Filler under the eyes, or any dermal (skin) filler, may seem like a drastic option, but the truth is that it can be one of the few things that can really change the appearance of your face. The most tragic and feared complication of under-eye fillers is injection into a blood vessel or squeezing a blood vessel that compromises circulation. If the filling material affects the central artery of the retina, visual loss may occur. This is incredibly rare and, in my opinion, even rarer if a cannula is used. If dark circles are your biggest concern, tear filler may not be the right treatment for you.
Dark circles under the eyes are a complex problem to treat, and fillers will not solve the problem of skin pigmentation. In fact, if dark circles are caused by a darker pigment in the skin, the filler can accentuate them. According to Khetarpal, this procedure is good for anyone who can notice bags under the eyes between 20 and 60 years old, but not everyone is a good candidate for fillers. Sometimes, the body may not respond in the right way. You may experience any number of risks, or your eyes may swell when subjected to liquids.
In the past year, I have seen an increase in patients coming to me from all over the world for my eyelid rejuvenation techniques who need to have misplaced fillers dissolved.
Under-eye fillers
can be used anywhere around the eye where there is an unwanted contour, defect, or line. The tip of the cannula can slide between layers of tissue without causing any potential nerve damage near the eyes. “Tear canal deformity” is a term used to describe a line or gap that runs from the inner corner of the eye to the cheek and that can cast a shadow over the area under the eyes. If you have an area of the lower eyelid that appears to have the Tyndall effect, hyaluronidase injections will usually correct the problem by dissolving the facial filler product.Tear canal deformity is due to the normal anatomy of the area under the eyes, but some patients seek treatment because they feel it makes them look tired or gives their eyes a sunken appearance. Hu explains that in some cases they could inject a different type of filler into the cheek area to try to decrease the shading from that angle instead of, or in addition to, filling under the eyes. Getting enough sleep, reducing salt intake and taking care of your skin can help prevent bags and dark circles under your eyes. If your filler goes directly under your eye, your dermatologist will certainly use a hyaluronic acid filler such as Restylane, Belotero or Juvederm which can also be used on other parts of your face. It is also important to avoid taking aspirin, non-steroidal anti-inflammatory drugs, vitamin E and ginkgo biloba for at least five days before filler is injected under your eyes.Most doctors use hyaluronic acid dermal fillers for this area as it is usually safer than other types of fillers if this is your first time getting it done.
If you're interested in putting fillers under your eyes, ask your ophthalmologist for a referral to a dermatologist or facial plastic surgeon experienced in under-eye fillers. Sometimes too much facial filler product may have been placed in the recesses of your lower eyelid creating an overfilling effect that can make this area look more puffy. In recent years tear rejuvenation has become a more popular procedure as many people seek to improve their appearance by reducing dark circles under their eyes without having to commit to surgical rejuvenation. According to Liotta people who do not have very deep gaps may use a filling syringe divided between each eye while those with significant gaps may need a full syringe on each side.