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Fillers for wrinkles and under eye dark circles

Each year I perform more than 100 tear trough filler treatments at Clinica London for under-eye dark circles and hollow areas. I regularly use facial fillers in the under-eye area, using a technique called TearFill with hyaluronate acid gels such as Restylane and Juvederm. I also use facial fillers in the cheeks, in the nasolabial folds and the lower face. I am fully trained in the use of fillers and have been using them since at least 2005. Therefore I have more than 12 years’ experience with hyaluronate fillers in the under-eye areas.
My approach to treating the under-eye area dark circles or tear troughs involves a great deal of caution and delicacy because I want the patient to have the most natural appearance afterwards. I perform all facial and under-eye filler sessions as outpatient procedures. They help to improve the person’s appearance and their self-esteem and self-confidence.
Facial and under-eye fillers are non-surgical cosmetic treatments that temporarily soften the hollows and wrinkles when injected under your skin. The filler itself contains local anaesthesia, and we inject a small amount of anaesthesia when the cannula is put in. The procedure for facial and under-eye fillers takes between 30 to 60 minutes. Afterwards, you might have some mild bruising, swelling and tenderness for up to seven days afterwards.
I use hyaluronate acid gels such as Restylane and Juvederm. I can use Radiesse on request, but we do not stock this routinely. I use Poly-L-lactic acid called Sculptra as a biostimulator in certain patients. Sculptra is a filler designed for people with HIV who have localised lipoatrophy fat loss, and they require two to three sequential injections, with the effects lasting for up to two years. Many slim adult patients also benefit from Sculptra.
Hyaluronate acid gel treatment of the under-eye hollows is done in a staged fashion. This is to avoid overfilling. Initially, I will usually use one or two vials, and then about 10 to 14 days afterwards I will do one or two more vials. Occasionally I will do a further vial after that, depending on the age of the patient and the extent to which the problem areas need treating.

Risks of Fillers

As with surgery, there are risks associated with non-surgical cosmetic treatments, including facial fillers for wrinkles and hollows. These can include bruising at the injection site, irregularity in the surface, contour and firmness, an allergic reaction, infection and, very rarely, damage to blood vessels that could affect the vision. Facial and under-eye fillers for facial hollowing, volume loss and tear troughs or dark circles are done in a clean treatment room using sterile, pre-packed products both for cleaning the skin and injecting, which reduces the risk of complications.

Assessment for TearFill

Before agreeing to do filler treatment, I carry out an aesthetic cosmetic assessment to see what your requirements are for facial filler for wrinkles and hollows, and dark circles under the eyes, and then write a report before you undergo the treatment. It is good practice to give you time to consider the advantages in terms of self-esteem and confidence versus the risks of having fillers, as outlined above.


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