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What is the process of having tear trough injected with under eye fillers?

The process for treating dark circles due to volume loss with dermal fillers is relatively simple and painless. First, Dr. Green will meet with you for an initial consultation to assess the treatment area and determine an optimal treatment plan for your specific needs. Depending on patient preference, the undereye filler injections can be performed on the day of the consultation, or a separate treatment appointment can be scheduled. A topical numbing cream will be applied to the injection site to alleviate any discomfort.

The dermal filler can be distributed to the under eye area in one of two ways: either the filler can be injected directly into the treatment area, or it can be injected via micro-cannula. A micro-cannula is a blunt-tipped applicator that uses the natural layers of the skin above the cheekbone to evenly distribute the hyaluronic acid formula. The micro-cannula procedure requires only a small needle to create an opening for the micro-cannula, therefore the risk of bruising is reduced. Dr. Green prefers injecting the filler directly to the area for the best under eye filler results as it will best locate the exact area for injection.

After the treatment, you will be able to resume normal activity and go about your day. However, we do recommend that patients wait at least 24 hours before engaging in high-intensity exercise or spending a long day in the heat.

Which dermal filler is best for the under eye area?

Generally, for treating the tear trough area, Dr. Green relies on hyaluronic acid fillers like Restylane, Belotero Balance, and Juvederm Volbella. Each of these hyaluronic acid fillers are designed with a softer formulation that allows results to develop over a period of two weeks. Dr. Green emphasizes a natural aesthetic in her work to reduce the appearance of under eye bags and tired looking eyes, and therefore only uses dermal fillers that will enhance your natural appearance, creating a rejuvenated, well-rested look.

Juvederm Volbella was approved by the FDA to treat tear troughs under the eyes. It is the currently the first and only hyaluronic acid filler FDA-approved for the tear trough area. Its unique VyCross technology allows the product to form an even, smooth distribution in the delicate undereye area as well as create maximum fullness in the lips. Juvederm Volbella is the thinnest of the Juvederm collection, making it a perfect undereye filler for a natural eye rejuvenation.

Belotero has a flexible and thin consistency, making it an effective dermal filler for the sensitive undereye area. Belotero’s unique formulation decreases the risk of developing Tyndall effect. Tyndall effect refers to the appearance of a blue tint to the skin after filler injections. This occurs when light is reflected off of the particles that are suspended in the filler. When the filler is injected too superficially, the treatment area is overfilled, or the skin is very thin, Tyndall effect may develop. Belotero is great for eliminating the risk of Tyndall effect because it does not contain any suspended particles in the gel.

Restylane is a hyaluronic acid filler that can treat a variety of areas of the face, including smile lines, jowls, marionette lines, cheek, hands, acne scars, and under eyes. Its thin gel consistency favors a natural, soft result and can last up to 9 months.

Can you use Juvederm for under eyes?

Yes! Juvederm Volbella is the only dermal filler that is FDA approved for replacing volume loss in the delicate tear trough area for under eye hollows. The infraorbital hollows cause one to look tired and older than their actual age. Juvederm Volbella, originally approved for lip fillers, utilizes a unique VyCross technology that allows the product to be evenly and smoothly distributed at the injection site. There is also Juvederm Volbella XC: “XC” denotes the addition of lidocaine, a numbing agent. The small amount of lidocaine in the product allows for greater comfort during the injections. Utilizing other Juvederm products such as Juvederm Ultra Plus and Juvederm Voluma for undereyes is considered an “off-label” use, and is considered too hydrophilic and “thick” for the delicate under eye area.

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Does Juvederm Volbella work under eyes?

Yes! Juvederm Volbella can be used to soften the appearance of tear troughs and dark circles caused by volume loss. Its thin formulation allows the product to distribute evenly at the injection site, creating a natural look. Juvederm Volbella is the thinnest of the Juvederm products and has lower hydrophilic concentration compared to Restylane and Juvederm Voluma. This means that it absorbs less water from the surrounding tissue after the injections, providing natural-looking results.Can you use Juvederm under your eyes?

Juvederm Volbella was recently approved by the FDA to treat the delicate undereye area, for its VyCross technology helps replenish volume loss while maintaining natural results. Other Juvederm products for under eye filler is considered an “off-label” use. However, this does not mean that under eye injections are unsafe as long as it is done by an experienced medical professional. The Juvederm family of hyaluronic acid filler has been approved by the FDA for nearly every area of the face, and an expert injector is able to apply under eye filler just as safely as they would any other part of the face. Using dermal fillers to reduce the appearance of under eye bags has become an incredibly popular approach in recent years, as filler injections are non-invasive and require little to no down time. It is important to seek an experienced injector like Dr. Michele Green to achieve a beautiful, rejuvenated look.

In the past, patients would have to seek out invasive procedures that a plastic surgeon might offer, such as blepharoplasty, which involves an incision inside the lower eyelid in order to redistribute fat pads under the skin. This process is invasive and requires ample recovery time, with a result that may or may not meet the aesthetic desire of the patient. For this reason, Juvederm under eye filler has become a popular alternative in the worlds of dermatology and plastic surgery to safely and effectively reduce the appearance of both volume loss and under eye bags in the tear-trough area.

How do I know if I am a good candidate for tear trough filler?

Tear trough filler is designed to add volume to the often hollowed-out or sunken area of skin right underneath the eye. This can include puffy bags under the eye as well, as this is a redistribution of lost volume under the eyes, in combination with skin laxity surrounding the eye. If there is a significant hollow causing a tear trough deformity, then you are an ideal candidate for under eye fillers. If there is an excessive amount of fat in the under eye area, with large under eye bags, tear trough fillers may not be the best treatment for you. In these cases, Dr. Green may recommend a blepharoplasty by a trusted board-certified plastic surgeon.

Juvederm Volbella can be used as a tear trough filler, and it’s an appropriate treatment for tired-looking eyes for any patient over the age of 21. Typically, it’s used for patients who have already experienced natural, age-related volume loss under the eye, but young patients who have struggled with naturally sunken eyes or under eye bags can also benefit greatly from hyaluronic acid under eye filler. In one simple treatment, the hollows or tear trough will be restored and the eye area rejuvenated.

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Does Juvederm help with dark circles?

The concept behind treating dark circles with dermal fillers is all based on the concept of volume correction. When we age, we naturally lose some volume under the eye that can highlight the appearance of blood vessels under the surface of the skin, leading to skin discoloration. Additionally, for those who might have a stronger brow, the natural structure of the face can cause a darker under eye shadow as volume disappears over time. Natural aging as well as sun damage, smoking, and drinking can affect the collagen in the skin, leading to skin laxity and under eye bags. Furthermore, there may be a genetic component in developing dark circles. By adding volume to the area under the eye using dermal fillers, any puffiness is evened out, and the risk of shadows and blood vessel prominence is eliminated.

If your dark circles are due to darker pigmentation, dermal fillers may not be the best option for you. In this case, you may look to Dr. Green’s MGSKINLABS Retinol-based eye creams, which lighten the under eye area, as well as laser skin resurfacing which can remove under eye pigmentation, fine lines, and wrinkles.

If the dark undereyes is due to discoloration or pigmentation, Mesopeel Periocular is a popular in-office treatment with no downtime. Mesopeel Periocular is a unique type of chemical peel with special formulation to treat hyperpigmentation in the delicate periorbital area. It is made of azelic acid, salicylic acid, lactic acid, resorcinol, citric acid, and phytic acid. In addition to hyperpigmentation, Mesopeel Periocular also helps reduce wrinkles in the upper and lower eyelids and addresses skin laxity, making it an incredible anti-aging chemical peel to accomplish eye rejuvenation address pigmentation.

Which Juvederm is best for under eyes?

Juvederm Volbella is Dr. Green’s recommendation for under eye filler amongst the Juvederm collection. It is also the only Juvederm product currently FDA-approved to treat tear trough hollows. The formulation of other Juvederm products, such as Juvederm Voluma or Juvederm Ultra Plus, has a denser consistency which can create a less natural aesthetic in the delicate tear trough area. Juvederm Volbella on the other hand, has a thinner formulation that can help to balance out the cheek area without adding excess volume.

How much Juvederm do I need for under eyes?

Depending on the aesthetic goals of the patient and depth of their undereye hollows, 1-2 syringes of Juvederm will be needed in the tear trough area for complete treatment. Each syringe of Juvederm has about 1/2 teaspoon of product. The amount of Juvederm needed to soften the under eye hollows will be discussed with Dr. Green during your consultation. Dr. Green is extremely careful not to “overfill” the delicate under eye area. This is why it is so important to consult an expert injector, like Dr. Michele Green in New York.

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How much Juvederm is needed for under eyes?

When it comes to the amount of Juvederm needed for under eyes, it varies from patient to patient. For those who have more minimal dark circles under the eyes, one syringe of filler used for the undereye area may be sufficient. For those who have more severe hollowing in the tear trough area, a full syringe may be necessary for each under eye area. Also, some patients may wish to completely eliminate the appearance of tear troughs and dark circles, while other patients are looking to soften the depth of the tear troughs to look rejuvenated without a dramatic change to their appearance.

Which Juvederm is best for the under eyes?

The choice of Juvederm filler depends on the depth of the under eye hollows and the degree of skin laxity. For more superficial hollows, Juvederm Volbella can be the better choice. Juvederm Volbella is thinner in its formulation and will produce a more natural look for the delicate undereye area. Juvederm Volbella is also currently the only hyaluronic acid filler FDA-approved for tear troughs. Other Juvederm products such as Juvederm Ultra and Ultra Plus have a denser gel that is better for replacing volume and fullness to areas like the lips. Juvederm Voluma is a thicker product best for treating deep wrinkles and volume loss in the cheeks. Juvederm Vollure can be used to treat deep nasolabial folds, or lines that form around the nose and mouth. At your consultation, Dr. Green will assess the severity of volume loss or skin laxity as well as your facial anatomy and aesthetic goals to determine the best hyaluronic acid filler for you.

What is the process of having under eye fillers injected?

The process for treating dark circles due to volume loss with dermal fillers is relatively simple and painless. First, Dr. Green will meet with you for an initial consultation to assess the treatment area and determine an optimal treatment plan for your needs. Then, when you come in for your initial treatment, a topical numbing cream will be applied to the injection site.

The dermal filler can be distributed to the under eye area in one of two ways: either, the filler can be injected directly to the treatment area, or it can be injected via micro-cannula, a blunt-tipped applicator that uses the natural layers of the skin above the cheekbone to evenly distribute the hyaluronic acid formula. As the micro-cannula procedure requires only a small needle to create an opening for the micro-cannula and reduces the risk of bruising. Dr. Green still prefers a blunt needle for the best treatment for under eye filler as it will best locate the exact area for injection.

After treatment, we will apply ice to the injection area. Since bruising is a common side effect, we will instruct you to ice the treated area immediately after treatment and use Arnica. We recommend that patients wait at least 24 hours before engaging in high-intensity aerobic exercise or spending a long day in the heat.

What are the side effects from under eye fillers?

As with any injectable, common side effects post-treatment include mild swelling, bruising, itching, or irritation. These side effects are mild and temporary. Furthermore, these symptoms are mitigated through the use of micro-cannula at the injection site, and any of the above symptoms will dissipate within the first few days post-treatment.

The risk of more serious side effects increases if dermal fillers injections are performed by an inexperienced injector. Medical spas often advertise hyaluronic acid fillers, but often in these facilities a board-certified doctor is not in the room when consultation–and even injection–takes place. This can lead to side effects such as vascular occlusion, vision impairment, blindness, or stroke. For this reason, we highly recommend under eye filler treatment be done with an expert, board-certified dermatologist or plastic surgeon, such as Dr. Michele Green in NYC.

How long does bruising last after Juvederm for under eyes?

Bruising at the injection site, if it occurs, typically only lasts a few days after Juvederm under eye treatment. In order to prevent any bruising from the under eye filler treatment, we recommend that patients avoid multivitamins, fish oil, or any blood thinning medications, including aspirin, ibuprofen or Advil at least two weeks prior to the injection appointment. After the treatment, it’s beneficial to apply ice to the area around the injection site to reduce swelling and bruising.

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How long does Juvederm last under eyes?

Juvederm for under eyes typically lasts between nine months to a full year, though results vary from patient to patient. Often, patients find that filler under the under eye area is the most long-lasting area for Juvederm injection. The longevity of a hyaluronic acid filler depends on the area injected, number of syringes used, and the patient’s metabolism. The effects of the filler slowly decline as the body naturally metabolizes the product, so touch-up appointments once a year is recommended to maintain continuous rejuvenated appearance.

How much does Juvederm under eyes cost?

The cost of Juvederm under eyes depends on the particular needs and desires of each individual patient. Typically, 1-2 syringes of Juvederm is needed to achieve the individual’s aesthetic goals, and the cost of Juvederm varies depending on geographic area, the type of Juvederm, and the experience of the injector. A board-certified cosmetic dermatologist with ample experience in dermal fillers will be more expensive than a nurse injector at a MedSpa. However, the risk of potential side effects decreases significantly with an experienced injector. At your consultation, Dr. Green will work with you and your budget to determine which injectable will be best for your under eye treatment.

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How Does Restylane compare with Juvederm for treating the under eye area

Both Juvederm and Restylane are hyaluronic acid injectables designed to enhance collagen and elastin in the skin, which can both plump the skin, replenish lost volume, and reduce the appearance of fine lines and wrinkles. They have become leading brands in the world of non-invasive, or non-surgical cosmetic procedures.

Restylane, from Galderma, has a variety of hyaluronic acid fillers designed to treat the lips, midface, nasolabial folds (“smile lines”), crow’s feet, and even hands. Juvederm, from Allergan (the makers of Botox), has hyaluronic acid fillers designed to treat similar areas of the face, with additional FDA-approval for correcting volume loss in the midface.

Restylane Silk and Juvederm are both commonly used to treat under eye bags. Restylane injectables tend to have slightly less durability and a slightly lower price point than Juvederm injectables.

What happens if I don’t like my under eye fillers?

It’s common to come in for a follow-up appointment a couple of weeks after your initial treatment to determine any adjustments that should be made to your under eye filler. Hyaluronic acid fillers are unique in that they are non-permanent, adjustable, and reversible. If you are unsatisfied with your under eye filler, you can absolutely talk with Dr. Green to see either what adjustments can be made to volume, or to reverse the procedure using hyaluronidase.

One of the most common areas which Dr. Green has to reverse “bad” injections by inexperienced injectors is the delicate under eye area. Dr. Green has significant experience in utilizing hyaluronidase to correct poorly placed or inappropriately injected hyaluronic acid filler under the eyes. Injecting Juvederm under eyes is an advanced injector technique and proper patient selection and technique is critical to the success of this cosmetic treatment. Below are photos of two patients who were injected improperly at other offices and Dr. Green corrected with hyaluronidase injections.

Dissolving under eye fillers with hyaluronidase

Hyaluronic acid fillers come highly recommended for first time patients seeking to replenish under eye volume, as the results can be safely reversed through the use of synthetic hyaluronidase. Hyaluronidase naturally breaks down hyaluronic acid in the body, essentially dissolving the appearance of the hyaluronic acid filler. This can help reduce unwanted side effects from undereye dermal fillers such as Tyndall effect and puffiness in the lower eyelid or tear trough area. If you are unhappy with the results of your dermal fillers, Dr. Green can dissolve them with hyaluronidase injections.

When am I not a good candidate for under eye fillers?

If you suffer from dark circles under the eye area due to pigmentation or hyperpigmentation, under eye fillers may not be the best way to serve your needs. However, other treatments can be applied to target darker pigmentation in the tear trough area such as Mesopeel periocular. Through this system of chemical peels specially formulated to treat the delicate undereye area, the dark circles and hyperpigmentation can be lightened or eliminated.

Blepharoplasty for under eye bags

For those with severe under eye bags from skin laxity or excessive fat pads, surgery such as blepharoplasty can lead to permanent volume adjustment under the eye. Blepharoplasty consists of removing excess skin and fat from the eyelids that may have formed due to age. Many patients have poor results with under eye fillers since inexperienced injectors attempt to correct and rejuvenate their eyes, despite having excess fat and skin laxity in the under eye area. For these patients, Dr. Green refers them to an experienced board-certified plastic surgeon for a blepharoplasty. However, this is a surgical procedure that requires longer recovery time, bruising, and edema for several weeks. If you are unable to endure the downtime that comes with plastic surgery or blepharoplasty, correcting dark circles and deep tear troughs with Juvederm may be a better option for you.

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eMatrix Radiofrequency laser treatment for under eyes

For those seeking other non-invasive under eye treatments, laser skin resurfacing can be an excellent way to reduce the appearance of dark circles. The eMatrix laser is an FDA-approved treatment designed to stimulate collagen production to tighten any loose skin under the eye as well as crow’s feet. eMatrix can be used safely on all skin types and tones. There is minimal downtime with eMatrix for the eyes, so it makes it a perfect “lunch break procedure.” Similarly, the Fraxel laser can be effective on the lower eyelids, as well as in areas with skin laxity. Laser treatment can also help to reduce the appearance of dark pigmentation and stimulate new collagen production.

How can I get started with Juvederm undereye fillers today?

Dr. Michele Green in New York City is an experienced injector with over 25 years of experience working with dermal fillers, skin care, and laser treatments. As a board-certified cosmetic dermatologist with aesthetic sensibilities, her top priority is the safety and satisfaction of every patient. Dr. Green will work with your aesthetic goals to create an artful, revitalized look that makes you both look and feel like the best “you” possible. She is consistently voted as one of the best dermatologists in New York City by Castle Connolly, New York Magazine, Super Doctors, and the New York Times. Her natural approach has high patient satisfaction for dermal fillers and for additional anti-aging and skin rejuvenating treatments.

If you are unhappy with dark circles, undereye puffiness, or deep tear troughs under your eyes, Dr. Green is here to help. Learn how expert cosmetic injector, Dr. Michele Green in Manhattan, can rejuvenate your eyes through Juvederm injections. To book an appointment, please contact our NYC based office or call 212 535 3088

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