woman’s wellness

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

Cosmetic injection in the spa salon
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…)

Long Awaited Juvederm with Lidocaine gets FDA Approval


“Today Allergan, the pharmaceutical company which manufactures Botox, announced the U.S. Food and Drug Administration’s (FDA) approval of JUVÉDERM® XC, a new formulationJuvederm which contains lidocaine to make the treatment of moderate to severe facial wrinkles and folds much more comfortable.

Juvederm has a smooth consistency gel which makes it easier to inject and provides a more natural looking result which lasts for up to a year. This new formulation of Juvederm maintains the same result and also contains 0.3% lidocaine, which numbs the treatment area within seconds. Hopefully, this will reduce the need for any additional anesthetic.

The FDA approval was based on clinical data in a multicenter, double-blind, randomized clinical trial in which patients received injections of Juvederm or Juvederm XC in each nasolabial fold. 93% of patients reported less pain when treated with the new formulation of Juvederm compared to those treated with the non-lidocaine formulation.

Juvederm XC is now available for ordering nationwide. Just like other Juvederm products, it must be administered by a trained medical professional.”

15 Skin Care Myths



1. Facial exercises tone facial muscles and make a person appear younger

2. Vitamin A thins the skin

3. Cucumbers help reduce puffiness

4. Skin damage and signs of aging can be cleared up quickly

5. The higher the SPF the better

6. Layering several products with SPF increases protection

7. Topical creams containing collagen can replace collagen

8. Natural and organic products are always better

9. Using large quantities of products yields better results

10. Antioxidants make wrinkles go away

11. Skin repair only happens at night

12. Preservatives in skin care products are bad

13. Packaging is not important

14.Choclate and greasy foods causes acne

15.All sun damage to skin occurs before 18 years of age


Fat Transfer or Not

Have you ever considered Fat Transfer instead of dermal fillers such as Sculptra, Radiesse, Juvederm or Resytlane for your cheek pad area? Puffing up the pads of the cheek area has become very popular lately. Check out all the model in the magazines and look at their cheeks. Madonna, Barbara Walters are 2 faces that come to my mind.

According to Matthew Schulman, MD., Board Certified Plastic Surgeon in NY City. “Fat can last forever if it takes. if it “takes”-problem is even best techniques only have 50-60% “take”. I never put it in the face though because it is unpredictable.

As we age the underlying collagen and elastin fibers break down and wear out, resulting in wrinkles. We also lose what is called “subcutaneous fat” on our faces. This can causes us to look haggard, or hollow. There are many fillers on the market which when injected into the hollows of the cheek can give you a more youthful appearance. Many Plastic Surgeons use fat transfers in conjunction with face lifts to give the cheeks a fuller appearance. But this can also be overdone…causing an unnatural freakish appearance.

Fat grafting is the process of taking small amounts of fat from one part of the body and reimplanting it elsewhere, where it is needed. It takes about 30-45 minutes depending on how easy the fat is to harvest. However, because it is unpredictable, you should consult with your doctor, do your research and make an informed decision. Fat transfers are also widely used for other part of the body. The risks are minimal, there may be some soreness or swelling. The main downside is your body tends to absorb it and it can be lumpy.

When I asked four different Plastic Surgeons about Fat Transfer to the face area, only one would recommend it.