Filling eye hollows is a delicate business and there are risks. The biggest risk is bruising, lumps and swelling. In some cases if not done properly it can actually make your lower eye area look worse. Today there are more hyaluronic acid (HA) fillers in the aesthetic tool box and techniques for treating this delicate area have improved.
I’ve been reading many online posts from patients who have had both fillers and have experienced puffiness, lumps, and a baggy look after the injection. Others have had good results. I’ve seen good and bad results. Please choose your injector wisely. This is a very difficult area to treat.
Performing “tear trough” treatments to the hollow area under the eyes requires meticulous technique and can be a very satisfying treatment when done correctly.
Below are some guidelines to consider before you jump into filling your eye hollows (tear trough).
Parts of this post was originally written in 20o9 when I had my tear troughs treated for the first time.
A business colleague had her tear trough area filled by a local plastic surgeon in San Francisco, CA . I was very impressed with her results and decided to fill my eye hollows, for a more youthful look. At the time there were only two HA fillers on the market Juvederm and Restylane. Although both fillers were very similar Juvederm tends to create more puffiness in the eye area than Restylane, as it absorbs more water. My surgeon choose Juvederm which surprised me because Restylane was the preferred filler for this area. However, I trusted his judgement.
Afterwards I very bruised, swollen and lumpy. I waited patiently a couple of weeks hoping it would resolve. The bruising diminished but the puffiness persisted. I looked like I had been punched in the face and knew that I had to have a correction. Fortunately HA fillers can easily be dissolved with hyaluronidase. (more…)