Under eye filler injections (Tear trough Filler)

1. What is under eye filler injection?

        Undereye filler It is the injection of filler in the hyaluronic acid (HA: Hyaluronic Acid) group into the skin under the eyes that has problems such as dark circles, wrinkles under the eyes, and grooves under the eyes.
        Deep eye sockets and bags under the eyes make the eyes look tired, exhausted, and older, and create a lack of confidence.
        Under-eye filler injections can help fill in areas where the bones have sunken, help support the ligaments under the eyes back to their original place, and correct wrinkles under the eyes and dark circles to make them firm again.
        The filler contains properties that increase moisture to the skin and also stimulate collagen production in the injected area.

2. What are the causes of dark circles under the eyes?

(2.1). Dark circles under the eyes from allergies (Allergic Shiner) = 
       It is mainly caused by allergic rhinitis or allergic eyes. Patients with allergic rhinitis often have a runny nose, a stuffy nose, an itchy nose, and sneezing. Patients with chronic nasal congestion often have swollen nasal mucosa. The swelling makes it difficult for dark blood to flow through. Dark blood therefore pools under the lower eyelid, causing the skin under the lower eyelid to become dark. Patients with allergic eyes will have itchy and irritated eyes. These symptoms make them rub their eyes hard, causing the skin around the eyes to become dark or wrinkled. 

(2.2). Insufficient rest =
       Lack of sleep or insufficient rest causes the blood vessels around the eyes to not circulate smoothly, causing the veins to dilate, resulting in dark circles under the eyes.

       Solution: Manage stress. Stress can cause sleep problems, and you should sleep with a higher pillow to help reduce the amount of fluid that collects under your eyes.

(2.3). Smoking and drinking alcohol = 
       Smoking worsens dark circles under the eyes, and drinking alcohol can cause the blood vessels under the skin to dilate, causing dark circles under the eyes.

(2.4). Genetics =
       If your parents, relatives, siblings, or ancestors have dark circles under their eyes, then you are more likely to have dark circles than normal people. In addition, if you have fair skin, the darkness will be more obvious than people with yellow, brown, or black skin.

(2.5). Increasing age = 
Stages of dark circles, under eye bags, and bags under the eyes
       1. Thinning of the skin (Skin thining): The area around the eyes will lose subcutaneous fat. As we age, the skin around the eyes will become thinner. Therefore, when we see dark circles under the eyes, it is due to the color of the muscles.

       2. Collagen production decreases (Collagen degeneration): Wrinkles under the eyes are easily formed.

       3. Tear trough ligament laxity: The eye socket bone collapses, causing the ligaments under the eyes to sag as well. The muscles and deep fat have no place to attach, causing everything to collapse, creating a groove under the eyes.

       4. Tear trough ligament (Zygomaticocutaneous ligament laxity): The ligament under the eyes sags, causing some fat to change position, accumulate and protrude, becoming bags under the eyes.

3. How to solve the problem of dark circles under the eyes and dark circles under the eyes by injecting filler under the eyes?

When deciding whether to correct it with filler injections, it should be done
         (3.1).Skin pick test : If the skin under the eyes is lifted and it becomes brighter, it means that it can be treated with fillers.

         (3.2).Skin snap back test : Pick up the skin under the eyes or bags under the eyes and look at the skin record, how fast or slow. If it is fast, it means that the collagen can support the filler well, so it is suitable for treatment with filler.

Under-eye filler injections can help fill in areas where the bones have sunken, help support the ligaments under the eyes back to their original place, and correct wrinkles under the eyes and dark circles to make them firm again.

         The method is to use the palm of your hand to place on the entire face in 3 sections, consisting of: Upper Face: The upper part, measuring from the hairline to the eyebrows. Middle Face: The middle part, measuring from the eyebrows to the tip of the nose. Lower Face: The lower part, measuring from the tip of the nose to the tip of the chin. Each part of the face where the palm is placed must be the right size, not too large or too small, to be considered a correct Golden Ratio 1:1:1. If anyone measures and their chin is shorter or longer than the palm, chin filler injections must be performed to adjust the face shape to be proportional.


4. Who is suitable for under eye filler injections?

(4.1). People who have dark circles under their eyes which makes the face look dull, like people who don't get enough rest.
(4.2). People who have problems with wrinkles under the eyes, dark circles under the eyes, after the treatment, the skin in that area will be fuller, the dark circles under the eyes will be smoother.
(4.3). People who have bags under their eyes due to aging, collapsed bones, and sagging ligaments under the eyes, fillers will fill in the missing areas and help slow down future aging, making the bags under the eyes smooth and look younger.
(4.4). Suitable for people who are afraid of eyelid surgery, allergic to anesthesia, and do not have time to recover.
(4.5). People who want to see results immediately after doing it.

5. What problems can under-eye filler injections solve?

(5.1). Solve the problem of dark circles under the eyes.
(5.2).Solve the problem of dark circles under the eyes and deep eye sockets.
(5.3). Reduce wrinkles under the eyes.
(5.4).Solve the problem of sagging bags under the eyes.

6. How many CCs of filler are used for under-eye injections and why does each person inject different amounts?

We will evaluate and analyze the root cause of the problem and correct the imperfections for the best possible results and a more beautiful face proportion.

(6.1). Dark circles under the eyes / under eye wrinkles: Use approximately 1-2 CC.
         By choosing soft filler for filling the shallow under-eye area, it willเก็บ details of dark circles under the eyes, shallow grooves and wrinkles in the skin under the eyes caused by a lack of collagen.

(6.2). Under eye bags: Start at 3 CC depending on the level of under eye bags.
         By choosing firm filler for filling the deep layers, it must have high elasticity to support the bones and ligaments around the eyes for a lifting effect. The result will allow the weakened ligaments to have better support under the eye fat, resulting in reduced eye bags, not sagging like before.

7. How many days after filler injection will the swelling under the eyes last?

        There will be a little swelling for about 2-3 days after the treatment, and it will gradually disappear on its own. It takes about 1-2 weeks for it to settle in. During this time, the doctor does not recommend eating pickled foods because they contain a lot of sodium. Avoid drinking all types of alcoholic beverages to reduce the risk of swelling. After that, the doctor will make another appointment to see the results.


8. How many days does it take to see results after under-eye filler injections?

         You will see the change immediately after the undereye filler injection is completed. After that, the filler will gradually settle into place on day 3 and you will see clearer results. It takes about 1-2 weeks.

9. How long does under eye filler last?

         It depends on the choice of model and brand of filler used. Generally, it can last for 12-18 months, depending on self-care after the filler injection. Try to avoid behaviors that make the filler dissolve faster.

10. What should you do before and after under eye filler injections?

Guidelines for conduct before filler injections and thread lifts (1 week before the procedure) =>

1. Aspirin, NSAIDs such as Ibuprofen, Diclofenac, Ponstan should be stopped for 1 week before the procedure and a doctor should be consulted before stopping the medication.

2. You should stop taking St. John Wort, Ginko biloba, Primrose oil, Garlic, Ginseng, and Vitamin E for 1 week before the procedure.

3. You should avoid using exfoliating creams such as vitamin A derivatives, Retinols, Retinoids, Glycolic Acid, or any type of “Anti-Aging” cream for 3 days before the procedure.

4. Avoid waxing, peeling, pulling or shaving the hair in that area for 3 days before the procedure.

5. If you have a facial massage or laser course, you should do it at least 3 days before the filler injection or thread lift because you need to wait another 2 weeks after the procedure.

6. If you have any chronic diseases or other regular medications, you should prepare the information to inform the doctor before the procedure.

Guidelines for conduct after filler injection =>

1. Avoid laser, facial sauna, facial massage, or heat application on the face for at least 1 month.

2. Avoid taking medications or vitamins that increase bleeding, such as aspirin, vitamin E, and ginkgo biloba, during the first week.

3. Avoid drinking alcoholic beverages, liquor, beer, and smoking for at least 2 weeks.

4. Avoid heat on your face, such as blow drying your hair and washing your face with warm water.

5. Drink plenty of water, at least 2-3 liters per day, as the filler will swell up, making it last longer.

6. Do not press, massage, rub, or mold the area where the filler was injected to reduce the movement of the drug to unwanted areas.

7. You can wear makeup as usual after the filler injection.