Would the bags beneath my eyes be able to be filled with filler?
I was told by another doctor it was too close to my eye for a filler and she did not feel
comfortable.
Thank you for your question!
You’re asking if the bags under your eyes could be improved with the use of a filler
and you also mentioned that the doctor that you met with said that it was too close to
the eye and they weren’t comfortable.
It’s interesting that you sent a photo with sunlight, what appears to be sunlight over
your eyes because it tends to wash out the detail of the puffiness under your eyes.
But with the assumption that you have slight degree of puffiness, I can share with you
what we do in our practice.
I’m a cosmetic oculofacial plastic surgeon.
This means I’m boarded in ophthalmology residency before doing specialty training
in eyelid surgery.
So I’m a specialist and this is an area that we deal a lot.
I’ve been in practice in Manhattan and Long Island for over 20 years.
The question that you’re asking about fillers is a valid question and there is a growing
popularity of the use of fillers to soften the appearance of under eye bags.
In the right situation, the fillers have a really good role.
So with the understanding that the puffiness that you are dealing with is very slight,
we do routinely use fillers such as hyaluronic acid such as Restylane to place strategically
in the tear trough area to soften the transition between the elevation of the puffiness and
the hollowing of the valley and the area of the tear trough.
Now that being said, we also routinely combine this with platelet-rich plasma, this is derived
from your own blood.
It may not be indicated for you because you are, if your skin quality is good then it’s
not necessarily required but in patients who do have issues with crepey skin quality, we
combine this with platelet-rich plasma which I mentioned, derived from your blood.
And it’s a concentration of the healing and growth factors associated with wound healing.
We have been very successful in using platelet-rich plasma to improve skin texture and skin quality
especially with people with dark circles and under eye hollows.
It’s a great synergy between the PRP and the hyaluronic acid.
It’s very good that your doctor was honest with you.
A lot of times the doctors who aren’t comfortable working with the eye are better off not doing
that.
This is a delicate area.
It is, when you are specialist like myself, you are very comfortable with.
But I can certainly understand people who are dermatologist or even general plastic
surgeons depending on what their practice focuses don’t necessarily work around the
eyes.
So I think you should find a doctor who is comfortable around the eyes and certainly,
I think it’s an option for you.
So just meet with the right doctor that has experience and can show you before and after
examples so that you feel comfortable and then move forward.
What’s nice about hyaluronic acid or any other filler is that it does breakdown and
go away so if you’re not satisfied with the result, either you could wait for the
material to go away or there’s actually an enzyme called hyaluronidase which can melt
it all away and get rid of it altogether.
So with that being said, I hope that was helpful, I wish you the best of luck and thank you
for your question!