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The Essential Guide to Under Eye Filler

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Posted August 04, 2022 in Blog

Deep under-eye hollows may be the bane of your existence, but there’s a quick fix available that you’re probably seeing all over social media. Enter: under eye filler, an easy treatment that corrects common eye concerns in the appropriate patients.

Injecting hyaluronic acid filler under the eyes can be dramatic and transformative, taking tired, heavy-looking eyes to ones that appear refreshed, smoother, and as if you got the best sleep. But choosing a board-certified plastic surgeon with ample experience and top-tier skill to inject the area can make all the difference between subpar and stellar results.

How Filler Transforms the Eyes

If a slight hollow or depression exists in the tear trough area of the under eyes, the skin may absorb light rather than reflect it. As a result, when there’s more darkness than light in the parts of the eye closest to the nose, dark shadows can become apparent and create more emphasis on the lower eyelid, drawing unwanted attention to the crease between the lower lids and the cheeks. Emphasizing this area, known as the tear trough, can accentuate hollowness under the eyes, darkness, and a tired-looking appearance regardless of how well you slept the previous night.

So why do some people have more issues and darkness with their under eyes than others? It simply comes down to genetics and the way your face naturally ages. With age, it’s normal for the tissue to lose support and the skin to become thin. Also, fat can shift in the under-eye area, causing less fullness and a sunken-in look. But a few quick hyaluronic acid injections can instantly plump the area under the eyes and allow light to reflect off the skin properly.

Unlike blepharoplasty, which surgically repositions fat, tissue, and skin, under-eye filler only adds volume to counteract the look of darkness and depressions that affect the eye area. Think of it like this: adding volume via filler reduces the look of darkness and shadows so that light reflects better for a brighter, fresher look.

What to Expect During and After Treatment

Under eye filler is a relatively easy and quick procedure to perform as long as you are in the hands of a skilled injector.

Your plastic surgeon or injector may first apply numbing cream to the treatment areas to make the procedure more comfortable (there’s minimal discomfort; still, some patients feel more at ease and comfortable with topical numbing cream). Next, your injector or plastic surgeon will inject hyaluronic acid (using either a cannula or needle) deep within the skin and next to or onto the bone or muscle to create the necessary volume depending on where it’s deficient. The deeper the filler is injected, the less visible it is on the surface of the skin (you don’t want the product sitting too close to the skin’s surface, which will make it visible to the naked eye and can create lumps, bumps, or a bluish tint to the skin). The results are immediate, and there’s no downtime. It’s normal for there to be some minimal bruising and swelling, which subsides after a few days. The results can last upwards of one year or more depending on how much movement there is in the area and how quickly your body metabolizes filler.

Pick Your Injector Wisely

Injecting the under eyes is tricky, and failing to choose the appropriate injector or plastic surgeon can complicate things. While it’s an effective way to take years off your appearance and create brighter-looking eyes and less hollowness, it’s essential to seek treatment with a plastic surgeon or injector who is well versed in facial anatomy, particularly the eye region. In addition, not every patient experiences the same degree or cause for hollowing and darkness under the eyes, so it’s important first to determine the exact cause and then the best mode of treatment. If allergies, for example, is the reason for persistent under-eye darkness, adding volume with fillers may not be the best option.

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Plastic Surgery Center of Atlanta

5673 Peachtree Dunwoody Road, Suite 100
Atlanta, GA 30342


Alchemy Aesthetics

5667 Peachtree Dunwoody Rd #285
Atlanta, GA 30342

Phone: 404-257-9888

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