The movement of fillers over time is a common concern among those considering using a filler for a specific area, such as the forehead. Hyaluronic acid fillers contain binding molecules that are interwoven with the collagen and elastin of the dermis layer of the skin, securing them in place so that they do not migrate anywhere else after being injected into a specific area. While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Complications from improper facial filler injections under the eyes have recently become much more common, and these complications can be very noticeable and disturbing in the highly visible area of the face around the eyes.
For some patients, non-surgical rejuvenation of the lacrimal canal may be a reasonable procedure that gives excellent results to improve dark shading or even to camouflage the appearance of larger fat pockets (bags) under the eyes. Scallops or malar bags are puffy bags and puffy bags appear under the eyes, which usually occur due to aging of half of the face. Sometimes, too much facial filler product may have been placed in the recesses of the lower eyelid, creating an overfilling effect that can make the area look more puffy. Because orbital complications can occur long after the injection of the filler and because the injection site is remote from the site of the complication, the association between the two may not be immediately identified.
From my own experience, I think what is happening is that when the filler has been injected into larger lumps, these lumps remain after the small droplets of filler have dissolved, leaving a lumpy appearance about 6 months after the injections. Make sure that a board-certified plastic surgeon is performing your procedure or directly supervising your trained injector to ensure that the proper product and technique are used. For example, if you're interested in treating wrinkles, gaps, or dark circles around your eyes, you might be curious if under-eye fillers can help. Because the issue is complicated and requires professional input, we asked board-certified dermatologist and dermatology surgeon Ellen Marmur to answer all of your questions. Marmur says he uses Restylane because it works primarily to smooth out wrinkles and creases.
Swelling is technically what fillers shouldn't be able to fix, but we can hide it by sculpting and supporting the skin, says Dr. The type of swelling that is not affected by fillers is what is called scalloping. Festooning means that there is a distinction, such as a seam, between the skin of the lower eyelid and the cheek, says Dr. Let's say you drank too much the night before or you drank salty soy sauce with your sushi, you're going to hold water on your face and it'll get stuck in your lower eyelids, called a festoon. Fillers can't fix this.
Discoloration or dark circles face a similar fate when it comes to fillers. If the pigmentation is caused by a thin skin that sits on the violaceous muscle and blood vessels, you can add a layer of filler between the skin and the muscle that will muffle the color. You're just adding a layer that creates a better reflection of light on your face and some lighting, says Dr. Similarly, if darkness is being caused by an emptying of your bone (which only comes with age), fillers can fill that back. What fillers can't fix is pigmented skin itself.
In most cases, hyaluronic acid facial filler products that were previously injected into an unsuitable tissue plane can be dissolved by hyaluronidase injections. Even in healthy people, various facial filler products have a variable affinity for water molecules and can sometimes cause additional swelling of the tissues. Botox, which is also used to counteract the effects of aging on the skin, is not a dermal filler and works quite differently. Over the past 10 years, cosmetic procedures such as injectables have become much more common and people openly share their experiences with Botox and dermal fillers. Chronic inflammatory conditions affecting the eyes and surrounding areas may predispose patients to prolonged swelling of the lower eyelids. Read on to learn everything you need to know about how to get a filler under your eyes for what it is, how much it costs and downtime below.