Why Under-Eye Light Filling?
For both young and old patients, applying filling in under-eye area is a safe and efficient alternative to surgery. Many patients are not happy with the shadows that appear under the eyes and depression.Request Before/After Photos »
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Under-Eye Light Filling
The underlying tissue that keep your skin young looking usually starts to leave face wrinkles in the loose muscle lines, smile lines, crowfoots or in places where muscle movement happens. This may result from genetics, but it is also a sign of aging.
Injectable soft tissue filling materials such as Restylane, Juvederm or Radiesse can help fill these lines and wrinkles and help you have a smoother, younger appearance. Besides, they may add plumpness to lips and cheeks. Injectable filling materials such as Juvederm or Restylane may be used on their own, or together with peeling procedures such as the ones done with lasers, or facelift procedures.
Injectable filling materials may help fill deep facial wrinkles, wrinkles and lines, lean cheeks, dark circles under the eyes, skin clogging and certain marks. Face filling materials are also used to give the lips a more plump, sensory appearance to lips. Depending on the patient, injectable filling materials can be used to improve the appearance of dark circles under the eyes. Face filling materials such as Restylane or Juvederm can help you avoid or postpone plastic surgery with immediate, long term natural solutions and minimum cuts.
Just like it is with every other trustworthy hyaluronic acid based filling material, absorption of the injected material over time is slow, and these injections may be renewed in a safe way if necessary. As the faces of people change slowly, cosmetic surgeons realized that treatments that aren’t permanent are advantageous, because they understood that they allowed these materials to be in harmony with the rest of the patients’ face. If a permanent implant material such as the silicone given to a patient in their 30’s is still in place when the patient is 80 years old, it may not look good or in harmony. Because of that, patients and surgeons desire the use of injectable implants that are not permanent and can be absorbable.
Another important advantage of hyaluronic acid based filling materials is that the patient can quickly reverse it if they wish to. In rare occasions when the patient does not content oneself with the treatment, a small Hyalase injection (hyalurodinase), which is an enzyme medicine that has been frequently used in cataract surgery for over 20 years, may be used so that the implant dissolves quickly. Despite permanent fillings that cause very serious deformations and irreversible aesthetic issues, they are perfectly safe. They do not cause allergic reactions.
Does Not Require Surgery
In general, under-eye light treatments are tolerated very well, they are almost painless, and they are applied in small amounts on the skin with a local anesthetic cream that numbs the skin. Patients can feel a small pressure during the procedure. The procedure is usually done in the clinic via outpatient care, and takes about 5 times for each sides. Recovery period is very quick, and although patients may experience a small amount of swelling in the first week after the operation, most of them disappear in 10 days. The material can still stay under the skin for weeks up to months, and this characteristic is frequently useful to correct small lumps.
Am I A Good Candidate For Under-Eye Light Filling?
The patients that complain that their under-eyes have an empty appearance, and bruises and fat pockets in their under-eyes are getting bigger are usually candidates for this treatment. Picking patients that are suitable for under-eye light filling is a process that requires expert opinion. Perfect candidates should have a good skin flexibility and adequate skin thickness. Because of these reasons, not everyone can be a good candidate for under-eye light filling treatment. In addition, innovative ways are sometimes found to treat the patients that are not ideal candidates. This sometimes includes gradual treatments.
18 Years and Older
Individuals whose growth is completed: Surgery is usually done on people who are 18 and olderAsk the Doctor
Individuals who are physically healthy and who do not have illnesses that would prevent undergoing surgeryGet an Appointment
Individuals who have a positive perspective and who have specific but realistic goals in mind for the improvement of their appearanceGet in Contact
Opinions of Patients
In Vanity Clinic, our main goal is to give our patients top quality service, and to make sure our patients have this important experience in a way they would be the most pleasant, by being there for them for all of their needs in this step they took to change themselves. Listen to the Vanity experience from our patients.
Fear of Aesthetic Surgery
Ms Ayça was suspicious, even prejudiced about having an aesthetic surgery. However, once she built up her courage, she was ready.Get an Appointment
The Right Choice
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The Impact of a Trustworthy Doctor
Ms Büşra was quite worried about breast augmentation surgery until she consulted Dr. Güray. Her smile is enough to see how happy she is with her choice.Ask the Doctor
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Which dermal filling materials are used?
The most widely used filling materials used for the tear through area are made from a material called hyaluronic acid. Hyaluronic acid consists of cross linked sugar chains to give it a gel consistency. Forms of hyaluronic acid can naturally be found on the skin, eyes and joints of body.
One of the advantages of filling materials made of hyaluronic acid is reversibility. This material called hyalurodinase can be injected in the area to dissolve the filling material. This does not affect your normal skin or tissues, and it only affects dermal filling material. When left alone, the filling material made of hyaluronic acid will me permanent for a few years in tear through area. The difficulty of using filling materials made of hyaluronic acid are their natural hydrophilic nature, which means that it absorbs water. This may cause difficulties in guessing the amount of filling material that needs to be injected. For this reason, it is necessary to estimate the hydration amount that will occur later before filling the area.
Before the Procedure
Avoid taking alcohol and blood thinning medicine such as Aspirin and Motrin in the days before the treatment. Treating the under-eye area with filling material is almost painless, and it takes 20-30 minutes. A topical anesthetic may be applied prior to injection to ease any kind of discomfort.
Having a healthy diet is important for the patients in the weeks prior to any kind of aesthetic procedure. A correct diet would accelerate healing and minimize the risk of infection. Patients should especially eat a lot of fruit and vegetables, whole grains and non-fat protein.
Patients should inform their doctor about all the medicine they are currently using when getting ready for aesthetic procedures. The doctor may temporarily stop the patient’s use of a medicine, or they may suggest a safer alternative. Patients should especially not use aspirin, ibuprofen and blood thinners.
Use of tobacco slows down the blood flow in the whole body. Because the oxygen cannot reach incision areas very quickly, smokers may encounter longer periods of recovery, higher risk of infection and unfavorable scars.You should stop smoking at least 2 weeks before the operation.
Patients should avoid certain food and supplements that may slow down recovery and cause surgical complications. They should especially avoid vitamin E supplements, ginger, ginkgo and ginseng.
Consult the Doctor
Certain homeopathic and vegetable supplements may cause complications with anesthesia. For that reason, patients should first consult their doctor before taking additional supplements.
Many doctors advise patients not to drink during weeks before their surgery, because alcohol may affect the liver’s ability to metabolize.
Under-Eye Light Filling Procedure
The procedure is usually done in the clinic on outpatients, and takes about 5 minutes for either side. After the treatment, our patients can go home on their own and go back to their normal activities and work.
After a comprehensive evaluation and marking of the area that is going to be treated, the skin is cleaned thoroughly to minimize the risk of infection. Afterwards, a small needle fills the gap by slowly proceeding towards under the skin. The product is placed smoothly and decently with 3-5 injections for each side on average to decrease textural disorders on the surface. A soft massage ca be applied to soften the area after the injection is completed.
Although many patients do not experience pain, mild discomfort may be experienced when injection is applied, during the treatment or during the massage that ensures a smoot contour. We use topical and injectable anesthetics to minimize pain. Some bruising and/or swelling may occur. However, these usually disappear in approximately a week. Filling material will sink, feel soft and be an inseparable part of the skin around the eyes in a few days.
After the Procedure
Some bruising and/or mild swelling may occur after the surgery, but these usually disappear in about a week. Filling material will sink, feel soft and be an inseparable part of the skin around the eyes in a few days. Then, the only thing you will need is ice, and avoiding heavy exercise in the following 24 hours.
As it is in every injection, mild redness may occur right after the operation. Make up can be applied to hide it.
Going Back to Work
You can go back to your normal activities, your work or go home by yourself after the treatment.
You are advised to avoid excess heat (parasol or sunbathing) or intense cold in the 2 weeks following the surgery.
What Should I Expect?
Dermal filling material is injected under the eye during the treatment. Most of the time, only 1 ml of dermal filling material is necessary to inject in under the eyes, which is injected less than half a milliliter in each eye. Some patients undergo a second treatment 6-9 months after the first treatment. A third treatment may be suggested after months to get the desired effect.
Every injection session takes place at our clinic and takes less than an hour. Only the doctors who are qualified and who received a comprehensive education should apply dermal filling materials. Injectable filling materials are used together with anesthesia. When the needle penetrates the skin, patients usually feel a light pinch. Many small injections are done in the under-eye area to fill the skin in a smooth distribution. You can instantly leave the clinic after the injections.Get an Appointment
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Frequently Asked Questions
What Is an Under-Eye Bag and Why Does It Occur?
Lacrimal gland is between lower eyelids and cheeks. They create a gap on the junction between lower eyelids and cheeks. In most cases, lacrimal grand sockets emerge not as a result of aging, but they are caused by genetics, and they mostly occur in early twenties.
Another worrying situation concerning lower eyelid area are under-eye bags. Under-eye bags look like bumps of lower eyelids, and they may be filled with fat or fluid. Although under-eye bags are previously thought to cause the fat to create a bump as a result of the looseness of lower eyelid muscles, they usually occur as a result of the fat that fall from lower eyelids because of the fat in the middle of the cheek; and this causes lower eyelids to appear bumpier when compared to the cheek.
The skin between eyes and cheeks is interrupted with the existence of under-eye bags and tear through, and this may be in relation to aging or looking tired. Dermal filling materials help the improvement of the skin between lower eyelids and cheeks, and makes the appearance of tear through or under-eye bags less apparent.
How are dark circles in under-eyes and under-eye bags treated?
Treatment of lacrimal gland prolapse is an office based procedure that improves the appearance of under-eye area and treats dark circles in the under-eyes and under-eye bags. The most commonly used products for these procedures are Restylane and Belotero. These are filling materials with hyaluronic acid. Patients that wish to have this treatment often complain about dark circles in under-eyes, an empty look on their under-eyes and under-eye bags. Treatment of lacrimal gland prolapse help fill the shades and indentations to give lower eyelids and cheeks a younger appearance.
What are the difficulties about the use of dermal filling materials in the treatment of dark circles in under-eyes?
Under-eye area is possibly the most difficult area on the face to treat with dermal filling materials. Patients criticize the area a lot especially after having the treatment; this usually results from wishing perfection or perfect smoothness. However, the search for perfection is full of problems. Firstly, the skin is very thin there, and any small defect is easily visible. Secondly, hyaluronic acid-based dermal filling materials have the tendency to moisten in a few days after the surgery and increase the size; and this makes the estimation of the amount to be injected difficult. Thirdly, placement of the filling material and understanding the place of the filling under the skin difficult.
Should I contact my doctor if I notice asymmetry on my face before 4 weeks pass?
No. There is no need for you to call your doctor. Sometimes asymmetry occurs because one side swells or bruises more. Usually, this will have disappeared on its own by the time of your control appointment. Otherwise, it may be examined at control appointment. There is no meaning behind why asymmetry occurs soon, because swelling is often the case and the final result cannot be seen until at least 2 weeks later. Treating asymmetry too soon may cause more asymmetry. The other thing that should be considered is that many patients have asymmetric tear through in the first place.
What is hyaluronic acid?
Hyaluronic Acid (HA) is a type of natural sugar that is found in our skin, joints and tissues. It helps the skin stay fresh and hydrated, and bonds with water to plump the skin and ensure it to look young and healthy. Some face creams include hyaluronic acid to hydrate the surface layers of the skin.
What are Restylane and Belotero?
Restylane and Belotero consist of hyaluronic acid gel. They are frequently used to treat face wrinkles such as nasolabial folds and thin lines. These two filling materials are very suitable for under-eye area.
How permanent are the results of under-eye light filling?
Results of under-eye light filling treatment changes from patient to patient. However, the results should last about nine months up to a year in the hands of experienced hands. In most cases, the results will last more than one year.
Is under-eye light filling painful?
Patients are surprised that there is almost no discomfort during the treatment of under-eye area. Despite this, Doctor Güray applies a topical anesthetic cream before the treatment to resolve any kind of discomfort.
Is the procedure reversible in case I am unhappy with the results?
Most of the filling material Doctor Güray uses during his procedure are hyaluronic acid (HA) based filling materials. These are composed of hyaluronic acid which is a natural product that is found in our skin and joints. The product is not permanent, and may last more than 6 months depending on where it is injected and the type of hyaluronic acid based filling material. The best thing about these products is that reverse is possible in situations when the patient is not satisfied with the results. The doctors examine their patient for a second perspective, and the patient may have visible modules of filling material on their skin. This may occur in case when filling material is not injected deep enough on the suitable tissue surfaces. When this occurs with the application of a HA product, we have the option to “remove” the product by injecting an enzyme to disintegrate the filling material. The enzyme is safe, and can be applied in a clinic just like the original filling procedure the patient had.
How can I surgically treat under-eye circles and under-eye bags?
Fat transfer from another part of the body to fill a trough on the skin can be used as an alternative to dermal fillers for the treatment of dark circles in the under-eye area. This requires a small amount of liposuction for harvesting of fat in an area such as tummy, and then includes the injection of this fat in under-eyes and face areas that require adding volume again. The transferred fat reproduces again in its new position, and acts similarly to dermal filling to soften or smoothen the area under the eyes. Fat transfer should be considered a permanent procedure. For that reason, it is necessary to fill the area because more surgeries may be necessary to remove any lumps or excess fat. However, fat is advantageous because it is hydrophilic, and it is seen that once the fat settles in place, it causes more waving in volume compared to dermal filling materials. A lower eyelid blepharoplasty can be performed to surgically remove excess skin and fat under the eyes for the treatment of dark circles in the under-eye area. In some cases, removal of fat / skin under the eyes may worsen the general appearance of eyes by causing eyes to look hollower.
Questions to ask your surgeon
Be informed about the security of plastic surgery to have a general list to ask your surgeon about their past. Following these suggestions and asking these questions may help plan your procedure:
Am I a suitable candidate for under-eye light filling?Ask the Doctor
Are the results I expect from under-eye light filling plausible and realistic?
Are there before and after photos for this procedure?
Will there be a visible scar? Where will the scars be?
What kind of anesthetic is used?
What You Should Do
What should I do to get the best result?
What kind of recovery period can I expect and when can I start doing normal activities?
Risks and Complications
What are the risks and complications about this procedure?
How are complications prevented?Ask the Doctor
During the first four hours after the injection, patients are encouraged to stand straight to allow the filling to settle. Tiring activities and exercises should be postponed for 24 hours. Make-up can be applied in the next week. Because the tissues will be too sensitive, it is important that patients avoid tanning, peeling and facial care for five to seven weeks. Patients may expect subtle bruising and redness on the area of injection in first few days after the injection. Ice treatment can be used to decrease any kind of swelling. These side effects may disperse in the first week.
The benefits of under-eye light filling, which is a non-invasive procedure, will last 8 to 12 months, and may last longer in certain situations. When the result start to disappear, repeater injections are necessary to create healthy and younger looking eyes.