Everything You Need to Know About Under Eye Fillers

About a year ago, I signed up for a clinical trial for under eye fillers. For years, I’ve struggled with my under eyes. I have dark circles that make me look tired all the time and hollowness which I inherited from my Dad. If I went out without any makeup or concealer I would have people ask me if I was OK or if I was having a bad day.

I decided enough was enough, got them and have never looked back! When I mention them on my Instastories, I always get a few questions. Figured I might as well put it in a post! My fillers were done at Dr. Brian Biesman’s office.

Dr. B and his team are pros at injections and eyelid/facial surgery and he was nice enough to answer your questions!

• How much do the under eye fillers cost? The cost can vary over a wide range but typically starts at about $1200
• How often do you have to have them touched up? Filler under the eyes can last a long time. Some patients have their filler touched up annually, others can go 2 or more years between additional treatment is required. A small group of patients chooses to have their undereye filler touched up every 6 months or so; this is not common and is typically patient-driven rather than my feeling as if they have visible volume change
• Does it hurt? Surprisingly having filler placed under the eyes is associated with minimal discomfort.  The skin in that area is so thin that topical anesthetic agents are extremely effective
• What’s the recovery like? There is always some swelling after under eye injection. This typically is markedly reduced after a few days. Most patients who are treated resume their normal activities within 1-2 days. Bruising is variable and may or may not develop. If it does, we can use a laser to enhance the rate at which the bruise clears
• What are the fillers made of? The fillers are made of hyaluronic acid, a naturally occurring substance in our eyes, joints, skin, and many of our organs. The hyaluronic acid used in filers is manufactured using a sterile process in a laboratory and not taken from animals or tissue donors
• Are they safe? Yes, the products used under the eye are extremely safe.
• What’s the procedure like? The procedure involves anesthetizing the skin and then delivering the filler through a tiny needle or blunt-tipped cannula. The procedure takes only a few minutes and does not require sedation or anesthesia. 
• What can I expect after getting it done? Swelling and/or bruising may occur after filler treatment. Cold compresses applied for the first day or so may help minimize these effects.
• Are there side effects? Swelling and bruising are the most common side effects.  The treated area may be a bit sore for the 1^st day or 2 but pain relievers such as Tylenol are not typically required.
• What exactly do the fillers fix? Fillers under the eyes are most commonly used to treat 2 conditions. The 1^st is hollowing of the under=eye area which is typically a hereditary condition that is often seen in young patients (20s and 30s). The 2^ndcondition fillers are commonly used to treat is bulging or puffiness of the fat pads in the lower eyelid. With time, our under eye area often becomes puffier with bulging fat pads. Undereye fillers may be used to camouflage these bulging fat pads, thus restoring a more youthful appearance.

As Dr. B said, I didn’t feel any pain when getting my under eye fillers. I made sure I had breakfast before and kept breathing throughout.

Afterward, I used lots of ice throughout the day and resumed all normal activities, except working out. I also want to say it’s important to not wear any sort of goggles or touch your under eyes too much over the next couple of days. I bruise like a peach so I have pretty intense bruising but it was gone within a week.

I’m so happy with the fillers and it’ll be something I keep up. It’s made me feel more comfortable in my own skin and I think makes my face look more natural!

To have a consultation about under eye fillers and you live in the Nashville area, contact Dr. B’s office!

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