Why Do Dark Circles Or Bags Form Under The Eyes?
Herniated fat pads are hereditary, you were born with it. As we age, the fat is pushed outward from the orbit, also our skin become more thinner and loses its elasticity so the fat is able to appear more prominent. Additionally, we lose medial cheek fat which creates a flatness/depression that we did not have when we were young. All these factors cause the puffiness or dark circles to appear more prominent as we age.
Fillers to the under-eye area are Dr. Lee’s most popular treatment area and most of these patients have never had lower blepharoplasty (fat removal from inside the eyelid). Hollowness to the lower lids/cheeks is a natural progression of aging this is what makes the under-eye filler such a popular procedure. Our filler pricing ranges from $700-$1100 based on product used and provider. add’l syringe based on which product is used.
Treatment typically lasts approx. 1 year. If you desire to have filler treatment after lower lids surgery, you will need to wait approx. 2 months to have the treatment performed. **approx. 10% of Dr. Lee’s lower lids surgery patients return for tear trough filler after surgery; most of his lower lids filler patients are not his lower lids surgery patients.
Meet Dr. Lee in Bryn Mawr, near Gladwyne, Villanova, Newtown Square, Wayne, Haverford, and west of Philadelphia.
How Do Fillers Reduce The Appearance Of Bags And Dark Circles Under The Eyes?
Fillers are not appropriate for everyone. Too many providers inject fillers to patients that are not optimal candidates because they do not have any alternative solution that may be more appropriate for them. If a person has visible puffiness due to herniated fat pads and lax skin, filler injections can actually make the lower lids look even puffier.
The most popular fillers are HA based and they are hydrophilic- which means they draw in water. Basically, by injecting fillers around fat is like asking for the filler to become puffier over time, thus creating a swollen lower lids/cheeks appearance. People who have noticeable puffiness should consider lower lids transconjunctival blepharoplasty. The procedure takes one hour and Dr. Lee performs the procedure in the office.
It’s a permanent solution, once the fat is removed properly- it’s gone! The fat will be gone and will not stretch your skin and you do not have to deal with it again. This procedure is Dr. Lee’s most popular surgical procedure with 99.99% patient satisfaction rate. Filler is ONLY appropriate for people who have hollowness or sunken appearance. Most people as we age lose fat along the cheek area and that is why this procedure is so popular.
It is Dr. Lee’s most popular filler treatment but we are very selective on who it’s performed on.
What Fillers Are Used For Under The Eyes A.K.A. The Tear Trough?
Restylane is very popular for the lower lids area. However, Dr. Lee feels that Restylane has the highest tendency to create a dark raccoon like result due to the tyndall effect. All fillers can create an appearance of darkness due to the tyndall affect especially if your skin is very thin and light. Fillers are a clear gel like material but the effect is similar to the clear ocean water appearing to be blue due to the reflection of light which makes the water appear dark bluish in color.
Volbella and Belotero are popular too but they do not last very long since it’s very thin and watery. Dr. Lee stopped using these products due to patients complaining that it lasted 3-4 months. Dr. Lee has tried every filler out in the market including Vollure and Voluma and he prefers the Versa filler for the lower lids area the most. It has the soft and longevity of Juvederm but less hydrophilic.
Sometimes Dr. Lee will use Voluma if the patient has thicker skin.
What Risks And Side Effects Are There?
Serious risks include blindness and skin death/necrosis if filler is injected into the blood vessels. If filler is injected into the vein, bruising, lumpiness, darkness or shadowing and appearance of even more puffiness can occur if the person has pre-existing herniated fat pads. This is why its important to go with an experienced expert with injectables.
How Is A Lower Lids Filler Treatment Performed?
Most people use a needle and directly penetrate the skin and inject filler to the orbital rim. The filler comes out in little beads or mounds. Then the filler is manipulated and pushed down flat so it does not appear lumpy. The problem is that the lower lids skin is very unforgiving and usually very thin so the slightest lumpiness is very visible. This is one of many reasons why Dr. Lee does not use this method.
Dr. Lee has only been treating the lower lids area using the micro-cannula(a very fine, long, blunt needle) technique. The eye area is one of the most vascular area of the entire face/body. There are a lot of blood vessels and no matter how careful one is, pushing a needle into the skin and injecting is dangerous. The needle can easily penetrate the blood vessel and if filler is injected into the vessel, it can cause blindness and skin necrosis(death).
Dr. Lee is one of the busiest filler providers in the country and since he performs a lot of filler treatments, he needs to make sure the technique he uses is the safest possible. The cannula method definitely takes more time but Dr. Lee will not perform filler treatments in any area (other than chin and nose) without his cannula. This is the method that Dr. Lee uses to perform his treatment(it’s very different than most):
- Dr. Lee uses the smallest needle available and injects a tiny bit of lidocaine mix to the area that the cannula will be inserted
- A 30 gauge needle is used to prick the skin so there is a hole for the cannula to go in
- Then he inserts a cannula into the skin and then feeds the needle to the tear trough or lower lids area. Then he gently wands the cannula side to side to deliver a very fine amount of filler in a flat/smooth plane. Dr. Lee typically uses a 30mm long fine cannula and penetrates the skin in the cheek area since that area is less vascular. This is why the result is smoother and the transition to the cheek area is more blended in appearance.
Schedule An Under Eye Filler Consultation
To learn more about how Under the Eye Fillers can reduce eye bags or dark circles around the eyes, or to schedule an appointment with a specialist, give us a call today at (610) 789-6701 or fill out an online contact form and our office will be in touch with you. Our practice serves Bryn Mawr, PA and the surrounding areas!
Not sure filler is the right fix? For puffiness caused by fat, lower eyelid surgery offers a permanent result — or read how Botox compares for under-eye bags.
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Injectable Treatment Options
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Jawline & Masseter BotoxJawline & Masseter BotoxMasseter Botox for TMJ pain, jaw clenching, and jaw slimming by Dr. John Lee in Bryn Mawr & Philadelphia. What it costs, how long relief lasts, and what to expect.More about Jawline & Masseter BotoxPricing
What Is The Cost Of Under Eye Fillers?
Our filler pricing ranges from $700-$1100 based on product used and provider. add’l syringe based on provider for one syringe of filler which is typically what is used for this treatment. The treatment usually lasts 9-12 months.
Patient questions
Under Eye Fillers FAQ’S
Are under eye fillers available in Bryn Mawr, PA, and nearby Main Line areas?
Yes, under eye filler treatments are available at Dr. John Lee’s MedSpa in Bryn Mawr, PA, with many patients visiting from Gladwyne, Villanova, Wayne, Haverford, and Newtown Square. The practice is conveniently located for Main Line patients seeking non-surgical under eye rejuvenation close to home. All treatments are performed or overseen by a licensed medical professional.
How much do under eye fillers typically cost in Bryn Mawr?
The cost of under eye fillers in the Bryn Mawr area generally depends on the type of filler used and the amount needed to achieve a natural result. Most patients can expect pricing to fall within a consultation-based range, which Dr. John Lee will review in detail during your visit. A personalized treatment plan helps ensure both safety and value.
Who performs under eye filler treatments at Dr. John Lee’s practice?
Under eye fillers are performed or medically supervised by Dr. John Lee, MD, a licensed physician with experience in aesthetic facial treatments. Patients from Bryn Mawr and surrounding areas trust his medical background and detail-oriented approach. His goal is subtle, balanced enhancement rather than an overfilled look.
Is under eye filler treatment safe, and what is the downtime?
When administered by a trained medical professional, under eye fillers are generally considered safe for appropriate candidates. Most patients experience minimal downtime, with possible mild swelling or bruising that typically resolves within a few days. Dr. Lee provides clear aftercare instructions to support a smooth recovery.
How do I know if I’m a good candidate for under eye fillers?
Good candidates are often bothered by hollowing, dark circles caused by volume loss, or a tired appearance under the eyes. During a consultation at the Bryn Mawr MedSpa, Dr. John Lee will evaluate your anatomy, skin quality, and goals to determine if fillers are appropriate. Patients from Villanova, Gladwyne, and nearby towns often appreciate this individualized assessment.
How do I schedule a consultation for under eye fillers near Bryn Mawr?
Consultations can be scheduled by contacting Dr. John Lee’s office directly through the website or by phone. The practice welcomes patients from Bryn Mawr, Wayne, Haverford, and Newtown Square and strives to offer flexible appointment options. A consultation is the first step to creating a safe, customized treatment plan.
How do under eye fillers compare to surgical options like lower eyelid surgery?
Under eye fillers are a non-surgical option that can improve volume loss with little downtime, making them appealing to many patients in the Bryn Mawr area. Surgery may be more appropriate for those with significant skin laxity or fat prolapse. Dr. John Lee discusses both options during consultation to help you make an informed decision.
Patient testimonials
Patient Testimonials
★★★★★
Dr. Lee is the best. I am so grateful and happy that I got the lower bleph procedure. It wasn’t bad at all. I was anxious at first but the team and Dr. Lee make sure you are relaxed and comfortable. If you have been thinking about doing this procedure- just do it!!!! You will be so happy!!! I am!!
Dr. Lee exceeded my expectations with his exceptional skill and compassionate care. From consultation to post-op, he ensured a seamless experience. The results were fantastic reflecting his meticulous attention to detail. I highly recommend Dr. Lee and his wonderful staff!!
Today was my first time getting a facial in Dr. Lee’s office with Juliana, it was so relaxing and my skin is glowing more than it ever has, i am so happy! I definitely recommend coming here for high quality service and high quality products! You will not be disappointed!
I do thorough research before going to any physician and Dr. Lee came up repeatedly as the most skilled plastic surgeon for the face. I chose him to do my lower blepharoplasty and couldn’t be more pleased. Not only is he skilled but he is kind, humble and concerned about his patients. I would trust Dr. Lee for any plastic surgery procedure I decide to have in the future.
I sought out Dr. Lee due to his experience with treatment of TMJ. I was living with daily jaw pain and headaches. A treatment plan was created for me and my quality of life has drastically improved. Due to Dr. Lee’s expertise with facial anatomy, my smile has remained optimal and he has taken care to maintain symmetry in my face. Wonderful practice and team!
Dr. Lee is an expert with an artistic eye. I wouldn’t go to anyone else. He is extremely knowledgeable, talented and very kind. I’m always pleased with the results after seeing him.
