Under-eye fillers are often marketed as a quick fix for dark circles, hollowness, or tired-looking eyes and have surged in popularity over the past decade. While this may seem like a simple, minimally invasive procedure, the reality is far more nuanced. Here’s why you should think twice before opting for under-eye fillers.

High Risk of Complications
The under-eye area is one of the most delicate parts of the face, with very thin skin and a dense network of blood vessels. This makes the area highly challenging to treat with fillers. Even in the hands of a skilled injector, complications can occur, such as:

• Persistent swelling and puffiness: Due to the thin skin and natural anatomy of the area, fillers can attract water and cause prolonged puffiness or edema.
• Tyndall effect: If fillers are placed too close to the surface of the skin, they can create a bluish discoloration, which is both visible and difficult to correct.
• Uneven results or lumpiness: Achieving a smooth, natural look can be difficult, and the under-eye area is prone to unevenness when fillers are improperly placed
• PERMENANT BLINDNESS: Yes, you that correctly. This is a risk of undereye filler that often doesn’t even get mentioned during the consultation process! It’s very real and very scary.

Dr. Kashan emphasizes that even in the hands of skilled injectors, the under-eye area presents unique challenges that require cautious consideration.

Temporary Results with Long-Term Issues
While fillers can temporarily address volume loss or hollows under the eyes, they do not address the underlying causes of these issues. Factors such as aging, lifestyle, and genetics play a significant role in the appearance of the under-eye area. Over time, repeated filler injections can contribute to complications, including:

• Tissue stretching: Repeated use of fillers can cause the skin and underlying structures to stretch, making the area more challenging to treat in the future.
• Changes in natural contours: Overuse of fillers can distort the natural anatomy of the under-eye area, leading to an unnatural or altered appearance.
• Difficulty with future treatments: Patients who have had multiple rounds of filler may face challenges if they opt for more permanent solutions, such as surgery, later on.

At Kashan, we aim to provide treatments that offer both immediate and lasting benefits without compromising the long-term health of your skin and tissues.

Unnatural Results
The goal of any aesthetic treatment is to look refreshed yet natural. However, under-eye fillers often result in a “puffy” or overfilled appearance, especially in individuals with thinner skin. For many patients, this look is far from the subtle enhancement they wanted. That’s why Dr. Kashan takes a conservative approach to all treatments, prioritizing natural results that align with each patient’s unique facial anatomy. In most cases, he advises against under-eye fillers and instead explores alternative solutions that are more predictable and effective.

Alternatives Provide Better Outcomes
For patients seeking a more permanent and natural solution, Dr. Kashan recommends exploring alternative treatments:

• NanoFat Transfer: A natural alternative to synthetic fillers, this procedure uses your own fat to restore volume and achieve long-lasting, natural results WITHOUT documented risk of tindeling or blindness.
• Lower Eyelid Surgery (Blepharoplasty): This surgical procedure removes excess fat, tightens the skin, and smooths the under-eye area for long-lasting results. It addresses the root causes of under-eye concerns rather than masking them.
• Laser Resurfacing or Microneedling: These non-invasive treatments improve skin texture and thickness, reduce fine lines, and stimulate collagen production to enhance the appearance of the under-eye area.

Choosing the Right Solution with Dr. Kashan
Every patient’s anatomy and aesthetic goals are unique. That’s why Dr. Kashan prioritizes personalized consultations to evaluate whether under-eye fillers or alternative treatments are the right fit. With years of expertise and a commitment to patient safety, he ensures that every procedure enhances your natural beauty without compromising results.

A Thoughtful Approach to Under-Eye Rejuvenation
When it comes to under-eye treatments, it’s important to weigh the risks and benefits of each option. While fillers may seem like a quick fix, they’re not always the safest or most effective solution for long-term rejuvenation. At Kashan, we believe in a thoughtful, patient-centered approach to help you achieve natural, refreshed results that align with your unique goals.

Ready to explore your options? Book a consultation with Dr. David Kashan today by calling 516-515-9267 or filling out our online contact form. Let’s create a plan that enhances your natural beauty with care and precision.