Bags under the eyes — mild swelling or puffiness under the eyes — are very common as you age. With aging, the tissues around your eyes, including some of the muscles supporting your eyelids, weaken. Normal fat that helps support the eyes can then move into the lower eyelids, causing the lids to appear puffy. Fluid also may accumulate in the space below your eyes, adding to the swelling. Tear troughs, or dark circles under the eyes, are usually due to volume loss in that region, making you look older and tired.
The appearance of eye bags and tear troughs can be reduced through the injection of temporary dermal filler. Dermal filler in this area helps recreate the free flowing transition from the eyes to the cheek. Tear troughs can be corrected by injecting dermal filler directly under the hollow between the lower eyelid and cheek. This lifts the tear trough up to the level of the lower eyelid and cheek, thus smoothing the appearance of the area.
Dermal filler works best for under eye volume loss, but it can also be used in some cases to treat puffy bags. Often eye bags are caused by loss of volume in the mid cheek. When the mid cheek loses volume, eye bags appear relatively bigger, as the volume beneath them has fallen away. By replacing volume in the mid cheek using dermal fillers, it is possible to reduce this difference and therefore the appearance of eye bags. If bags or hollowness under the eyes are quite noticeable it is best to treat both the cheek and under eye area for best possible results.
Fillers placed in this area often last for many years. Usually one syringe or less of dermal filler is required for this area. How long a filler lasts under the eye area depends on how much is injected into the skin and its properties. Stiffer products may last close to two years while lighter products may only last 6 months. Techniques for injecting tear trough fillers vary. Our injectors prefer to use a cannula (instead of a needle) because it requires only one entry point to reach all the areas beneath the skin.
This reduces the risk of swelling, bruising and vascular complications, but there is always the chance that you’ll have slight swelling or bruising for 48 hours after. Remember that your undereye is a tricky area to get right and you should trust yours only to an injector with plenty of experience.