what's the best under eye filler people often ask about the best filler for the under eye area to
treat hollowness eye bags discoloration and even wrinkles the answer to this question is predicated
on the assumption that filler is appropriate in all of these conditions I'll discuss how I respond
to this question about the best under eye filler in my practice I'm Dr Amiya Prasad I'm a Diplomate
of the American Board of Cosmetic Surgery and Fellowship-trained oculofacial plastic and
reconstructive surgeon I've been in practice in New York City and Long Island for over 25 years
as a specialist in cosmetic eyelid surgery I'm known for helping people with issues like
hooded eyes drooping eyelids and under eye bags i also perform a lot of non-surgical procedures
such as fillers under the eyes for hollowness and to camouflage slight to moderately prominent
under eye bags I also use fillers under the eyes in combination with treatments like
platelet-rich plasma or PRP to help people with hollowness discoloration
and skin wrinkling so when people ask me which under eye filler gives the best results
the answer is not a specific brand more than one brand of filler can be used to enhance a hollow
area under the eyes it's important to understand that a brand of filler doesn't prevent issues like
overfilling or under filling nor can it prevent rare but dangerous complications like vascular
occlusion where the filler is injected into an artery resulting in tissue loss or even blindness
the results of filler treatment and the minimizing risk of complications is actually in the hands of
the doctor performing the procedure taking a step back it's the doctor's judgment that determines if
an under eye filler should be used even at all the indication for using fillers under the eyes
is to treat hollowness and to camouflage puffy bags which are minimally prominent
under eye hollowness is often due to a deficiency in bone projection and volume
in my opinion hyaluronic acid fillers are ideal for this area fillers can be placed in an area
called the tear trough enhancing the tear trough can help improve the appearance of hollow areas
as well as the transition zone or the transition area adjacent to under eye bags
now some practitioners who don't perform surgery will try to use filler to treat all cases of eye
bags unfortunately when the under eye bags are too prominent fillers can actually make under eye bags
look even more puffy and even more prominent the type of filler material does matter when it comes
to safety my preferred material for patient safety and for predictable results is hyaluronic acid
hyaluronic acid is a naturally occurring substance in the body found in the skin and the joints
this means that this material is generally well tolerated without any kind of foreign body
reaction the hyaluronic acid fillers I use are in the Restylane and Juvederm line of products many
people want longer term benefits so they look to have permanent or semi-permanent fillers I
strongly discourage this choice unlike hyaluronic acid fillers permanent and semi-permanent fillers
actually require surgery for removal should there be a problem hyaluronic acid fillers on the other
hand can be dissolved with the injectable enzyme hyaluronidase i also don't recommend fat grafting
for this area in spite of the best of intentions fat grafting is unpredictable and can result in
lumps and irregularities which actually may be too difficult to remove without compromising eyelid
support further as an oculoplastic surgeon I can't overstate the importance of safety around the eyes
there have been incidents of vascular occlusion resulting in blindness after filler injection in
this area as far as short-term risk is concerned bruising is probably the most common issue after
under eye filler injection i have a lot of experience with reconstructive surgery
such as fracture repair and the placement of cosmetic implants like tear trough implants
i use this experience to help me place fillers using blunt tipped cannulas in this area
thereby avoiding any bruising in the majority of my patients many of our patients actually
schedule for filler procedures such as under eye or tear trough filler placement
through our same day scheduling system this means that they come during a break in their work day
such as lunch to have a procedure and then go right back to work I see patients typically after
two weeks to see how the material has settled and if any enhancement would be appropriate
so when considering under eye filler treatment the importance of safety as I said earlier
can't be overstated an experienced physician who is prepared to address any complication in
a timely manner is in my opinion the best option when risk is factored into your decision marketing
influences consumers to choose product when in actuality the practitioner choice you make is far
more important I hope you found this information helpful and thank you for your question