“Under-eye filler” - Is it dangerous? How does it differ from other fillers?

Under-eye filler It can be called one of the most popular cosmetic procedures today, giving a good image, a bright and radiant overall look, which has a positive impact on daily life, whether it's working or meeting new people.

Many people deciding to get under-eye fillers often worry about post-injection problems such as lumps or fake fillers. These issues arise from injections performed by untrained individuals or the use of substandard fillers, which may contain other foreign substances. Therefore, to prevent these problems, it is recommended to thoroughly research fillers, have your questions answered, and consult with a doctor to aid your decision-making.

What is under-eye filler?

Filler is a hyaluronic acid substance that is naturally present in our skin. This substance helps maintain skin moisture and stimulates collagen production. Filler is a clear gel-like substance. When injected into the skin under the eyes where there are deep hollows, the filler fills these hollows, making them appear shallower. Depending on individual concerns, filler may be injected into the deeper skin layers to support the underlying structure that has sagged, and/or into the superficial skin layer to replace lost fat, depending on the specific issue.

Under-eye fillers are suitable for people who:

Suitable for people with deep tear troughs and dark under-eye circles. Injecting fillers under the eyes will reduce the appearance of troughs and lighten dark circles.

How many cc of under-eye filler should be injected?

In reality, the number of cc injected will depend on each individual's specific concerns. Most people receive 1-4 cc, depending on the depth and darkness of the under-eye area, as well as other structural features around the eyes that contribute to the overall aesthetic. However, it is crucial that the injections are performed by a qualified medical professional only.

Side effects of under-eye filler injections

After filler injections, side effects are similar to general injections, such as bruising, swelling, and redness in the injection area. This usually occurs in people with thin skin and should be avoided. Scratching, massaging that spot, and then these symptoms can disappear on their own.

Which under-eye filler brand is good to inject?

Each brand of filler offers a variety of prices. Each brand has different properties in terms of gel texture, viscosity, shape retention, molecule size, and duration under the skin. The doctor will consider the suitability for each individual patient.

Restylane Filler

Restylane Lyft Maintains its shape best, stable, not puffy, lasts for 12 months
Restylane Defyne - Medium-firm gel texture with good elasticity and moisture retention, lasts up to 18 months
Restylane Vital Light Extremely fine texture. Contains anesthetic to prevent pain during injection. Suitable for thin skin or for detailed work. Lasts 6-12 months.
Restylane Classic -- It is a large particle gel filler. Suitable for treating moderate to severe wrinkles. Lasts for 12 months.

e.p.t.q. filler. It is a filler that is a mixture of local anesthetic and is not expensive. It can be divided into models as follows:

S100 It's the gentlest gel formula, easy to spread, and perfect for plumping the under-eye area.
S300 This is a medium-firm formula that is very elastic and adheres well to the skin. It shapes beautifully and is suitable for filling in deep wrinkles and crevices.
S500 This is the firmest version, with excellent stability and flexibility. It's suitable for injections to fill the bone layer and atrophied deep fat layer. It can also be used for deep injections in the under-eye area.

Neuramis Filler

Neuramis Deep This version does not contain any anesthetic. The gel has a medium viscosity, is plump and easily shaped, and can be used to fill deep lines on various parts of the face.
Neuramis It is a model with anesthetic mixed in, with a filler consistency similar to the Deep model. The gel texture is moderately viscous and plump, which can help reduce pain during injection.
Neuramis Volume The thickest gel-like texture, with good elasticity and stability. Can be used to fill moderate to severe wrinkles, and contains anesthetic ingredients.

Pre-treatment guidelines for under-eye filler

You should stop taking blood-thinning medications, vitamins, and topical exfoliating medications.
Abstain from alcohol for 24 hours.
Refrain from activities that cause increased blood flow, such as exercise or saunas.
If you have any pre-existing medical conditions or are taking regular medication, you should inform your doctor before every procedure.
In some cases, doctors may consider prescribing medication to stop bleeding or injections to reduce swelling to minimize the risk of bruising, inflammation, and infection.
You can request numbing cream before getting filler injections, and the doctor will administer it to those areas.

Things to avoid after under-eye filler injections

Avoid touching, picking, scratching, or massaging the area under your eyes.
Avoid all heat and activities that cause flushing for at least 48 hours, such as saunas, strenuous exercise, and sun exposure.
Drinking plenty of water will help make the fillers last longer.
Refrain from all types of deep thermal laser treatments for at least 1 month.
You should refrain from eating certain foods that can cause inflammation, swelling, and slow down filler settling, such as alcoholic beverages, barbecued pork, shabu-shabu, pickled foods, very spicy foods, very sweet foods, and raw foods, etc.
Refrain from smoking, as it will slow down swelling reduction and shorten the duration of treatment effects.

What causes under-eye filler to become lumpy?

It's caused by injecting too much filler, or by injecting correctly (submuscularly) but in individuals with very thin muscles. When filler is injected, it can be visibly lumpy when smiling.
Filler Injection in the Wrong Location, such as injecting into or above the muscleIn large quantities, it can be seen as lumps.
Using the wrong type of filler, such as fake fillers, silicone, or artificial fat, or using older types of fillers can be problematic. Some older fillers retain a lot of water. Thus, choosing the right type of filler for injection in the under-eye area is very important. You should always consult a specialist doctor.

How to fix lumps under the eyes after filler injection

Under-eye filler dissolving injections are a method that can resolve the problem of lumps under the eyes, following these steps:

1. Remove the old filler first by dissolving the hyaluronic acid filler. It's safe and can dissolve excess filler in any area where filler was injected.
2. If the original groove is not very deep, you may not need to add new filler. However, if the original groove is quite deep, once the old filler is dissolved, you may need to readjust or re-inject to achieve a more natural look.