Because the tear canal is not a very mobile place (unlike the lips or forehead), it takes longer for the body to “eat” hyaluronic acid. This means that the results of fillers usually last between one and two years. A small amount of filler can go a long way in reducing or eliminating shadows under the eyes, but it can also seem to dissipate in less than a year. A large amount of filler can be useful when someone has a dramatic deflation of the cheeks due to aging or very deep grooves under the eyes.
And a lot of stuffing may seem to last more than a year. In some situations, however, a large amount of filler does not look very good under the eyes. It can distort natural contours and slopes. If that happens to you, the filler better not last for years and, in fact, you may need to reverse it with an injection of an enzyme called hyaluronidase. The benefits of fillers for wrinkles under the eyes or dark circles include brightening the skin and restoring volume under the eyes, according to Dr.
Desmond Shipp, board-certified dermatologist and director of cosmetic dermatology at the Ohio State University Wexner Medical Center. Under-eye fillers can treat wrinkles and fine lines, and because they fill the gap under the eyes, they can even out the sunken appearance of the under-eye area. However, if your biggest concern is dark circles, then tear filler may not be the right treatment for you. Dark circles under the eyes are a complex problem to treat and fillers will not solve the problem of skin pigmentation. In fact, if dark circles are caused by a darker pigment in the skin, the filler can accentuate them.
The Tyndall effect may be visible immediately after treatment or it may take a few days to appear. If left uncorrected, it can persist for months or even years. After making the decision to go ahead with fillers, Dr. Herrmann stresses the importance of finding the right doctor to administer them and by doctor, he refers to a board-certified dermatologist or plastic surgeon (not the beautician at a medical spa).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.
From an aesthetic perspective, if the filling is done incorrectly, it could cause lumps at the injection site or even move to a different area of the face. Most facial filler products injected into this area should ideally be placed in the tissue plane directly above the bone, or at least below the muscle layer of the eyelid. Fortunately, this can be treated with an injection of hyaluronidase, an enzyme that breaks down the hyaluronic acid in the filler. Avoiding complications from facial fillers around your eyes requires choosing a board-certified plastic surgeon who is experienced in injections around this delicate area. Similarly, proximity to your eye means that treatment of your tear canal is best performed by an expert oculoplastic surgeon such as Dr.
Daniel Ezra who understands complex anatomy of this ocular area and can successfully handle any post-operative complications related to your eyes if they occur. So how long do fillers last under your eyes? There is a short answer and a long answer to this question. As noted above, some hyaluronic acid products tend to spread more than others after being injected, and these products may not be ideal for treating your tear canal or lower eyelid voids. Some are very soft and thin (such as Restylane Refyne) and are excellent for filling in fine lines and gaps under your eyes while stiffer and thicker formulations such as Restylane Lyft are better at lifting cheeks and filling deeper creases. While administering your filler, Dr.
Herrmann used his finger to gently push it into place under your skin. For some patients who have very light skin color, Tyndall effect can sometimes be observed after injections of facial filler with hyaluronic acid even if product was injected into correct tissue plane. The truth is that all hyaluronic fillers stay in body for more than a year; sometimes they last five years (I've seen it).
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