The eyes are often the first area to reveal signs of aging, such as dark circles, hollows, and wrinkles, due to the thin, delicate nature of the surrounding skin. This makes under-eye fillers a popular cosmetic procedure.

Despite their popularity, many are concerned about potential complications, such as lumpiness or blue discoloration. Fortunately, under-eye fillers are a safe and simple procedure, and with the right specialist, these risks can be effectively avoided. 

Let’s explore why the right choice of cosmetic specialist is important for achieving flawless results while avoiding complications.

Common Concerns with Under-Eye Fillers

Lumpiness is the most common concern regarding fillers and happens when too much filler material is used or if it is not properly distributed. Another problem is the bluish discoloration that can appear underneath the eyes—The Tyndall effect—which happens when the filler is injected superficially. (1)

Although these complications are possible, they can be successfully avoided when the procedure is performed by a skilled professional. A qualified specialist understands the anatomy of the under-eye area, knows exactly how much filler fits your needs, and only uses high-quality, reliable fillers to achieve excellent results without any complications.

How to Achieve Perfect Results and Avoid Complications

1- Choose a Qualified Provider:

The most critical factor in the success of under-eye fillers is the skill of the practitioner. Which should be a dermatologist or plastic surgeon with a strong background in filler injections. Always check reviews, patient ratings, and before-and-after photos before making a decision.

2- The Right Amount of Filler:

Under-eye fillers typically require only a small amount, usually between 0.5 to 1 ml (about half a syringe to a full syringe) per eye. To prevent lumps and ensure natural results, your doctor may recommend injecting the filler gradually over two sessions. (2)

3- High Quality Fillers:

Not all fillers are suitable for the delicate under-eye area. The filler should be soft, light, and easy to spread for even distribution. Common options include:

• Teosyal® Redensity II.
• Juvéderm® Volbella.
• Restylane® Eyelight.

Frequently Asked Questions

What are under-eye fillers made of?

Under Eye fillers are typically made up of hyaluronic acid. This is a natural substance found in our bodies that helps plump and smooth the skin. (3)

What kind of conditions do under-eye fillers treat?

Under-eye fillers are effective in treating: (3)

• Superficial wrinkles: Fine lines and wrinkles around the eyes.
• Mild to moderate hollows.
• Dark circles: By treating volume loss under eyes, fillers can help to reduce the appearance of dark circles.

Please note: For deeper hollows or severe wrinkles, more invasive procedures like under-eye fat transfer or surgical lifting may be necessary.

How long does under-eye filler last?

The duration fillers last varies depending on the type of filler of and individual factors, but results typically last between 6 months and a year. (4)

How is the procedure done?

• Before the procedure, discuss your goals and concerns with your doctor, and ask about the filler type.
• The doctor will apply a numbing cream to the area to be treated. Once the area is numb, they will inject the filler.
•  Mild side effects like lumps, bruising, redness, and swelling may occur but typically resolve within a few hours or days.
• You'll see filler results immediately, but the final look takes around a week or two to settle. (3)(5)

What are the risks of under-eye fillers?

While under-eye fillers are generally safe, there are some potential risks if the procedure is not done correctly. Common risks include: (6)

• Lumps under the eyes: This is one of the most common complications. Mild lumps are common and often settle on their own or can be treated with light massage as prescribed by the practitioner. If the lumps are severe, a dissolving enzyme called hyaluronidase is used to break down the hyaluronic acid filler.
• Asymmetrical results.
• Bleeding and bruising.
• Infection.
• Rash and itching (allergic reaction).
• Injecting filler into the blood vessels: In very rare cases, filler may be accidentally injected into a blood vessel, blocking blood flow. This can lead to skin damage or, if the eye is affected, potential blindness.

Achieve Safe, Natural Results at Dr. Soliman Fakeeh Clinics

Choosing a reputable clinic with experienced specialists is essential for achieving flawless under-eye filler results.

Dr. Soliman Fakeeh Hospital has a team of highly professional plastic surgeons, with rich experience in performing all types of surgical and non-surgical aesthetic procedures, including under-eye fillers.

Our team uses advanced techniques and the highest quality fillers to deliver natural flawless results.

Contact our Plastic and Reconstructive Surgery Clinics for more information or to schedule a consultation.

References

1. EyeWiki-AAO - Complications of Hyaluronic Acid Fillers
2. EyeWiki-AAO-  Eyelid Filler Injection
3. All About Vision - Tear trough filler
4. The Aesthetic Society - Fillers - Results
5. American Society of Plastic Surgeons - Dermal Fillers
6. American Society of Plastic Surgeons - What are the risks of dermal fillers?