Under-Eye Light Filler

One of the causes of under-eye darkness is sunken under-eye. The application that will correct the sagging best is the under-eye light filler. This area is an area where there are too many veins. If the under-eye skin is stretched and looked closely, the veins can become prominent in most patients, especially in the inner part of the eye. Excess vascularity makes the color of the under eye darker. One of the reasons for dark under-eyes is genetically dark under-eye color. We can see the color darkness more in patients with high skin phototypes (4 and 5), genetically, racially congenital or structurally later. Since the fat tissue in this area will decrease in people who are very thin or lose weight later, the sinking becomes evident again.

Since light filler is a cross-linked hyaluronic acid application, it is mainly effective in patients with dark color due to sinking. If the problem under the eye is increased vascularity, it would be appropriate to apply NdYAG laser to this area. Vascular laser application requires attention and mastery. I explained the NoMor treatment, my most preferred product for color darkness, in a more detailed title. Darkness in this area may be genetic (congenital) or acquired (later) due to the increase in the number of melanocytes or melanin content that gives the skin its color. Qswitched NdYAG laser, which is effective at nanosecond speed, is the most commonly used in reducing the melanin pigment in the content of melanocytes. The characteristic of the Qswitch laser is that it quickly affects the pigment particles and lightens the skin. Qswitch NdYAG laser starts to take effect from the first session. We recommend applying 4-5 sessions at intervals of 2 weeks. Each time it is done, the color of this area gradually becomes lighter. There are many different mesotherapy products that contain products that suppress pigmentation that we use to lighten color. Each of these products supports the lightening of the color of the detention, thanks to different substances such as glutathione, arginine, niacinamide (Vit B3), glycolic acid, lactic acid, and idebenone. Mesotherapy products are generally applied under the skin by slow injection with 4 mm thin and short-tipped needles to reduce the risk of bruising.

Under-eye light filler is done by making a small hole with the help of a needle from the point where the middle cheek and the under eye meet (which corresponds to the most sinking part of the under eye). It is made with a thin apparatus, usually 4 cm in length, that looks like a needle through this hole, which we call a cannula, but whose tip is blunt, that is, it is not penetrating, and therefore does not harm the surrounding tissues. While the sinking under the eyes is evident in the inner part of some patients, in some patients it is sunken, almost in the form of a ring. Accurate detection of the sinking and good analysis of this area ensure the success of the result.

In the NoMor treatment, products containing non-cross-linked hyaluronic acid and succinic acid are applied under the eyes. In the NoMor treatment, one of the Electri or Xelarederm branded products is selected according to the need. NoMor treatment is not a filling and should only be applied by physicians who are experts in their field. Although the application can be done more than once at 2-week intervals, a single session is usually sufficient. It is often repeated after 3 months.

In patients with a complaint of under-eye bags, filling can be applied to the ring-shaped sinking around the bag to hide the bags. The sinking of the mid cheek area in these patients also causes the under eye to look tired. If the patient's middle cheek is sunken while under-eye light filling is performed, the middle cheek should be raised first and support should be created for under eye. If the application is made under the eyes without correcting the low level of the cheek, the under-eye swelling may appear as a level and may increase the appearance of bags. In patients with a history/tendency to edema, less amount of application should be made than normal due to the water-holding feature of the fillings.

Filling under the eyes is usually made in the form of 1 ml (0.5 ml right-left). In patients with very prominent sinking, 1 ml right and 1 ml left application may be required. If mid-cheek sinking is accompanied, 1-2 ml should be applied to both cheeks, depending on the need. Filling results are seen immediately. The illuminating effect becomes more evident day by day, and the patient is called for control after 2 weeks for the best result.

Applying to the surface is the most common mistake in filling application. In order to be able to apply under the muscle in this area, deep injection of bone milk with a needle and more cannula application should be preferred.

The vascular component should be evaluated well from the beginning and it should be explained that bruising may continue even if the sinking in patients with very prominent veins is corrected. These patients may benefit from vascular laser.

For color darkness, spot laser (Qswitch), NoMor and spot lightening mesotherapy products can also be added to the treatment.

Since this area is adjacent to the eye, laser applications (NdYAG for veins and Qswitch NdYAG for stains) must be done by wearing protective glasses.

The most common faulty application in under-eye light filling is to fill only the inner part of the eye, mainly to the same area and surface. Under-eye light filling keeps the water in this area, swelling occurs and a sausage-like appearance appears. In order to prevent this appearance, the filling should be applied to the deep plan with a cannula and, if necessary, to the outer part of the eye and distributed homogeneously.

When under-eye light filling is performed by experienced doctors, it brings you from tired and dark eyes to more dynamic and bright eyes.