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Under Eye Fillers: Potential Problems Patients Should Be Aware Of

For many, dermal fillers have become an incredibly valuable treatment option for tackling the signs of aging. The treatment is highly tailored to each person, making it perfect for restoring lost volume without risking the look of overt cosmetic treatment.

One of the most popular applications of dermal fillers is below the eyes. As we age, fat cells begin to diminish in this part of the face, causing dark circles to appear below the eyes and making patients look older than they truly are. However, just because the treatment is non-surgical, there are still some risks involved with the procedure.

If you’re considering under-eye fillers, here’s what you need to know.

Not all specialists are experienced

As dermal fillers require no surgery, many patients feel that undergoing this treatment is less serious than more aggressive facial rejuvenations. In truth, the skin around the eyes and tear trough is among the most sensitive parts of the body. Successful under eye filler treatment therefore requires a specialist with extensive anatomical knowledge and an eye for detail in order to provide patients with natural looking results. Without this important background in technical skill, patients can be at serious risk for a number of complications including:

Incorrect filler being used

Fillers made from hyaluronic acid (HA) are considered among the safest on the market, in part because the formula is derived from a naturally occurring substance and can be dissolved as needed.

However, innovation in HA filler types over recent years has seen the development of different HA formulas, each of which are designed to address diminished volume in different parts of the face. For the delicate under eye skin, the formula is much thinner and smoother than the kind used to lift sagging cheeks. Using the wrong formula can create an overdone appearance and can be challenging to immediately reverse.

Improper application

While the bags beneath your eyes may seem endless, the area is anatomically much smaller than any other part of the body that would be potentially treated with dermal fillers. As such, technical knowledge of the muscles, skin and bone below the eye are critical for any experienced cosmetic specialist. When dermal fillers are applied in the wrong position, patients can be left with lumpy, uneven and unflattering results.

Too much filler can also be an unfortunate complication associated with inexperienced physicians. As the skin in this part of the face is so thin, it can be easy to over-inject the gel and create a lumpy, bulging looking undereye treatment. Going slow and planning for gradual application is often the best way of achieving a look that appears more natural rather than over volumized.

Under-eye fillers may not provide the complete solution

Collagen depletion doesn’t just affect one part of the face – usually, the entire face will experience volume loss as production slows. While adding fillers strategically below the eyes can help improve an individual’s overall appearance, it can appear mismatched if the surrounding cheeks and skin are left sagging.

Likewise, too much skin laxity can be difficult to successfully address with dermal fillers alone. For some patients who’ve already shown signs of aging, combination treatments that leverage dermal fillers as well as injectables like BOTOX® and even minor plastic surgeries may provide better, longer lasting results.

During your consultation, an experienced cosmetic dermatologist will apply a holistic eye to treatment plan development to ensure that the result lifts your overall look, not just your eyes. For example, at Aria DermSpa patients meet one-on-one with board-certified cosmetic dermatologist Dr. Donofrio to discuss their concerns and identify short- and long-term solutions that stall the aging process. By offering the latest anti-aging and facial rejuvenation options, our Madison cosmetic specialist is able to transform appearances and self-confidence.

Find the best solution at Aria DermSpa

Whether you’re set on under eye fillers or are exploring your options, Dr. Donofrio is committed to helping all patients identify the best treatment for their appearance. To learn more about available treatment options, call our office at (203) 421-6674 and schedule your consultation today!


Is Fat the Perfect Filler?

It’s all natural and all yours. In recent years, autologous fat transfers have become a popular solution for men and women looking to remove fat from one area of their body and use it to improve the volume or appearance of another. The use of fat as a filler has become an option many patients are now looking into, but how effective is this option?

Fat as a Filler: A Quick History

A fat transfer is a surgical procedure by which excess fat is harvested from one part of the body and used to add volume to another. When it comes to facial fat transfers, also known as microlipoinjection, fat can be used to add volume to the lips and cheeks, and to fill out lines and wrinkles. While this procedure may sound new, it has been in the medical literature since 1903.

Part of the growing popularity of facial fat transfer is the opportunity it gives patients to add volume to their face without having to turn to synthetic, temporary injectables. Microlipoinjection is viewed by many as a more natural alternative because it uses the patient’s own fat cells to recontour the face.

Who is a Candidate?

As with traditional dermal fillers, almost any patient over the age of 18 can be a candidate for a fat transfer. Given the nature of the treatment, it is important that individuals have excess fat tissue in another part of their body that can be donated to their upcoming transfer treatment. During your consultation, your plastic surgeon will conduct a thorough evaluation of your medical health to ensure you are healthy enough for the procedure. Additionally, patients considering this treatment do not need to worry about allergic reactions because the harvested fat is their own.

What Are Some Considerations?

As with any other cosmetic procedure, there are pros and cons to facial and body fat transfer procedures. Understanding some of these considerations as well as doing enough research and talking to an experienced cosmetic surgeon like Dr. Donofrio can ensure you have all the information necessary to make the right decision for your health and aesthetic goals.

Fat-Based Dermal Fillers Have Long-Term Potential

Due to the grafting process, not all the removed fat cells will survive the transfer process. According to the American Society of Plastic Surgeons, about 50% of grafted fat cells survive. However, these surviving fat cells will always remain in place – they may shrink or expand but will always stay in place. In comparison, hyaluronic acid, collagen, and synthetic dermal fillers tend to dissipate after a period of time

Injecting Fat Fillers is a More Extensive Procedure

Compared to traditional injectables like Juvéderm® or Restylane®, the actual injected solution must be removed from the patient before the process can begin. During a facial fat transfer procedure, fat is harvested from another part of the body, refined, then re-injected into the target area. As not all the transferred fat cells survive the process, it can take several visits before patients achieve their ideal results.

Another important consideration is that while facial fat transfer may not appear to be especially invasive, the harvesting process requires some form of liposuction to collect the fat that will be grafted. As a result, it is important that patients set aside enough recovery time after the treatment.

Facial Fat Transfers are Highly Versatile

In addition to having zero chance of causing an allergic reaction, fat transfers have been successfully used to not only add volume but to smooth the appearance of wrinkles anywhere around the face. For patients nervous about BOTOX® or traditional dermal fillers, fat transfer presents a more natural alternative for restoring a youthful appearance.

Learn More by Scheduling Your Appointment Today

At Aria Dermspa, Dr. Lisa Donofrio and her team are proud to help Madison patients find the solution that best achieves their goals. Dr. Donofrio has been performing facial fat transfers for over 23 years and is considered one of the best in the world having performed 15,000 of these procedures. For individuals interested in facial fat transfers, we encourage you to call our office to schedule your consultation and learn if this treatment option is right for you. Call 203-421-6674 today to learn more!