Under Eye Filler

What Are Under-Eye Fillers?

Are you tired of people asking you, “Are you tired”? Eyelid bags or puffiness are typically from lower eyelid fat. As lower eyelid fat pushes outward, it creates a bulge under the eyelid. Underneath the bulge, a depression is created, casting a shadow. Makeup and concealers do not cover shadows.

Volume correction to the tear trough, lateral orbit, central cheek, and midface is required to blend in eye bags. Volume must be added to a wide distribution to make the eyes look perfectly natural. Concentrating all the volume in a single area, such as the tear trough, can create an unnatural, overfilled appearance.

For many of our patients requesting under-eye filler, Dr. Kostad advises them that correcting the central cheek is frequently required as well. The nasojugal groove (tear trough) runs inferiorly into a central cheek depression. Sometimes, by filling the central cheek, the tear trough improves sufficiently without even needing filler. Many of our patients who present for lower eyelid surgery (blepharoplasty) are surprised to find out they are good candidates for under-eye filler. Dr. Kolstad is a Facial Plastic Surgeon specializing in both surgical and non-surgical eyelid rejuvenation. He will help guide you to determine if you are a better candidate for injectable fillers or surgery.

Good filler options for tear troughs and under-eyes:

• Allergan: Vollure and Volbella.
• Galderma: Restylane and Restylane Silk.

Dr. Kolstad does not use the following products for tear troughs and under the eyes: Juvederm, Voluma, Restylane Lyft, Defyne, Sculptra, Belotero, and Radiesse.

*Individual results may vary.

Who Are the Best Candidates For Under-Eye Fillers?

Under-eye fillers are recommended for patients who are frustrated by a tired, sad, or angry facial expression that doesn’t correspond to their mood. They may be self-conscious about looking older than they feel. Dr. Kolstad will complete a detailed consultation and facial analysis prior to your session to ensure under-eye fillers in San Diego are the best choice for achieving your goals. In general, the treatment is suitable for those with the following characteristics:

• In good health
• Realistic expectations
• Struggling with sunken areas and volume loss
• Seeking to combat the effects of genetics, aging, or weight loss
• Unhappy with the look of dark circles beneath the eyes
• Seeking a non-surgical solution for wrinkles, creases, and lines

What to Expect on the Day of Under-Eye Filler Treatment

On the day of your appointment, we will greet you warmly at our state-of-the-art facility in San Diego and place you in a comfortable treatment room. Prior to administering under-eye injections, your skin will be numbed with a topical anesthetic to ensure your comfort and relaxation throughout your visit.

Dr. Kolstad uses microcanulas to apply injectables to the eyelid and cheek areas. Microcanulas are a new way to distribute filler, offering a significantly safer, less traumatic option. After switching to microcanulas, Dr. Kolstad has seen significantly less bruising around the eyes after treatments. The results have improved so significantly that he rarely offers needle injections around the eyes.