As fillers attract water, it can lead to swelling under the eyes where the solution is placed too close to the surface. The choice of the filling product should also be carefully selected, since there are different types and they vary in the amount of water they attract and, therefore, in the potential they have to provoke swelling.
Tear canals
are a complex area to treat and should only be tested by experienced injectors. When done correctly, dermal filling in the tear canal can reduce the appearance of tiredness under the eyes and enhance the sunken effect that occurs as we age. Treatment of lacrimal canals should only be performed by experienced professionals.As you will see, problems can occur as a result of poor choice of filler, lack of understanding of the patient's anatomy or poor selection of patients. While experienced expert injectors can improve the appearance of bulging fat in this area, the most effective procedure to address this problem is surgery around the eyes to remove and, in some cases, reposition the fat that protrudes forward around the eyes. Unfortunately, doctors with a less extensive facial history also use facial fillers, including dentists, general surgeons, family medicine doctors, internal physicians, pediatricians, emergency physicians, allergists, and gynecologists. Juvederm, for example, is one of the most popular brands of hyaluronic acid filler in the UK, and is available in four different molecular weights under the names Volite (the thinnest), Volift, Vobella and Voluma (the thickest), each of which provides a different thickness. I have seen many problems arise from people who put fillers under their eyes to camouflage the fat changes that come with aging.
The skin under the eyes is especially thin, so the injection should be handled with care and precision to achieve the best possible results. For people who have deeper sunken eyes, the appearance of hollow areas under the eyes can also affect the light reflectance patterns of the face and can make the entire area around the eyes appear darker by creating undesirable shadows. 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. The Tyndall effect may occur in some patients who have been injected with hyaluronic acid facial fillers into an area. But can this procedure be counterproductive? Can fillers worsen eye area? The answer is unfortunately yes.
For this reason, adding small amounts of facial filler volume can have a much more significant impact than expected. Although HA fillers are generally known to last on other areas of the face for shorter periods of time - from six months to a year - it is common for HA fillers to last in the area under the eyes for much longer periods of time. When skin care fails, many turn to cosmetic treatments for a more invasive and professional option to try to remove eye bags once and for all; one of these being dermal filler. The problem here is that if filler has been placed above the orbicular retaining ligament or too superficially under the skin. In recent years tear rejuvenation has become a more popular procedure as many people seek to improve dark circles under their eyes without having to commit to surgery or its associated costs. 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 this highly visible area. The choice of filler product should be carefully selected since there are different types and they vary in terms of how much water they attract and therefore how much potential they have to cause swelling.
Injections should only be done by experienced professionals as problems can arise from poor choice of filler or lack of understanding about patient anatomy or patient selection. Surgery around the eyes may be necessary for more severe cases but for those with milder issues non-surgical rejuvenation may be an option. The Tyndall effect may occur if hyaluronic acid facial fillers are injected into an area but adding small amounts of facial filler volume can have a much more significant impact than expected. It is important to note that HA fillers usually last shorter periods on other areas but may last longer under eyes. Complications from improper injections are becoming increasingly common so it is important that injections are done with care and precision.