Under eye hollows, dark circles and deep tear troughs give you the look of being sleep-deprived and fatigued even after a full night’s sleep. Fortunately, we are now able to improve the appearance of these areas dramatically with the injection of hyaluronic acid (HA) fillers, the same family of products which are used to plump the lips. By filling in these areas, the undereye area becomes less dark and the patient appears rested and refreshed. The added volume changes the reflection of light which helps eliminate dark shadows.
New technologies are now available which can help tighten the skin of the lower eyelid and upper cheek. These devices use technology such as microneedling and the delivery of energy such as radiofrequency to the skin. This causes the collagen in the skin to tighten and reduces excess laxity. In addition, multiple lasers and chemical peels are available to treat and improve the skin in this area.
The upper eye and brow can also be improved non-surgically. Precise injections of neuromodulators such as neurotoxin to the muscles of the forehead and the area around the eyelid can create a lifting effect to the brow. Previously a surgical brow lift would be needed to create the same effect.
An experienced injector is absolutely essential for these procedures. A thorough understanding of the underlying anatomy and the nature of each type of filler is necessary to avoid complications.