Under Eye Wrinkles – Filler vs Anti-Wrinkle Injections

Posted by Dr Theva in Injectables, Under-Eye Area.

The biggest reason why new patients seek cosmetic treatments at my anti-aging clinic in Melbourne is due to the appearance of their dark under eye circles and shadows.

Non-surgical facial rejuvenation over the past decade has become safer, more effective, and more subtle than previous surgical options. But what is the most effective treatment for under eye wrinkles, filler or anti-wrinkle injections?

under eye wrinkles filler

In recent years, tear trough rejuvenation has become a very popular treatment. Many people seek to improve the appearance of dark circles under the eyes without the time or financial commitment of a cosmetic surgical procedure.

Many of my patients love the natural, refreshed look that cosmetic fillers, such as under eye dermal fillers and anti-wrinkle injections, provide.

What are Under Eye Wrinkle Fillers?

An under eye filler treatment is non-invasive and non-surgical. The treatment involves injecting a liquid-like substance into the under-eye area. Under eye fillers are also called dermal fillers, and they are often used to treat dark circles, sunken eyes, and eye bags.

For many of my patients, their dark circles are caused due to shadows created by depressions in the soft tissue under the eye. This area is commonly known as the tear trough.

Under-eye hyaluronic acid fillers are used to fill in the hollows and plump up the under-eye area. Once the tear trough areas are filled, the dark circles are softened and sometimes even eliminated altogether.

The most commonly used eye fillers are hyaluronic acid based. It’s a substance found naturally in your body, and some hyaluronic acid fillers even stimulate collagen production.

Some hyaluronic acid fillers stimulate collagen production

How Do Dermal Fillers Work For Under Eye Wrinkles & Dark Circles?

The tear trough area lies between the lower eyelid and the cheeks. The appearance of under eye hollows, circles and bags is primarily related to a decrease in skin laxity and loss of volume beneath the skin that happens gradually over time.

Tear troughs beneath the eye can become more hollow and deepen over time as we age, and the sagging skin surrounding the area begins to pull everything downwards.

The resulting hollowing in the tear trough area can cause shadowing below the eyes to become more prominent, resulting in a tired looking appearance.

The goal of tear through filler is to reduce the depth of the tear trough, restore lost volume, provide structural support to the surrounding skin, and make the under eye skin appear fuller and tighter.

Hollowing under the eyes can also expose bags, which makes us look even more exhausted. Dermal filler injections help normalise facial contouring around the lower eyelid area and avoid surgery.

If the under-eye bags are severe, a blepharoplasty procedure may be more beneficial.

under eye wrinkles

What are Anti-Wrinkle Injections?

Anti-wrinkle injections, or the cosmetic form of Botulinum Toxin Type A, is a neurotoxic protein that is used cosmetically to alter muscle function.

Anti-wrinkle injections reduce dynamic wrinkles.

Dynamic wrinkles appear when you make facial expressions. You will notice them when you smile, laugh, frown, cry, or during moments of deep concentration. Dynamic wrinkles fade as quickly as they appear.

Common dynamic wrinkles include:

Can Anti-Wrinkle Injections Treat Under Eye Wrinkles and Lines?

Anti-wrinkle injections are sometimes used to treat wrinkles on the corners of your eyes. Anti-wrinkle injections are not commonly used as under-eye treatments.

While anti-wrinkle injections have been specifically TGA approved to treat wrinkles at the corners of the eyes, it has not been approved to treat fine lines and wrinkles in the under-eye area or lower eyelid.

Your under-eye wrinkles are usually caused by a decrease in skin laxity and thinning of the skin – two issues that anti-wrinkle injections can not fix.

Anti-wrinkle injections can not treat dark circles, puffy bags or hollowing.

Restore volume under the eyes with tear trough filler

Side Effects of Under Eye Wrinkle Filler

If your tear trough fillers are injected by an experienced injector the treatment has minimal downtime and side effects. Most patients who receive dermal filler injections under the eyes resume their normal activities after the procedure. There’s no significant downtime needed after getting under-eye fillers. There are some post-treatment side effects like swelling and bruising but they should be able to resolve on their own within a few days.

Who Should Be Performing Your Under Eye Treatments

As under eye dermal fillers are considered a cosmetic procedure and treatment in the under eye area is considered delicate, it is important to seek out experienced cosmetic injectors. This could be a board-certified dermatologist or a cosmetic physician such as myself. Both have extensive experience with treating under-eye wrinkles and can better determine the correct treatment that would best meet their patient’s aesthetic goals.

Treating Volume Loss with Dermal fillers

Are Under Eye Fillers Right for Me?

In general, the best candidates for under eye filler are patients who have hollows or depressions under the eye, and relatively good skin quality in the area. If you have actual hollowing under the eye and good skin quality then it’s easy to fill the area and for the skin to remain in place. But, If you have too much skin laxity in the area, the filler can unfortunately sometimes end up looking lumpy.

If you have large bags under your eyes, dermal fillers will more likely than not make them look worse. Sometimes it’s difficult to inject enough dermal filler around the bags in order to make them appear even with the rest of the face.

Want To Banish Your Ender Eye Wrinkles For Good?

Begin by booking your free, no-obligation consultation valued at $250 with me today.

During your free, no-obligation comprehensive consultation, I get to know you and discuss your desired outcomes, your ultimate experience, and your concerns so we get it right the first time. We discuss timelines, expectations, best treatments, and payment plans.

Most importantly, I will explain your best options and go over the results you can expect so you feel comfortable and confident that you are making the right decision.