Dermal Fillers for Dark Circles Under Eyes

What are the best dermal fillers for treating dark circles under the eyes?

Under-eye dark circles—sometimes referred to as periorbital hyperpigmentation or panda eyes—are the formation of dark discoloration around the eyes. This aesthetic issue is one of the common signs of ageing, which occurs as the already fragile skin around the eyes gets damaged and thinner. Loss of under-eye fat pads also exacerbates this problem as the underlying muscles and blood vessels prominently show through the thin skin. While eye creams and makeup products provide some form of remedy, patients are greatly encouraged to undergo dermal filler injections for instantaneous effects. Some great choices of injectable gels include Restylane Lyft, Belotero Balance, and Juvederm Ultra. All these implants are made of highly purified synthetic hyaluronic acid molecules that are manufactured via biofermentation. They are then processed using different patented manufacturing technologies to produce the sterile and elastic injectable gels. Once patients’ suitability and safety has been ascertained based on their medical history, they can undergo the treatment session. For best outcomes, these implants should be injected from the lateral aspect into the darkened periorbital area. If the darkness extends until the medial area of the eyelid near the nose, then only minute volume of filler can be injected superficially. These fillers are available with the integration of 0.3% lidocaine, so that patients remain comfortable during the procedure. 

How long can the fillers last?

The effects of these injectable implants are temporary and can last anywhere up to 12 months, depending on the chosen filler and the volume injected. Not only that, the exact residence time also differs based on patients’ lifestyle, skin condition, and age. Since they are completely bioresorbable, the injected fillers will be metabolised and disintegrated into the surrounding tissues. Hence, the aesthetic effects will diminish, and patients can always get maintenance injections to maintain the beautiful results.

Are the results reversible?

Yes, the results are reversible. One of the major advantages of injecting hyaluronic acid-based fillers is that they can be easily dissolved using hyaluronidase, a type of enzyme that helps to disintegrate both naturally occurring and synthetic hyaluronic acid molecules. Patients who experience any negative side effects of the soft tissue implant administration such as palpable lumps, discolouration, and overcorrection can choose to dissolve the filler with a hyaluronidase injection.