Zero bruising and no post-procedural pain. Herrmann determined that Restylane was the treatment of choice for my rutty under-eye area, a popular hyaluronic acid -based filler. Some are very soft and fine like Restylane Refyne and are excellent for filling fine lines and under-eye hollows, while stiffer, thicker formulations such as Restylane Lyft , are better for lifting cheeks and filling deeper folds.
In a word, says Herrmann, yes. Your body naturally breaks down HA fillers just as it breaks down native HA, so it gradually disappears in a very natural way. You've probably been hearing a lot of talk about under-eye fillers these days.
Some of it is undoubtedly true, while other stuff aka these four common myths is just a load of malarkey. Here, Herrmann helps separate truth from fallacy. Myth 1: You must use a lot to get results. Fact: "Subtle improvements are more natural," says Herrmann, who takes a less-is-more approach. Myth 2: All HA fillers are the same. Fact: Herrmann points out that since "the individual properties of each HA filler make it useful for very specific purposes, results appear most natural.
She recommends seeking treatment with a board-certified dermatologist who knows the ins and outs of cutting-edge under-eye fillers. Myth 3: Fillers smooth areas around the eyes, too. Fact: If you're hoping to kill several birds with one stone, think again.
Crow's feet, and frown lines including those pesky "elevens" , aren't exactly right for fillers. Myth 4: Fillers just fill wrinkles and volume loss. Fact: Nope. Three weeks after treatment, I took this makeup-free selfie that shows how my fillers have settled. I look very natural. So natural, in fact, that no one even noticed I had gotten fillers.
Around this time, many people commented on how good my skin looked—and I'm convinced it's because my under-eye areas were plumper and I no longer looked as tired as I had pre-fillers.
I'm so happy I ditched the shame and did something that makes me look and feel so good about myself. I can also happily report that my family members and my husband were incredibly supportive—and they loved the results, too. This whole process has taught me to be confident about how I choose to take care of my own body—it is mine, after all. Hyaluronic acid: A key molecule in skin aging. J Plast Reconstr Aesthet Surg. Thank you [email] for signing up. Please enter a valid email address.
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I have seen many problems arise from people having fillers put under their eyes to camouflage the fat changes that come with aging. As we age, the fat around our eyes can shift forward into the lower eyelid region as a result of the relaxation of retaining ligaments and sheets in this area:. Relaxation of ligaments and sheets in the lower eyelid region can cause fat around our eyes to shift.
Before and after using fillers to treat fat shifts in the lower eyelid area. Certain practitioners today are injecting fillers under the eyes to camouflage the appearance of fat pushing forward in this region. While expert injectors with great experience can be successful in improving the appearance of bulging fat in this area, the more effective procedure to address this problem is surgery around the eyes to remove and, in some cases, reposition the fat bulging forward around the eyes.
This requires thorough expert knowledge of the eye region, which many practitioners lack. In the U. Traditional cosmetic specialists such as oculoplastic surgeons, facial plastic surgeons, oral maxillofacial plastic surgeons, general plastic surgeons, and cosmetic dermatologists are all using these fillers. Unfortunately, doctors with less-extensive facial background are also using facial fillers, including dentists, general surgeons, family medicine doctors, internal medical doctors, pediatricians, emergency room physicians, allergists, and gynecologists.
Finally, non-physician extenders such as physician assistants, nurse practitioners, general nurses, and medical estheticians can also be involved with injecting fillers in the face. These individuals can have limited medical background, depending on the state in which they are operating.
But this often works to the disadvantage of the patients. People without knowledge of facial anatomy can create irregular results when using facial fillers in general, and in the eyelid region specifically.
You can see one such result below:. I have no doubt that many of these practitioners mean nothing but the best when performing facial filler injections. Expert facial rejuvenation requires a broad base of knowledge, as well as skill with a large variety of facial rejuvenation tools and techniques.
The large number of new injectors, from varying backgrounds and with various skills, means that not all have what it takes to be expert injectors. The second issue that arises involves the material used in these injections. Like other dermal fillers, a Juvederm injection will take less than an hour to perform. Results vary by patient, but Juvederm tends to offer almost immediate results. Juvederm also lasts a little longer than Restylane, with some patients enjoying their results for a year or more.
You can schedule a follow-up injection once your results have worn off. Juvederm was awarded FDA approval in and has been widely and safely used in the years since. Like other fillers, it can be effectively used on the cheeks, lips, under the eyes, and on facial folds. In some patients, this hyaluronic injection has even been used to define the bridge of the nose.
Under-eye bags, hollows, and dark circles can all be treated with Versa. One of the advantages of Versa is that it tends to result in less swelling and allows for a more precise injection as a result, which can be important when treating the area under the eyes.
Versa also offers both smoothness and volume, making it a nice choice for delicate and high-profile areas like the skin beneath the eyes.
Versa injections take less than an hour to perform. It can take up to 4 weeks for some patients to see their results with Versa, and those results can last for up to 12 months. As with other fillers, you can schedule a repeat injection when the results begin to wear off. Versa was approved by the FDA in and has been safely and effectively used on patients around the country in the years since.
The process of having a dermal filler injected is simple and straightforward. A numbing cream will then be rubbed onto the treatment area to minimize any discomfort associated with the injection. Fillers are an increasingly popular way to treat signs of facial aging, but many patients are still learning about fillers and their ability to fight the signs of aging.
Here are some questions we commonly answer about fillers:. Most patients need a single in-office injection that takes well under an hour. Some patients have a tiny dot at the injection site immediately after treatment, but that can easily be covered up with makeup. Compared to more invasive treatments like facelifts, dermal fillers are a convenient and easy way to address signs of aging in the face.
Unlike the lips, forehead, and other parts of the face that are constantly in motion, the skin beneath the eyes largely stays in place. As a result, dermal fillers placed under the eyes often have a longer life than fillers placed elsewhere. But once the results of your filler have taken effect, your eyes and your overall face will look more relaxed, refreshed, and younger. The patients who get the best results with fillers start having them injected as soon as circles and puffiness start developing under the eyes.
If you wait and seek treatment when your under-eye issues are more problematic, a single filler injection may not as effectively address your cosmetic concerns. In addition to plumping up your under-eye area, you can also have filler injections on your cheeks and on other parts of your face.
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