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In the age of technology, it’s rare to see any adult who doesn’t suffer from tired-looking eyes. Under eye bags and hollow tear troughs can make our faces appear as if we’ve been run ragged, and for many, concealer just doesn’t cut it. On top of this, many eye creams that advertise a revitalized glow are unable to hold up to their promises, leaving those with severe under eye circles to feel at a loss.

However, recent innovations in dermal fillers has made under eye bags a thing of the past. Hyaluronic acid fillers, such as Juvederm for under eye filler, is able to reduce the appearance of bags and dark circles, and create a more youthful, rejuvenated appearance. Hyaluronic acid fillers are composed of a natural compound already in the skin, hyaluronic acid. Hyaluronic acid injections effectively reduce the appearance of fine lines and wrinkles through the production of new collagen and elastin. This  new collagen can replace volume loss under the eyes, creating amazing under eye rejuvenation with little to no recovery time.

If you are struggling with under eye bags, dark circles, and tired-looking eyes, expert NYC cosmetic dermatologist, Dr. Michele Green, can correct this familiar problem. Treating the delicate under eye area is an expert injector technique. Dr. Green is a specialist in this advanced under eye filler technique. Contact our New York office today to see if Juvederm under eye filler is the best treatment for you to revitalize your eyes.

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 pump the skin and reduce the appearance of fine lines and wrinkles. They have become leading brands in the world of non-invasive, or non-surgical 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.

Can you use Juvederm under your eyes?

Juvederm under eye filler is considered an “off-label” use for Juvederm. However, this does not mean that under eye injections are unsafe with 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, like Dr. Green, is able to apply under eye filler just as safely as they would any other part of the face.  Using Juvederm 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.

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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 amply recovery time, with a result that 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.

Juvederm is considered 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 due, but younger patients who have struggled with naturally sunken eyes or under eye bags can also hugely benefit from hyaluronic acid under eye filler.

How to treat dark circles with dermal fillers

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. This volume loss can also lead to skin laxity, creating what are commonly referred to as under eye bags. By adding volume to the area under the eye, 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.

Which dermal filler is best for the under eye area?

Generally, for treating the tear trough area, Dr. Green relies on 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.

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Which Juvederm is best for under eyes?

Juvederm Volbella is Dr. Green’s recommendation for under eye filler among the Juvederm line. Juvederm formulation on many of their other products, such as Juvederm Voluma or Juvederm Ultra, has a denser texture which can create a less natural aesthetic in the tear-trough area, whereas Juvederm Volbella’s design can help to balance out the cheek area without adding excess volume.

How many syringes of Juvederm are needed for under eyes?

Depending on the needs of the patient, how deep their under eye hollows are,  1-2 syringes of Juvederm will be needed in the tear trough area for complete treatment.

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, a patient can split a syringe of filler for the under-the-eye area on each side. For those who have more severe hollowing in the tear trough area, a full syringe may be necessary on each side.

Which type of Juvederm is best for the under eyes?

The choice of Juvederm filler depends on the degree of under eye hollows in the tear trough area and skin laxity. For more superficial hollows, Juvederm Volbella can be the better choice over Juvederm Ultra Plus XC. Dr. Green will examine you during your consultation and help 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 prefers this method for under eye filler treatment.

After 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.

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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. However, 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.

However, as this procedure is considered an “off-label” treatment, severe side effects can occur with 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, which can lead to side effects such as vision impairment, blindness, or stroke. For this reason, we only recommend under eye filler treatment be done with an expert, board-certified plastic surgeon or dermatologist, such as Dr. Green.

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 due to under eye filler treatment, we recommend that patients avoid any blood thinning medications, including ibuprofen or advil. After treatment, it’s good to apply ice to the area around the injection site.

How long does Juvederm under eyes last?

Juvederm for under eyes typically lasts between nine months to a full year, though of course 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.

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How much does Juvederm under eyes cost? 

The answer to how much is Juvederm under eyes depends on the particular needs and desires of each individual patient. Typically, the cost of Juvederm varies between $600-1,000 dollars, and each formulation of Juvederm hyaluronic acid fillers is designed slightly differently to optimize use along different areas of the face. Dr. Green will work with you to determine which injectable will be best for your under eye treatment.

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 entirely 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. 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.

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Dissolving under eye fillers with hyaluronidase

Hyaluronic acid fillers come highly recommended for first time patients seeking 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 “erasing” the appearance of the hyaluronic acid filler.

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, the dark circles and hyperpigmentation can be treated and removed.

Blepharoplasty for under eye bags

For those with severe under eye bags, surgery such as blepharoplasty can lead to permanent volume adjustment under the eye. 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 experience board certified plastic surgeon for a blepharoplasty. However, now should expect with this surgical procedure a longer recovery time, bruising, and edema for several weeks.

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 tighten any loose skin under the eye, and can be used safely on all skin types. 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.

Why choose Dr. Green for under eye fillers?

When it comes to dermal filler treatment, there is no better expert injector than Dr. Green in New York City. Dr. Green has over 25 years of experience working with dermal fillers, skin care, laser treatments, and is an advanced injector in under eye filler treatment. As a board certified dermatologist, with aesthetic sensibilities, her top priority is the safety and satisfaction of every patient. Dr. Green will work with you to create an artful, revitalized look that makes you both look and feel like the best “you” possible.

If you are tired of looking at tired-looking eyes, Dr. Green is here to help. Learn how Dr. Green can rejuvenate your eyes through juvederm injections, laser treatments, and the best cosmetic treatments. To book an appointment, please contact our NYC based office or call 212 535 3088

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