layer will do that to you , I'm entering my forties with minimal signs of aging.
The one place where I felt my age showed the most, however, was my under-eye area: The lines didn't much bother me, rather, it was the dark, sunken troughs under my eyes that made me look over-tired, even when I was well-rested.
So I started thinking about under-eye fillers. Under-eye fillers are injectable hyaluronic acid treatments commonly known as Restylane and Juvederm that can be used to treat volume loss underneath the eyes. The fillers generally last six to nine months and cannot help with hyperpigmentation i. Even though getting dermal fillers is a relatively safe and common practice—and a simple one, too, as injections take mere minutes—I still harbored some major resistance.
After some significant soul searching, I realized that much of my hesitation came from how I thought my parents would feel about it and from the shame in telling my husband. I was embarrassed about altering my body in the name of vanity: Why can't I just accept and be happy with the body I was born with?
Why do I feel the need to change my appearance to satisfy societal expectations of what it means to be beautiful? Ultimately though, I decided that this was about me, so I pushed the self-imposed guilt aside. Getting a teeny bit of filler under my eyes is my choice and no one else's. Meet the Expert. Jennifer Herrmann is a board-certified, fellowship-trained dermatologist and dermatologic surgeon as well as a lecturer with more than 20 peer-reviewed studies and book chapters. And as it turns out, everything I thought I knew and feared about under-eye fillers was wrong.
Here's what I learned. As you can see, the areas under my eyes were quite hollow, especially on the right-hand side. According to Herrmann, this hollowing is a result of age-related bone loss around my eye sockets aka preorbital areas.
But, scary as it sounds, it's also super common. Herrmann breaks down this process over on her practice's blog, where she writes, "Over the age of 35, the number of bone regenerating cells in the face decreases. Gradually, the bone around our eyes widens , leading to eye hollows and flattened cheeks," which results in "a diminished bone scaffold on which our fat and skin sit.
Ultimately, bone loss is a natural part of the aging process, and opting for fillers is a simple, effective way to plump sunken areas. Although age doesn't dictate when you should start getting fillers rather, it's based on personal preferences , Herrmann described a " prejuvenation " theory I was keen on: "It's much easier to keep a face looking natural by injecting very small amounts of filler slowly over time," she explains, "than to wait until your 50s or 60s and require much larger volumes to restore what time has taken away.
After making the decision to go forward with fillers, Herrmann stresses the importance of finding the right doctor to administer them—and by "doctor," she means a board-certified dermatologist or plastic surgeon not the aesthetician at a medical spa. Understanding the exact relationships of facial bones, ligaments, muscles, and facial fat pads is crucial in determining exactly where fillers should be placed for the most natural-looking results—and also minimizes the chances of having severe complications.
During your initial consultation, talk over everything with your doctor—ask all the questions you want, and be sure to discuss any fears. Write down any questions or concerns and bring them with you! It's easy to get flustered in the moment with doctors and forget to ask something. Likewise, explain what you're seeing in the mirror, what you'd like to change, and how you'd like to look.
Treatment Day, Dr. Herrmann's Office. Popular brand names include:. Hyaluronic acid fillers have been shown to support collagen production in the skin. Lidocaine, an anesthetic that helps numb the area, is an ingredient added to some types of hyaluronic fillers. Hyaluronic acid provides the shortest result of all the fillers but is considered by some practitioners to provide the most natural look. Poly-L-lactic acid is a biocompatible, synthetic material that may be injected via a process called linear threading.
This substance significantly invigorates collagen production. This biocompatible dermal filler is made from phosphate and calcium. Calcium hydroxylapatite is thicker than hyaluronic acid. Some practitioners shy away from using this filler for concern that the area under the eye will become overly white in color.
Others site a concern that nodules may form under the eye. Calcium hydroxylapatite is marketed under the brand name Radiesse. The following table highlights the pros and cons of each filler type. Talk to your doctor about each potential solution so you can decide which one feels best for you. Your first step will be a pretreatment consultation. At this time, your doctor will also walk you through the procedure and recovery process.
Many people feel virtually no pain during an eye filler procedure. Some report feeling a slight prick. Fillers absorb back into the body over time. Darkness in the tear trough area is often genetic, but a number of other issues can also cause it, such as:. Eye fillers are most effective for people who have dark under-eye hollows caused by genetics or aging, as opposed to lifestyle factors. Some people naturally have sunken eyes to varying degrees, which cast shadows underneath the lid.
Eye fillers can help relieve this issue in some people, although others may find surgery to be a more effective solution.
Aging can also cause sunken eyes and a dark, hollow look. As people age, the pockets of fat under the eye may dissipate or drop, causing a hollowed-out look and a deep separation between the under-eye area and the cheek.
Not everyone is a good candidate for getting eye fillers. If you smoke or vape, your doctor may caution you about getting eye fillers. Smoking may hinder healing. It may also reduce how long results last.
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