Filling Eye Hollows with Dermal Fillers: What Are The Risks?

Deep hollows under your eyes can make you look tired and dull.

HA fillers can fill your hollows for a refreshed and more youthful look.

Filling eye hollows is a delicate business and there are risks. The biggest risk is bruising, lumps, overfilling 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 read many posts online about patients who have had fillers and are experiencing puffiness, lumps, bruising, swelling and a baggy look after the injections. Others have  good results. I’ve also experienced 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.  When done correctly the results are very satisfying.  The most important factor is to go to an injector who is has a lot of experience in this area.

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 OI needed a correction. Fortunately HA fillers can easily be dissolved with hyaluronidase. (more…)

Week One Post Facelift Surgery

On day 4, I finally sneak a glance into mirror. I am not at all surprised to see how bruised and swollen I am. I knew this was normal- It would gradually get better over the course of the next couple of weeks.  My husband, however, is unable to look at me and is having a difficult time dealing with this.  Oh we.. He will just have to deal .. 🙂

I am feeling tired and sleep a lot.

When it was time to take a shower, I was able to remove the headdress. I decided to take a picture with my iPhone and send it to my daughter, who had not seen me yet.  My eyes are dark purple and  I am  bruised on my cheeks. My neck actually has very little bruising. I’m excited to see the outcome and know that I will have to be patient.

Having a facelift is a big deal- don’t let anyone tell you otherwise.  The older you are the slower the recovery time.


The Latest Options in Dermal Fillers by Kiri Blakeley

Interesting article posted on www.

Cosmetic injections can put off the signs of aging for years. But with so many available, which one should you use?

Twenty years ago, if you wanted to get rid of wrinkly, sagging skin, there was basically one way to do it–going under the knife for a face-lift. But today, a range of dermal fillers can be injected into those crow’s feet, marionette lines, thinning lips and furrows between the brows, taking years off the face–and all can be done during your lunch hour, with no invasive surgery and little recovery time.

“Fillers have dramatically changed the game,” says Dr. Ariel Ostad, a New York dermatologist.

Doctors say patients who regularly urestse fillers can put off a face-lift for at least a decade. “In 20 years, I may not be doing face-lifts at all,” says plastic surgeon Dr. Kevin Tehrani, also based in New York.

Of course, there’s always a downside. Fillers are temporary (lasting anywhere from a few months to a year), bruising and swelling is common and some patients can have allergic reactions. And then there’s backlash from plastic surgeons like Dr. Sherrell Aston, who says, “Does it seem logical that one can repetitively put foreign substances in the delicate facial tissues and not have problems later?”

Nor are they miracle-workers. “If there’s too much sagging, fillers won’t work,” says Beverly Hills, Calif., plastic surgeon Dr. Garth Fisher, noting that sometimes only a face-lift or eye lift will get the job done. Fillers work under the skin to replace elasticity and plump up sagging skin, as opposed to the old techniques, which tended to tighten and flatten the appearance of the face. The look, when done right, is more youthful and natural than what was previously attainable; done wrong, though, faces look out of proportion and contour problems like lumps become noticeable.

Still, professional women (and men) are increasingly seeking newfound youthfulness–and market competitiveness in a youth-oriented culture–with today’s popular dermal fillers. In other words, the question is rarely “Should I?” but rather “Which one?”

Restylane, Perlane, Juvederm and Prevelle Silk are made of hyaluronic acid, a naturally occurring substance essential to plump and youthful-looking skin. Non animal-based hyaluronic acid dermal fillers came on the world market with the introduction of Restylane in 1996.