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AMM 152: Erase Eye Bags with Under-Eye Fillers

July 28, 2024

This episode delves into the world of under-eye fillers as a solution for reducing dark circles and eye bags. Experts, including Dr. Dendy Engelman, break down the specifics of how these hyaluronic acid injections work, the importance of choosing a certified professional, and who makes the best candidate for this procedure. Safety tips, preparation steps, and what to expect during recovery are covered to ensure you’re well-informed. Plus, learn about the cost range and the possibility of reversing the effects if needed.

Quick Takes

  • Under-eye fillers lift and plump the area beneath the eyes, diminishing hollows and wrinkles to give a more awake look.
  • U.S. FDA has approved hyaluronic acid fillers like Juvederm Volbella, Restylane Eyelight, and Belotero Balance for under-eye use.
  • Under-eye filler is generally safe but best suited for individuals with thin skin and significant volume loss; preparation includes avoiding alcohol and blood thinners.

Episode Transcript

Today is July 28, 2024. Let’s talk about an option you might have heard about if you’re looking to reduce those stubborn dark circles and eye bags: under-eye filler.

First off, under-eye fillers are injections designed to lift and plump the area beneath the eyes. Dr. Dendy Engelman, a board-certified cosmetic dermatologist at the Shafer Clinic in New York City, explains that these fillers help diminish hollows and wrinkles, giving your eyes a more “awake” look. It’s a different ballgame compared to treatments like Botox, which targets muscle activity. Instead, fillers physically add volume to the treated area.

The U.S. Food & Drug Administration has only approved fillers made from hyaluronic acid for the under-eye area. These include popular products like Juvederm Volbella, Restylane Eyelight, and Belotero Balance. In Canada, Teoxane Redensity 2 is an option as well.

Now, under-eye filler is generally safe, but it’s important to be the right candidate for it. This treatment is best for individuals with thin skin and significant volume loss. However, if you have heavy under-eye bags, fillers may not be your best bet. Dr. Engelman advises that filler might not effectively tackle puffiness or excess fat.

As always, choosing the right professional for the job is crucial. Improper administration can lead to complications like blue discoloration, skin necrosis, or even more severe issues like blindness.

Preparation is key. Limiting alcohol and blood thinners, like ibuprofen, a few days before the procedure can help reduce post-treatment bruising and swelling.

Keep in mind, recovery isn’t too intense. Mild swelling or bruising is normal and usually subsides within a week. You can use cold compresses, avoid eye makeup, and keep your head elevated to minimize these effects. Dr. Engelman also recommends gentler skincare routines, such as using eye creams with ingredients like vitamins C and K, to prepare the skin.

Lastly, if you’re not happy with the results, they can be reversed. Dr. Joshua Zeichner, a dermatologist at Mount Sinai Hospital, says that hyaluronidase can dissolve the filler if necessary.

Remember, the cost varies—expect to spend between $700 to $3,000. Make sure you consult a licensed provider to get the best results tailored to your needs.

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Aesthetic Medicine Minute

with Dr. Teri Fisher

Daily insights, updates, and strategies for navigating the world of medical aesthetics, all in 1 minute per day.