The sensitive under-eye area (also called the tear trough) is typically the first to show aging signs – hollowness under the eyes, puffy bags, and dark circles. It is also one of the first areas patients seek to correct with dermal fillers.
The skin under the eyes is very delicate and also full of blood vessels. For a safe and effective treatment two things are essential: a qualified medical provider and the right under-eye filler.
This article lists the best under-eye fillers, explaining what makes them suitable for the under-eye area and what sets them apart.
What Are the Best Fillers for Under the Eyes?
The best under-eye fillers have hyaluronic acid as their primary ingredient. Hyaluronic acid is biocompatible because it is found naturally in our bodies and is less likely to cause adverse reactions, allergies, and severe filler side effects. Also, the effects of HA-based dermal fillers can be reversed with an injection of the enzyme hyaluronidase.
Semi-permanent fillers made of poly-L-lactic acid (Sculptra) and calcium hydroxylapatite (Radiesse) are not a good choice for tear troughs. These BioStimulation products encourage the body to produce collagen and elastin and are more likely to cause bumps and nodules in this treatment area. Their effects are not reversible.
Medical providers prefer the following dermal fillers to treat hollowness and shadowing under the eyes and the use of most of these products in this area is off-label.
1. Restylane-L
Restylane was the first FDA-approved dermal filler on the market. It is indicated for moderate to severe wrinkles, folds, and lip augmentation, but its soft consistency and a high lifting capacity make it many providers’ preferred choice for the off-label treatment of tear troughs.
2. Restylane Silk
Restylane Silk is the thinnest Restylane formulation, with smaller and smoother gel particles than those of Restylane-L. It is approved for the lips and perioral lines, but providers often use it off-label to improve sunken eyes and reduce dark circles.
Note: Find out what are the best eye creams for dark circles and how can microneedling under eyes help you get rid of this condition.
3. Restylane Lyft
Restylane Lyft is indicated for the correction of moderate to severe wrinkles, cheek augmentation, and volumizing the back of the hands. Dermal filler providers often use it first to add volume to mid cheek and lateral cheek to support the tear trough, and then use the tear trough filler. That way they use less product in the under-eye area.
4. Revanesse Versa
Versa is another newcomer to the world of hyaluronic acid fillers. It has a unique molecular structure with spherical particles, making it easy to manipulate the gel in sensitive facial areas such as under the eyes. Patients report a high satisfaction rate with Versa because it causes less swelling than other fillers.
5. Juvéderm Voluma
With Restylane, Juvéderm is the most commonly used HA filler. The brand has several products designed for different purposes. Like Restylane Lyft, Juvéderm Voluma is indicated for cheek augmentation and medical providers use it to add volume to the mid-cheek area to support the tear trough, before injecting the tear trough filler.
Note: Learn more about the differences and similarities between Juvéderm and Restylane fillers.
6. Juvéderm Volbella
Volbella is the only dermal filler that has received FDA approval (in 2022) for “improvement of infraorbital hollows”. It has the softest consistency of all Juvéderm fillers, making it more flexible and easier to spread under the delicate under-eye skin. Volbella also has lower hydrophilicity (ability to attract water molecules), which reduces the risk of swelling.
7. PRF EZGel Injections
PRF EZGel injections are natural fillers made from the patient’s own blood, which is spun in a centrifuge to isolate platelet-rich fibrin containing growth factors. They stimulate the production of new collagen and help create new skin cells. When injected in the tear troughs, PRF EZGel smooths and plumps the under-eye hollowness, improving skin texture and quality in that area.
Which Filler for Under the Eyes Should You Choose?
The best fillers for the under-eye area are made from hyaluronic acid and include Restylane, Juvéderm, and Versa products.
Every patient is unique and responds differently to dermal filler treatments. Your medical provider will choose the right under-eye filler during the consultation, after discussing your goals and evaluating your health and skin condition.
Conclusion
Dermal fillers are one of the best non-surgical solutions to aging signs under the eyes. The treatment’s success greatly depends on the type of dermal filler used for the procedure. Schedule your treatment with a trusted medical provider who will make the right choice of under-eye filler and produce results you’ll love.
For dermal fillers in Phoenix, contact our qualified skin professionals at Vibrant Skin Bar!
