Botox and dermal fillers work differently which is why they're best used in specific parts of the face. A filler is great for restoring facial volume under the eyes, while Botox is effective for smoothening the dynamic wrinkles like glabellar lines and crow's feet.
"Botox will smooth and prevent later crow's feet, elevate the brow and open up the eyes, while fillers can replace lost volume in the tear trough and medial cheek that contribute to dark circles, hollowness and a “tired” appearance," Dr. Hartman says.
Common side effects include bruising and swelling, and nodules and bumps under the eye can occur. “Blindness is a rare side effect if the filler enters a blood vessel of the eye and occludes it,” she says, hence the importance of seeing a well-trained injector.
Botox is an incredible anti-aging treatment. In many cases, it is possible to diminish under-eye wrinkling with this injectable; but not always. The purpose of administering Botox is to reduce wrinkles, yes; but the mechanism matters. The way that these injectable drug works are by relaxing muscles.
Skin boosters (distributed around the under-eye area) or dermal fillers (injected into the tear trough area under the eyes) can help improve your under-eye appearance, reducing crepey skin or reducing under eye shadows or eye bags here's an option to improve your under-eye area through surgery.
Fillers work by tissue expansion, similar to how a sponge expands when absorbing water. Fillers expand the facial tissue to add volume in the targeted areas. Lines around the eyes and hollows or dark circles under the eye can be plumped up with fillers for a more youthful appearance.
If you're looking to a dermal filler to combat signs of aging, your mid-20s is often a good time to start. Your body starts to lose bone and collagen around age 26, so it's a good time to begin maintenance injections. By starting early, you'll use require less product than if you wait until your mid-50s.
The age that most women get dermal fillers is between 40 and 54. According to the American Society of Plastic Surgeons Annual Report, this age range received over a million soft tissue filler treatments in 2016, good for 17 percent of all procedures.
Here's why treating under eye bags with filler could actually make them worse, according to experts. Filler can have the opposite effect on eye bags, making them bigger and err, blue. Eye bags are tricky to treat.
"Botox in the crow's feet can help reduce the tension around the eyes and relax the wrinkles, which can help improve the appearance but will not remove the eye bag," Dr. Shafer says. Like filler, Botox is only temporary and will need to be injected every three to six months to maintain results.
Once you get injected with Botox, you will enjoy your results for up to four months. Before, after, or around four months, you may start to notice that your results are starting to wear off.
Botox Reduces Facial Lines
By relaxing the muscles that cause wrinkles, you can reduce or eliminate them. Botox can treat facial lines all over your face. These include your crow's feet, smile lines, and even neckbands. With fewer facial lines, your skin becomes smoother and more youthful-looking.
Patients should avoid using make-up or other skincare products for at least the first four hours following the treatment. Patients should also avoid exercise and alcohol for two days and are advised to stay out of extreme heat (e.g. saunas, sun beds, tanning) or coldness for two weeks.
The dermal fillers mentioned are not permanent, and breakdown in the skin over time. “Since the results are only temporary you can expect your pre-treatment wrinkles to re-appear after the effects of the fillers resolve,” explains Dr. Hanson.
Starting in our mid 30's we begin to lose approximately 1cc of volume in the facial area per year. Because of this, most patients require 1 syringe of filler per decade of life. So, for a full correction at 40 years old, you would need about 4 syringes.
Using too much dermal filler can distort your face, make it look asymmetric and aesthetically out of balance, and in some cases, it can even make you look older than you actually are.
The most common treatment for undereye hollows causing dark circles is dermal filler. The key to a successful result is selecting the right candidate for this treatment. Patients with no or minimal undereye bags, excellent skin tone and primarily volume deficiency (hollowness) are the best candidates.
Results using a hyaluronic acid-based filler can last 12 months or even longer when treating the tear trough area under the eyes.
So how many years younger can dermal fillers make you look? Dermal fillers can actually reduce perceived age by 5 to 10 years. By eliminating facial wrinkles and restoring fullness to the skin, this injectable solution can erase years off your face in no time.
“Proper placement of mid-face and lower face filler should not significantly affect the smile,” he shares. With that said, “if an overly firm filler is used or if the region is overfilled, an unnatural appearance can result as the lips push against stiff surrounding tissues,” he adds.
Apply an eye cream morning and night
Look for products formulated with hyaluronic acid and shea butter for nourishment, vitamin c for brightening and caffeine which helps reduce swelling by constricting the blood vessels. Also use a tapping motion with your finger which you apply it.
Under-eye filler, or any dermal (skin) filler, may seem like a drastic choice, but the truth is that it may be one of the few things that can actually change the appearance of your under-eye area for real, depending on what's causing your dark circles.
This occurs when filler is incorrectly placed above the orbicularis retaining ligament or is inserted under the skin too superficially. As fillers attract water, it can result in under-eye swelling where the solution is placed too close to the surface.