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, the potential they have to provoke swelling. Scallops, also known as cheek bags or malar mounds, can be exacerbated by HA fillers. Some eye bags are caused by a true hollow under the eye, which can be treated by filling the cleft with dermal fillers.
However, other types of eye bags are caused by fat pads that are too large. In these cases, fillers are definitely the wrong treatment. With maturity, the middle region of the cheek suffers a loss of fat volume, which leads to the appearance of puffiness under the eyes. Dermal fillers can help compensate for this loss of facial volume in a non-invasive way that replenishes youth and vitality.
The filler will be injected into the gaps that occur midway between the lower eyelids and the cheeks, improving the appearance of the tear canals and bags under the eyes. Usually, only one or two filling syringes are needed, as this region of the face requires a delicate and sparing touch. 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. The use of facial fillers in general, without experience in facial anatomy, can cause an irregular appearance. It is also important to understand that revision procedures after an unsatisfactory outcome of previous facial filler injections under the eyes can sometimes be more complex than the original procedure, and there may be certain steps that need to be followed as part of a treatment plan to properly address the area of concern.
Facial fillers that are derived from hyaluronic acid (HA) are generally considered the safest options for treating the sensitive area under the eyes. The lacrimal canal and the hollows of the lower eyelid represent areas of the face that have the thinnest skin on the body. I also prefer to use dermal fillers containing lidocaine, an anesthetic agent, so that any pain during the treatment of the eye bag is significantly reduced. A warning for those who want to try hemorrhoid cream: its use to reduce eye swelling is off the label and may cause skin irritation.
As the cheeks become flatter and sink down, the cheeks cause an abrupt transition between the lower eyelid eye bag and the cheek and worsen the appearance of the eye bag. The good news is that all of these HA gel fillers are reversible with an enzyme injection that melts the unwanted filler. What is scary is that these people often end up in the hands of the diverse and not always qualified group of facial filler injectors described above. As a result, I strongly recommend that this type of permanent and partially permanent filler products should not be placed in the eyelid region.
Silicone and other permanent fillers (including Sculptra) can cause immunogenic reactions, formation of lumps or granulomas under the eyes and are usually avoided in this delicate area. If you are wondering which eye creams are best for removing bags in the eyes, unfortunately, eye creams cannot correct the orbital fat hernia and sagging skin that eye bags cause. Dermal fillers are a quick, minimally invasive way to reverse the signs of aging around the eyes, nose and mouth. Although facial fillers have been a great tool in helping doctors reverse age-related changes in their patients' faces, it is important that they know the background and experience of people who inject their faces.
As difficult as it is to hear it, too full tear ducts do not look good and it is better to dissolve the filler and re-accumulate the area with less product. Unfortunately, there are also people who illegally apply facial filler injections without any medical training and, unfortunately, these are the horror stories you can see on the evening news. Permanent fillers under the eyes may be less tolerant and when problems occur with fillers such as liquid silicone or Artefill, correction is more difficult; sometimes surgery is required to remove one lump at a time. .
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