If you have swelling “In some patients, they have depleted fat pads and require more volume of the filler to fill the crack, explains Dr. Ewoma. When that's the case, stuffing is going to make things worse. A very common problem that we see in our clinic is the worsening of the malar pockets as a result of a previous treatment of lacrimal canal filling.
Since fillers tend to cause bloating, any patient with malar bags or festoons should avoid treatment with filler, as this will only aggravate the problem. This effect of “bags” under the eyes can be further accentuated by the loss of volume in the cheek region. The eyelid has the thinnest skin on the body. So sometimes you can see what's underneath.
And that may include superficially placed padding. Silicone and other permanent fillers (including Sculptra) can cause immunogenic reactions, the formation of lumps or granulomas under the eyes and are usually avoided in this delicate area. The right choice of filling, placement and injection technique can reduce this risk and, in certain cases, can improve festoons. As noted above, some hyaluronic acid products tend to spread more than others after being injected, and these products may not be the ideal choice for treating the tear canal or lower eyelid voids.
Chronic inflammatory conditions affecting the eyes and surrounding areas may predispose patients to long-term swelling of the lower eyelids. If dark circles are your biggest concern, tear filler may not be the right treatment for you. In the end, although the use of fillers to help the eyelid region is an option when it comes to an expert, knowledgeable and expert injector, most cases would be better resolved if an expert in eyelid rejuvenation evaluated the situation and, if indicated, consider a more definitive surgical option to correct problem (with surgery) instead of trying to hide the problem from others (with fillers). People with excess bags under the eyes or sagging skin may be better suited for eye bag removal surgery, known as blepharoplasty, a long-term solution for tired eyes.
Even though there are many facial filler products that are composed of hyaluronic acids, this does not mean that all HA facial filler products are equally believed. Complications from improper facial filler injections under the eyes have recently become much more common, and these complications can be very noticeable and disturbing in the highly visible area of the face around the eyes. If a facial filler product is placed too shallow on the skin or on top of the muscle layer, the product may settle with an abnormal appearance and may appear bulky, swollen, or uneven. The lacrimal canal and the hollows of the lower eyelid represent areas of the face that have the thinnest skin on the body.
If you have an area of the lower eyelid that appears to have the Tyndall effect, hyaluronidase injections will usually correct the problem by dissolving the facial filler product. Although HA fillers are generally known to last on other areas of the face for shorter periods of time, from six months to a year, it is common for HA fillers to last in the area under the eyes for much longer periods of time. Facial fillers that are derived from hyaluronic acids (HA) are generally considered to be the safest options for treating the sensitive area under the eyes. Even in healthy individuals, various facial filler products will have a variable affinity for water molecules and can sometimes cause additional swelling of the tissues.