Many people come to get treatment to their under eye area because they have dark circles under their eyes and they look tired, no matter how much sleep they get or what expensive skin creams they use.
There are multiple reasons to have dark areas under the eyes. The eyelid skin is the thinnest in the body and very delicate.
Many people have prominent veins that show through the skin, giving it a bluish, purplish tint. This can be addressed by laser to the veins. Others have skin laxity, fat pooching out and the eye bags create a shadow under them. This is best treated with skin resurfacing treatments and surgery. The tiny vessels by the eyes leak and hemosiderin can get deposited around the eyes,
creating pigmentation. This can be improved with microneedling, lasers and certain eye creams to maintain the results. Some people have loss of volume due to aging and genetic predisposition, which reveals the tear trough ligament and reveals a concavity.
As you see, tear troughs are a very complex area to treat and it’s very important to choose a
specialist who can correctly diagnose the cause of the under eye circles and treat them
Dr. Shternfeld is a Board Certified Ophthalmologist and specializes in under eye fillers. Many patients come from out of state to have a consultation and treatment.
Tear trough fillers are very safe and effective, when performed on the proper candidates. Often, cheek and temple fillers are also necessary to help restore volume around the eye. The goal for tear troughs is always to support the surrounding areas and place the minimum amount of filler needed into the tear trough itself because there is very little space in the tear trough. Also, it is an area prone to swelling and hyaluronic fillers attract water. As a consequence, sometimes the area swells too much and tear trough fillers have to be reversed with an enzyme called
Hyaluronidase. It can also develop a bluish tinge, called the Tyndall effect, because the filler is too superficial.
Price of fillers varies from $850 to several thousand, depending on the treatment required.
Choosing the correct filler, amount of filler and correct technique are very important factors to creating best long term outcomes. Fillers can last for many years and people often come to see Dr. Shternfeld to correct fillers placed elsewhere, some years ago. Many factors contribute to good outcomes.