Most doctors use hyaluronic acid dermal filler for the tear trough, especially if it's a patient's first time; you should ask during your consultation what they will use. “The only type of filler that should be injected under the eyes is a hyaluronic-acid-based filler.
Filler: This treatment places a filler material (usually hyaluronic acid, which is a jelly-like substance) where the under-eye area and cheek meet to create a smooth transition. The injection is performed in a doctor's office under local anesthetic. Results last six to 12 months.
Blepharoplasty
If your problem is severe enough, surgery could be the best option. Blepharoplasty, or eyelid surgery, gives your tired eyes an incredible lift. The procedure improves both sagging upper eyelids and under-eye bags by repositioning fat, tightening muscles, supporting tendons, and removing excess skin.
When you use dermal fillers (hyaluronic acid fillers), you can solve issues such as dark circles or plumping facial areas that have lost smoothness. Regardless of that, we recommend you use Botox for under-eye treatments to stop wrinkles and eye puffiness since fillers are better if you want to treat dark circles.
In this type of dermal filler procedure, hyaluronic acid filler is injected in the under-eye area, and because it fills in the space, fans say it improves the look of dark circles and/or sunken eyes. According to the FDA, hyaluronic acid is a polysaccharide (a type of sugar) that's naturally found in our body tissues.
That said, even at just one to two syringes of filler per session (to cater to both eyes), Engelman says that you're looking at around $1500 per syringe, meaning one treatment—which Engelman says lasts up to 18 months—will cost you around $3000.
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 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.
Surgery for eye bags can range from between $2,000 and $5,000, depending on the doctor, the type of surgery being performed, and what exactly is required. Talk to your doctor ahead of time to discuss all potential costs and fees that may be associated with a blepharoplasty.
If you have puffiness
“In some patients, they have depleted fat pads, and they require more volume from filler to fill the crevice,” explains Dr Ewoma. “However, a lot of people have fat pads that are bulging, and are too big and baggy. When that is the case, filler is absolutely going to make it worse.”
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.
Early fillers used purified collagen to restore and rejuvenate the skin. 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.
In most patients, the swelling is much better after 4-5 days, but there can be milder swelling which takes weeks to resolve completely. Under eye fillers can often look lumpy after the procedure. The lumpy appearance usually continues to improve over the 2-3 weeks after the procedure.
Dermal Fillers
They are the most effective option would be to get rid of dark circles under the eyes, sometimes they are called, "tear-trough filler. They smooth out the under eye and eliminate the dark circles and unflattering shadows that cause us to look tired and older!
They're common as you age and the tissues around your eyes weaken, including some of the muscles supporting your eyelids. Fat that helps support the eyes can then move into the lower eyelids, causing them to appear puffy. Fluid may also accumulate below your eyes.
Medicare will only cover your treatment if your upper eyelid skin droops significantly and impacts your field of vision. You may qualify for a Medicare rebate for Eyelid Surgery (Blepharoplasty) if the skin on your eyelid makes it difficult to see.
The laser treatment for under eye bags is particularly suitable for young patients or patients with mild, moderate or unilateral lipoptosis. It is also provides good results in "difficult" patients where surgery would be very complicated and there is no guarantee of a good outcome.
As you age, muscles and tissues weaken, and the fat that naturally supports the eyes can sink to the area beneath your eyes, making them appear swollen. Fluids can also collect in the area.