Juvederm Voluma is a popular choice for those with deep recesses in the under-eye area. By restoring medium facial volume, Voluma can reduce the appearance of gaps and give the area a smoother look. Hyaluronic acid fillers such as Juvederm, Restylane, and Belotero are especially beneficial for first-time users, as they can be reversed if the results are not satisfactory or a complication arises. Juvederm is an effective treatment for bags and dark circles under the eyes, as it offers more pronounced results and a higher concentration of hyaluronic acid.
There are many different varieties of HA gel fillers available, including the Restylane family, the Juvederm family, and Belotero. Belotero is a popular choice for under the eyes because it is very forgiving for the injector and does not cause clumping or discoloration. However, it does not provide a great lift if there is a deep tear. The Restylane family includes newer fillers such as Volbella and Vollure (also known as Volift outside the United States).
These fillers cause less swelling than previous Juvederm products and are good choices for superficial (Volbella) and deeper (Vollure) injections under the eyes. Fat grafting is another option for under eye treatments, although it is less predictable than filling because some of the cells injected will not survive. Before now, filling under the eyes was considered an off-label treatment, but now it is becoming more common. Depending on the patient's needs, 1-2 Juvederm syringes may be needed in the lacrimal canal area for a complete treatment.
This can also include puffy bags under the eye, as this is a redistribution of volume lost under the eyes in combination with skin laxity around the eye. Restylane's subtle approach makes it a good choice for under the eyes, where a little goes a long way. The thinnest and softest version of Restylane is Refyne, but it also has the highest swelling capacity and may not be suitable for thin skin under the eyes. Other fillers such as Juvederm can also be used all over the face to restore lost volume, smooth lines and wrinkles, and improve facial contours.
It is worth noting that Juvederm injection under the eyes is an advanced technique and proper patient selection and technique are critical to success. The best time to undergo Juvederm injectable treatment to remove bags under the eyes is when swelling has just started. A follow-up appointment a couple of weeks after initial treatment may be necessary to determine what adjustments should be made to the under-eye filling.