A filler is great for restoring facial volume under the eyes, while Botox is effective for smoothening the dynamic wrinkles like glabellar lines and crow's feet.
Botox injections. Although not specifically a volume treatment, Botox injections in the lower eyelid can decrease puffiness in the area immediately beneath the lashes in some people. Although puffy eyes and dark under-eye circles are usually not a medical issue, they may impact a patient's self-confidence.
If you have puffiness
“In some patients, they have depleted fat pads, and they require more volume from filler to fill the crevice,” explains Dr Ewoma. “However, a lot of people have fat pads that are bulging, and are too big and baggy. When that is the case, filler is absolutely going to make it worse.”
According to the American Osteopathic College of Dermatology, you can expect your Botox treatment to last between four and six months. After this time, you'll need to go back to your doctor for more shots if you want to maintain the results of previous injections.
A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it's rare for people to need future touch-ups.
It's generally recommended that your professional inject 1-2 units of Botox in the undereye area. This can help provide a smoothing appearance, without running the risk of baggy and droopy results.
The effects of tear trough fillers are also only temporary. They last about 1 year for most people. You'll need repeated treatments to maintain long-term results.
Hyaluronic acid fillers typically last anywhere from 9 months to 1 year. Calcium hydroxylapatite typically lasts from 12 to 18 months. Poly-L-lactic acid can last as long as 2 years. A fat transfer may last as long as 3 years.
Optimal Fillers for Under The Eye- There are multiple fillers for under the eye that work. Hyaluronic acid fillers are the best including Restylane and Restylane Silk, as they tend to volumize and do not expand significantly after placement.
Botox, on the other hand, is measured in units and typically costs around $10 to $15 per unit. An average dosage of 30-40 units might be used to treat the forehead and eye area, for example, making the total cost around $300 to $600.
Where to Inject Botox. There are a few key areas to avoid when injecting Botox. These include the forehead, the area between the eyebrows, and the crow's feet. These are some of the most commonly injected areas, and injecting Botox into them can result in a frozen or surprised expression.
When some people see their wrinkles form again after the rejuvenating effects of Botox wear off, they assume that the treatment made their wrinkles worse. This isn't true at all. In fact, regular Botox use can actually retrain certain muscles to move less, leading to smoother skin with less Botox over time.
The smoothness of Juvederm makes it better at addressing finer lines and wrinkles in tight facial areas. In contrast, the cohesive nature of Restylane allows it to stay in the place in the injected which makes it ideal for adding volume in specific sunken facial areas.
Due to this, Juvederm quickly diffuses into tissue, and Restylane tends to be more cohesive and stay where it is initially injected. Another difference between these two product lines is that of the longevity of results, as typically Juvederm lasts a few months longer than Restylane injections.
Fillers are a great option for patients seeking a softer, more youthful look. However, if used improperly or over used, fillers can have negative long term consequences. In fact, patients who do not properly use filler could actually speed up their skin's aging process, resulting in older looking skin.
To answer simply, no, dermal fillers will not make you look unnatural. If done by a professional, dermal fillers can accentuate your features rather than attempting to create a new look.
The full effect of fillers is noticeable after about two weeks. Fillers can last for a couple of years but vary for every person based on their anatomy and the kind of filler used. On average, you may need to get injections every one to two years to maintain the full effect of the filler.
Tear trough filler treatment is not usually reported to be very painful by patients of this procedure. The small injections can cause some discomfort, but the pain is minimal. Many patients report that the treatment is less painful than they expected.
Sometimes, too much facial filler product may have been placed in the lower eyelid hollows, creating an overfill effect that can make the area look extra puffy. The Tyndall effect can occur in some patients who have had hyaluronic acid facial fillers injected into an area.
Botox has the advantage of being around longer, making it a trusted brand. This means that most patients interested in injectables would opt for Botox. However, Xeomin is just as effective at reducing wrinkles in areas like eyebrows, the forehead, and around the eyes.
“Filler is a great option for people who lack volume under the eyes,” says New York dermatologist Joshua Zeichner, MD. “With age, as fat compartments in the face drop, the under-eye area separates from the cheek, giving a hollow appearance.
A Botox injection is an appropriate treatment for hooded eyelids. The treatment can treat a low eyebrow position or slight brow drooping, which is causing the eyelids to hang lower than they should be. Botox can be injected into the outer end of the eyebrow to elevate the eyebrow slightly.
While both treatments are considered effective, Juvéderm works quicker and lasts longer. Botox can take a few days to take effect and the results wear off after a few months. You will need follow-up treatments to maintain your results, no matter which treatment you choose.
Cost: Juvéderm costs an average of $600, while Restylane costs can range between $300 and $650 per injection.