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Undereye Fillers – Dark Eye Circles Treatment

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As we age, our tear trough area is one of the first few areas that will start to lose it volume. A sunken tear trough will make one look tired, and also deepen dark eye circles and make them look worse.

Undereye fillers are used to help plump up loss of volume along our tear trough, and also to help reduce dark eye circles.

Illustration of Under Eye Circles Aging Fat Loss
Illustration of Capillary with no leakage and with leaked capillaries

What causes dark eye circles and eye bags?

As we age, muscles around the eyes weaken and the skin around becomes loose. Fat pads around the eyes start drooping as the muscle and skin holding them up weakens and these accumulate to form eye bags and dark eye circles.

Dark eye circles are caused by 3 main reasons.

  • 1
    Congested or leaky capillaries
  • 2
    Pigmentation
  • 3
    Loss of volume under the eyes which creates a shadow.

What can be done for dark eye circles

With the right filler, undereye fillers can help replenish lost volume to reduce the appearance of dark eye circles, and also help lighten the discolouration under the eyes. 

Undereye fillers can also help plump up some fine lines under the eyes, but would be most effective when combined with an anti-wrinkle or skin booster procedure. Laser can also be done to lighten pigmentation on the undereye area.

What can I expect from undereye fillers?

A more refreshed look, and a reduction in the dark eye circles can be achieved with undereye fillers. 

It can also restore youthfulness to the face as the loss of volume around the eyes tend to make us look older.

Woman undergoing undereye filler for dark eye circles
Woman showing her dark eye circle under the left eye

Frequently Asked Questions

Fillers typically last for 12 months. Different type of fillers are designed for different areas of the face and have different longevity due to the filler material.

Most fillers will dissolve away and gets broken down by the body into water. 

However, there are cases that we have seen before with fillers that last much longer than it was intended to. For these cases, the filler had to be dissolved with a dissolver called hyalase which breaks down the filler into water.

Most filler procedures are not painful as numbing cream is applied. Some area, like the lips, may however be more sensitive. and uncomfortable. 

The skills of the doctor also play a part. An experienced and gentle doctor can mean much less discomfort during the procedure.

Like all medical procedures, there are always potential side effects. 

The more common side effects associated with filler procedures are bruising and swelling. This may happen when a larger blood vessel under the skin gets injured during the process. If present, bruising and swelling typically subside after 4-7 days.

The most serious side effect associated with filler procedures is vessel occlusion. Vessel occlusion is when the filler is directly administered into an important blood vessel and blocks blood flow, potentially resulting in skin necrosis and even blindness.

Some patients have heard about fillers causing blindness, in particular nose fillers. In actual fact, fillers performed at any part of the face can potentially lead to blindness. This happens when the filler material travels up the blood vessel and blocks the blood flow to the optic nerve in the eye. Blindness is more often associated with nose fillers due to the blood vessels supplying the eye being close to the nose. Skin necrosis, which is the dying of skin cells, happens when the blood vessels supplying the area of skin affected get occluded and blocked.

The risks of skin necrosis and blindness can be greatly reduced with a clear knowledge of the blood vessels in the face. Therefore, it is very important to go to an experienced doctor for filler procedures. More than 90% of filler complications happen at illegal salons or beauty parlours that are not authorised to perform such procedures.

  1. Use the appropriate equipment and filler for each area. The type of needle and needle size makes a difference in reducing the risk of vessel damage and occlusion.
  2. Specific techniques such as performing a drawback to ensure that the needle is not in a vessel, slow precise administration, and knowledge of the right depth all help ensure that the filler does not obstruct a blood vessel.
  3. Most importantly, a good knowledge of the facial anatomy will allow the doctor to identify the areas where the major blood vessels are. Knowing which area to avoid and which areas are generally safe helps to greatly reduce the risk.

Avoid strenuous exercise and alcohol for at least 24 hours.

Avoid any facial massage for at least 2 weeks.

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