hi i'm dr renata makes harris and i'm a cosmetic physician here at reflection
center in martinsville and today i'm going to go do under eye filler on my daughter julia jules
just turned 21 yesterday and for her birthday she wanted me to do something to fix her under eyes
when you look at julia's eyes you know the first thing that you know i noticed is that she has some
hyperpigmentation of the skin which is genetic you know that part i cannot fix jules close your
eyes for a second you can see it on the upper eyelid too you know so that's not hollowing or
shadowing that's just the skin is darker there okay open your eyes now the next thing
that you can see is she has this big groove right here and you can see if i can kind of
puff that out a little bit which is what we can do with filler it looks a lot better it looks
a lot lighter you know and um so that's the part that we're going to do with filler then she also
has a little bit of a you know bulge up there and i'm going to put a tiny bit in botox in there and
kind of see if we can get that to be a little bit less noticeable okay the other thing julia
has is that she is a clencher so she has very big masseters jill's plans for me for a second
you know when you feel this you can just see it's like rock hard you can bounce a ball on that okay
so but what that does uh do both sides just clinch uh-huh and just relax yeah so what you can see is
that you know it makes her cheeks her face much more square and wider but it also gives her a lot
of headaches and pain in her teeth and jawline so it's for two reasons cosmetically it'll help smell
slim her face but most importantly it'll spare her teeth and you know relieve some of the jaw pain
that she has what we use for that is botox it will relax that muscle i usually make five injections
in that and julia already we already did it once a couple of months ago because unfortunately it
only lasts about three to four months and jill's tell me how was it to do the botox did it hurt
no that turned it off okay and how do you feel it helped it definitely made them smaller and i
didn't bite as hard when i sleep and i definitely had a lot less headaches okay first thing
we're going to do is we're going to clean the area because it's very important to prevent infection
so we clean with two different types of cleaning one is a little bit more soapy
one that is a little bit more smell spectral looks a little bit it's mine okay so we're going to use
a little what we call a guide to just make a little entry point on her cheek because for the
under eyes i like to use a cannula which has a blunt tip and it doesn't penetrate the skin
so you have to make an opening first okay here we go julia said that this part felt weird and a lot
of times people will feel that way because you can feel that there's something under your skin
and it's moving around it doesn't really poke you or or is painful it just kind of feels strange to
have something moving around under the skin and there's also a little bit of a numbing agent in
it so you're starting to feel numb in that area and the bling can become a little bit heavy and
this will continue to feel kind of weird and numb for about an hour an hour and a half afterwards um
it's not the same kind of level of numbness that you have when you get your cavity filled but um it
does feel kind of strange it's not really painful though for my daughter's under eyes ha stands
for hyaluronic acid and they're really just a few fillers that i like to use for the under eye area
because the skin is so thin you can't really use a filler like you would use normally in the lips
or the chin or something that attracts a lot of water because you'll end up with a lot of swelling
we do have a very large range of fillers available um in our office and it really helps because
just because you can use a certain type of filler under the eye doesn't mean that it's
right for every patient um i will you know change depending on what the skin quality of
somebody looks like to decide what type of filler i will use in the under eye
um my daughter's under eye hollowing is not caused by aging i mean she's 21 years old it's just
genetic it's how her under eyes have looked for a while now and um she was really bothered by it
and having it filled with a temporary filler will help her look better when she puts on her makeup
and um that makes her just feel better and women her age are doing a lot of these little small
tweaks with filler just to you know make him feel good it's a good choice especially for a patient
that's young because this filler does dissolve over time and meaning that in a couple of years
when she's aging she may need a different type of filler or it may need to be in a different spot
for her to work under eyes can sometimes swell a little bit so i would um you need to sleep kind
of elevated for the next two days like with two pillows instead of flat on your back you know
and ideally sleep on your back instead of on your side because that will help reduce the swelling um
they tend to swell a little bit more in the morning so you may want to put a little bit of
ice on it in the morning if you feel like they're swollen i mean it doesn't happen in everybody and
you're you're young you have nice young skin so i don't expect a lot of swelling in your case okay
um you're going to be kind of weird numb for about two hours that's the numbing medicine in the in
the um filler that will wear off on its own it can make you feel like you blink really heavy but it
does nothing with your vision it doesn't you can drive you know you don't have to worry about that
and um it will get better and better in the next two weeks because in the beginning it
still feels a little lumpy and clumpy um but over time it kind of smooths out and over time
you can barely feel that it's there and um it usually lasts about a year to two years
under eyes can last a long time so we'll see how fast your body breaks it down okay okay