Which filler treatment for under-eyes?

Hi! I'm 28 with no prior cosmetic treatments, looking for an eye expert. I'm concerned about my tear troughs. Which filler would you use? What is the odds of bruising and for how long does it last? What would the procedure cost in total? Thanks!

Hi N,

Thanks for your inquiry from RealSelf. I would be happy to see you in consultation to look at your under-eyes and decide what is best. To answer your questions, if a filler is what is needed, I use Belotero. I think it is the gold-standard for filler under the eye. Having said that, my absolute favorite for under eye grooves (tear troughs), is to do a fat transfer. Fat looks the most natural and can really add a very nice volume. But, it is much more involved and may not be necessary for a young 28 year old. SO – I like Belotero over Restylane and Juvederm because it is the most pliable of the fillers and can be smoothed in naturally in an area where the skin is thin. There is also a decreased risk of having a blue discoloration.

As far as bruising – it can definitely happen. No matter how experienced the injector is if a blood vessel is broken, there will be a bruise. And, we can’t see all of the blood vessels under the surface. I don’t know the exact percentage of patients that bruise – but I always recommend that you should not do filler right before an important event. Most of the time the bruises are small. I wouldn’t let the possibility of a bruise keep you from treatment though.

Cost – Belotero is $550 per syringe. We would only use one syringe. It should last about 6 to 12 months the first time, and longer the second time that you do it.

Please call 206-859-5777 to schedule an appointment. I can also have my receptionist call you. Remember to mention RealSelf as the consult fee is waived ($80).

Thanks again.

Jennifer Reichel MD
Director, Pacific Dermatology & Cosmetic Center

11011 Meridian Avenue N Suite 102
Seattle WA 98133
phone: 206-859-5777
fax: 206-859-5776

2 responses to “Which filler treatment for under-eyes?”

  1. Gayle says:

    I tried Restylane and I bruised big time but I bruise easily. It stayed bruised almost a month! Then when it was clear the filler had mostly settled down below on my cheek bones and the doc could move it up. She even tried to remove/resolve some of it!! I am not happy and I am looking for a fix to this...

  2. editor says:

    Hi Gayle. Sorry to hear about the bruise - it can happen - and sometimes lasts a long time. Things to possibly think of to decrease bruising - avoid any medications that increase the risk (aspirin, aleve, ibuprofen etc), try Arnica orally taken a few days before the treatment, try fresh pineapple and cherry juice to decrease bruising and inflammation. As far at the treatment - I would be happy to see you in consultation and we can talk about what your goals are for the fillers. Please call 206-859-5777 to schedule a consultation with me. Thank you. Dr. Reichel.

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