What Is The Best Treatment For Undereye Hollows?
Q: Dr. Eppley, I have a question about under eye fillers. I tried it once but was not very happy with the results. Even though my under eye hollows did slightly improve, I got the Tyndall effect, which overall made my under eyes look worse (despite the decreased hollowness). I’m not sure if this is a result of lack of skill of the injector or just my anatomy. However, I’ve read that Belotero has not been associated with the Tyndall effect. Is this accurate, and should I give fillers another try? Or should I look into other options such as fat transfer or even an implant? Thank you for your time.
A: Treating the undereye hollows can be done by synthetic fillers, fat injections and implants. Each has their own advantages and disadvantages. For some patients they take the progressive ladder approach (try fillers first then fat and then an implant based on success of each along the way) Other jump into whichever one first sounds most appealing. You have tried fillers first and now have seen one of their downsides. All hyaluron-based fillers can have the Tyndall effect. Whether you want to try another injectable filler probably has merit. If it aesthetically unsuccessful then it is time to move one up the ladder.
Dr. Barry Eppley