SUSAN BINDER MD
Binder Dermatology
Cosmetic Dermatologist NYC
Under-eye fillers are a popular choice for individuals looking to rejuvenate the delicate area around the eyes, creating a refreshed look. But what are under-eye fillers, who should consider them, and what results can you expect?
At Binder Dermatology, we do all we can to give our patients the results they are looking for. Each patients' treatment plan is customized to fit their skin care needs and goals. If you are looking for effective under eye filler treatment near you in New York City, we invite you to contact us to set up an appointment today.
What Are Under Eye Fillers?
Under-eye fillers are dermal fillers specifically designed to address the hollows under the eyes, often referred to as "tear troughs." By restoring volume in this area, fillers help create a smoother, more youthful look. They can help mask dark circles and bags, which are typically caused by the loss of volume and herniation of fat under the eyes as we age.
These fillers work by lifting the volume and improving the light reflection, making the area appear brighter and more awake. While fillers can reduce the shadowing effect of dark circles, it’s important to note that they do not eliminate pigmentation caused by genetics or environmental factors. If you are looking to get under eye filler to reduce dark circles under the eye, this procedure might need to be paired with supplementary treatment such as microneedling to garner more effective results.
The Science Behind Dark Circles and Eye Bags
Dark circles under the eyes are commonly caused by several factors, including genetics, sleep deprivation, allergies, and environmental stressors. While pigmentation can play a role, the most common cause is hollowing of the under-eye area as we age, which creates a shadow and makes the skin appear darker.
When fillers are injected into this hollow area, they improve light reflection, reducing the shadow effect, which can result in a more rested, less tired appearance.
However, as mentioned above, if someone’s dark circles are primarily due to pigment, fillers alone won't completely eliminate the discoloration. Under eye filler works best for dark circles that are caused by volume loss.
Who is a Good Candidate for Under Eye Fillers?
Not everyone is an ideal candidate for under-eye fillers. Candidates who have significant fat herniation (bags) under the eyes may not see as dramatic results from fillers alone. In such cases, filling the hollow area around the fat bag can help smooth the transition, but will not eliminate the bag itself.
Additionally, some people have a structural issue that makes them less suited for fillers. A thorough evaluation by a board-certified dermatologist near you is crucial. It’s important to discuss your concerns with a qualified practitioner who can assess your facial anatomy and recommend the best approach. They will be able to recommend alternative treatment options that can help give you the results you are looking for.
Different Types of Under Eye Fillers: Which One Should You Choose?
The most commonly used filler for under-eye areas is hyaluronic acid. This is because hyaluronic acid is highly versatile, safe, and can be dissolved if needed. It’s also great at providing immediate volume, which is why it’s a preferred choice for under-eye treatments.
While some people opt for PRP (Platelet-Rich Plasma) or PRF (Platelet-Rich Fibrin) to help with skin texture, these treatments are not as effective for volumizing. PRP and PRF can help stimulate collagen production, which can improve skin texture, but they do not provide the same level of volume as hyaluronic acid fillers.
For those looking for a more natural way to enhance the area, PRP can be injected superficially to help with skin rejuvenation, but for noticeable volume restoration, hyaluronic acid remains the most effective option.
How Long Do Under Eye Fillers Last?
One of the remarkable benefits of under-eye fillers is their long-lasting effects. While the longevity of any filler depends on several factors, under-eye fillers can last for a significant period—often up to one to two years, and sometimes even longer.
However, like any cosmetic treatment, the filler can migrate or change over time, which is why it’s important to ensure you are under the care of an experienced dermatologist who understands the delicate anatomy of the under-eye region.
Under Eye Filler Procedure: What to Expect
Under-eye filler procedures typically take around 20 minutes, with some time allotted for numbing the area. The procedure is relatively comfortable for most patients. At Binder Dermatology, we use a cannula (a blunt-tip needle) for this procedure, which helps reduce the risk of bruising and makes the procedure less invasive compared to traditional needles.
During the procedure, a single entry point is often enough to treat both the medial (inner) and lateral (outer) parts of the tear trough, making it both efficient and precise.
While there may be some swelling or bruising post-treatment, this usually resolves within a few days. It's important to avoid intense physical activity and direct pressure on the area for the first 24 hours.
Risks and Side Effects of Under Eye Fillers
Like any cosmetic procedure, under-eye fillers do carry some risks, including swelling, bruising, or, in rare cases, migration of the filler over time. While under eye filler treatment is generally safe, it is crucial to go to a highly-skilled dermatologist to minimize risks. Some fillers may migrate toward the surface of the skin, which can create a visible bump or a bluish tint known as the Tyndall effect. If the result is not what the patient expected or if the filler does migrate, it can be dissolved.
Under Eye Fillers for Men vs Women
When considering under-eye fillers for men versus women, it's important to take into account the natural differences in facial anatomy. Men typically have a more lateral high point in their face, while women have a more central high point, particularly in the cheek area. This distinction is crucial when performing under-eye treatments, especially when it comes to cheek filler. For men, too much volume in the central cheek can create a more feminine look, so it’s important to ensure the treatment complements their natural anatomy and avoids a feminized appearance unless that’s their desired result. In essence, while the treatment approach for both men and women may involve restoring volume and rejuvenating the under-eye area, the technique and amount of filler used must be customized to each individual’s facial structure to achieve a natural, balanced result.
When to Consider Cheek Fillers as an Alternative
For some patients, under-eye fillers might not be the most suitable solution, especially if they have pronounced bags under the eyes or loose skin. In these cases, filling the upper cheek area can help improve the transition from the tear trough to the cheek. This subtle lift can significantly improve the overall under-eye appearance without directly treating the tear trough.
It’s All About A Naturally Enhanced Look
We often have patients come to us that may think they want under eye filler or some other filler or procedure like Botox, but what they are really looking for is an enhancement. They feel they look tired, or that their skin is sagging, or they feel ‘droopy.’ They don’t necessarily know which procedure is needed to achieve the look they want. That is why it is so important to consult with a board-certified dermatologist before having any procedure completed.
Our objective at Binder Dermatology is to help our patients achieve their aesthetic goals. This means sitting with them and thoroughly evaluating their facial structure and symmetry and creating a customized treatment plan. The key is to achieve a natural, refreshed look, which can require using the right combination of treatments and understanding the anatomy of the face. In some cases, a combination of cheek filler and under-eye treatment can produce even more dramatic results than focusing on the tear trough alone. Sometimes a completely different treatment like filling in near the temples can give someone the structure changes they are looking for.
Book With Binder Dermatology For Customized Treatment for Under Eye Fillers in NY
Under-eye fillers are an excellent option for those looking to rejuvenate the area under their eyes and restore a more youthful, refreshed appearance. But they are a delicate treatment that should be performed by professionals who understand facial anatomy and the nuances of the skin around the eyes. Whether you're considering fillers to reduce dark circles, smooth out under-eye bags, or simply refresh your appearance, it’s essential to have an in-depth consultation to ensure that you’re a good candidate for the procedure.
At Binder Dermatology in Upper East Side, Manhattan we offer personalized care, where each treatment is customized to the individual’s facial structure, age, and aesthetic goals. The results should be subtle, natural, and enhancing—not overdone. For more information on under eye or derma fillers, or to schedule a consultation with Dr. Susan Binder, please reach out to us today. We’re here to help you achieve the youthful, rejuvenated look you deserve.
