Filler against dark circles under the eyes

Injection with hyaluronic acid achieves excellent results in a very short time, provided that the injection is actually indicated and the injection has been technically performed correctly. This is the only way to achieve the desired effect. Detailed anatomical knowledge is therefore immensely important in order to achieve good results and avoid risks and side effects. Dark circles under the eyes, moderate tear troughs and slight bags under the eyes can be corrected with hyaluronic acid. Improvement of tear troughs can be achieved approximately 90 percent of the time [1]. The best results can be achieved in patients with thick skin, minor skin discoloration and moderately deep tear trough. For under-eye wrinkles and bags under the eyes, a minimally invasive lower eyelid lift achieves the best results.

Facts about the treatment of dark circles under the eyes with fillers

Treatment duration 30 min
Anesthesia Anesthetic cream / local anesthesia / vibration anesthesia / laughing gas
Clinic stay Outpatient
Costs To the price calculator
Socially acceptable Immediately
Supplements or alternatives Wrinkle treatment with autologous blood

At what age to inject hyaluronic acid?

With age, the signs of aging such as wrinkles and spots on the body and face become more frequent. Eye circles or dark shadows around the eyes develop to varying degrees depending on the individual. Some individuals experience particularly deep dark circles under the eyes, giving the impression of tired eyes. Certain factors favour or accelerate the occurrence.

At CenterPlast you will be in the hands of experienced and excellently trained plastic surgeons. Every treatment plan is preceded by an examination and diagnosis. In a consultation, different treatment methods and their chances of success and risks are weighed up. We help you to make a sensible and well-considered decision. With fact-based information and careful explanation, we support our patients in making self-determined decisions. In the case of adolescents, the support of parents is important and helpful.

Thus, affected individuals search the Internet for promising tips, home remedies and beauty products. However, the hyaluronic acid of skin care products penetrates only a small percentage and only into the most superficial layer of the skin. Applied, they are not enough to remove particularly dark edges. Thus, often only the concealing of the affected eye areas remains. By covering the edge of the eyes with make-up, people try to hide the lack of volume and make chronic dark circles disappear day after day.

One method of removing dark circles that has been proven in numerous studies to be effective is a dark circles treatment using hyaluronic injections. A natural alternative is e.g. own fat. An autologous fat injection offers numerous advantages. Among other things, the body’s own fat is very well absorbed by the body during the own fat treatment. In addition, an autologous fat injection has a regenerative effect. On the page Filler – everything you need to know you will find comprehensive information on treatment with the body’s own tissue (fat cells) and on hyaluronic acid treatment. Among other things, it clarifies the likelihood of developing allergic reactions to the injected hyaluronic acid, the advantages of the various preparations and the areas of application for which the filler is suitable. You will find all the general answers to many other questions about fillers.

In the following sections, you will find comprehensive information on how to specifically treat dark circles under the eyes and tear troughs, thus treating dark circles under the eyes.

The treatment of dark circles with hyaluron

This is a common question in connection with hyaluronic acid. A dark circles under the eyes injection is a useful treatment for signs of aging on the face. Depending on lifestyle and predisposition, these changes rarely occur before the age of thirty. Hyaluronic acid is also suitable for the correction of inherited facial features. Certain features such as nasal humps or a receding chin develop during the growth phase of children and can cause a great deal of distress. After the growth spurt of puberty, these contours no longer change. After the onset of the first menstrual period or voice break, correction is possible. The filler is also suitable for treating small wrinkles or minor wrinkles up to deep wrinkles in certain areas.

At CenterPlast you place yourself in the hands of experienced and excellently trained plastic surgeons. Every treatment plan is preceded by an examination and diagnosis by the plastic surgery experts. In a consultation with the plastic-aesthetic specialist, various treatment methods of aesthetic medicine and their chances of success are weighed up in relation to the desired result and the risks involved. The aesthetic plastic experts will help you to make a sensible and well-considered decision. With fact-based information and careful education, we support our patients in making self-determined decisions. For adolescents, the accompaniment of parents is important and helpful.

The treatment of dark circles with hyaluron

Plan on 20 to 30 minutes for one treatment. A topical anesthetic cream will be applied for your comfort. The skin is then carefully disinfected. The precise injection of hyaluronic acid is crucial for a long-term and aesthetically pleasing result. When injecting the hyaluronic acid gel, it is applied just below the orbital rim. Since swelling can occur as a result of hyaluronic acid treatment, 0.2 milliliters of hyaluronic acid is sufficient for the first treatment. Nevertheless, the hyaluronic acid may be visible or palpable in very thin skin. The check-up after two weeks will show whether a further treatment in the form of a second injection with hyaluronic gel is possible and necessary for your desired result. In only about 50 percent of cases is there a slight bruise after the procedure, which completely dissolves after five to seven days and therefore has no effect on the appearance after these days. A slight swelling will disappear after a few weeks. A gentle massage with little pressure after the treatment helps to distribute the hyaluronic acid evenly in the tissue. In 85 percent of cases, the effect of hyaluronic acid lasts 15 months [2].

Filler against tear troughs

Tear troughs form at the junction between two fat pads (orbital fat and suborbicularis oculi fat: SOOF). These fat pads are separated by connective tissue fibers (orbicularis retaining ligament). The fibers of this connective tissue extend from the lower edge of the orbit through the orbicularis oculi muscle to the skin. Small changes in the skin, fat pads or connective tissue can cause shadows to form on the surface of the skin. This is caused by a reduction in skin elasticity, severe weight loss, water retention or signs of aging. The following characteristics must be considered when examining and treating tear troughs:

  • Tear trough depth: distance from the anterior lacrimal crest of the upper jaw (crista lacrimalis anterior) to the depth of the trough.
  • Dark circles under the eyes: discoloration of the skin may increase the impression of depth of a lacrimal groove. Congestion of blood in the subcutaneous fat tissue may also cause darkening.
  • Lacrimal sacs: If the connective tissue is weak, the central fat pad below the eye may protrude in the vicinity of the nasal bone. Protrusion of these fat pads leads to the formation of bags under the eyes and accentuation of the depth of the tear trough.
  • Wrinkles under the eyes: wrinkles on the lower eyelid emphasize the prolapse of the fat pad below the eye and the depth of the tear trough.

Mild manifestations of a lacrimal furrow are effectively corrected or removed by injections with hyaluronic acid. Most patients also have a loss of volume laterally, above the cheekbones. It is therefore important to include the entire eye area in the examination and treatment. In the case of moderate or severe manifestations, surgical treatment (aesthetic surgery) is recommended or necessary, in which the connective tissue is loosened and the fat pads are redistributed. You can read more about this under lower eyelid lift.

Filler for upper eyelids (engl. “A-frame deformity”)

An arched eyelid crease and a harmonious transition from the upper eyelid to the eyebrow give a radiant youthful expression. With age, the skin becomes thinner and the subcutaneous fatty tissue shrinks. As a result, the bony eye socket and the upper eyelid crease become more prominent. With certain predispositions, a tapered eyelid crease forms on the upper eyelid, also called “A-frame deformity”. The eye socket appears larger and the eyes look sunken. The eyelid frenulum loses its elasticity, making the eye opening smaller. This creates the impression of small eyes. The sunken area between the upper eyelid and the eye bulge can give a pre-aged and tired impression. With hyaluronic acid injections, sunken eyes can be corrected. The effect of hyaluronic acid usually lasts for 12 months or longer.

Filler versus therapy with own blood

Centrifugation can separate the blood into its components. Platelets and messenger substances are enriched with a specific separating gel. Over 800 signaling molecules are detectable in the concentrated plasma, including vascularendothelial growth factor (VEGF) platelet-derived growth factor (PDGF) and transforming growth factor (TGF) (Garcia BA, et al., 2005, J Proteome Res). The concentration of platelets is over one million platelets per microliter and corresponds to 4 to 7 times the amount (Giusti I., et al., 2009, Transfusion). The endogenous substances are involved in many metabolic processes of tissue renewal. In the so-called Vampire Lift, the body’s own stimulating blood components are specifically injected in concentrated form. The positive properties have been known for many years (Kim DH, et al., 2011, Ann Dermatol 2011) and have been proven in high-quality and conclusive studies (Hausauer AK, et al., 2020, Dermatol Surg). Skin suppleness and skin elasticity are improved (N. Cameli, et al. 2017, Dermatol Surg). Nevertheless, some variation from one patient to another is inevitable, as each person will have a slightly different platelet count in the blood drawn.

The concentrated platelets also stimulate the formation of new hyaluronic acid (Kakudo N, et al. 2008, Plast Reconstr Surg). However, the effects are very diverse. The combination of hyaluronic acid subcutaneous injection and own blood therapy achieves better results [3]. The effects of filler and plasma complement each other. If both skin elasticity and subcutaneous fat tissue are reduced, hyaluronic acid injection together with autologous blood treatment is useful.

What is the cost of removing dark circles around the eyes with fillers?

On the Centerplast website you have the possibility to find out the costs for the removal of dark circles in advance with the price calculator.

Testimonials for removing dark circles and treating tear troughs

Before patients opt for non-surgical removal of dark circles, they naturally want to see before-and-after pictures of under-eye injections that the practice has performed. At Centerplast, you can view photos of treatment results during the preliminary consultation so that you can determine the desired result with the surgeon. For more information, see before and after pictures.

Testimonials on the treatment of dark circles and tear trough subcutaneous injection

Before undergoing medical treatment or a procedure, most people research the internet for experiences and reviews of a practice, clinic or doctor for good reason. You want to make sure that you are treated by an experienced doctor if you want to have dark circles removed by injections. If you would like to read or view patient testimonials and reviews, visit the Testimonials page.

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The author

Unsere Fachärzte für Plastische Chirurgie Saarbrücken
Dr. Adelana Santos Stahl

“Our goal is to provide the best, most discreet and precise treatment based on our extensive expertise in plastic surgery. „

Dr. Adelana Santos Stahl is distinguished by a unique international perspective with a feminine view of plastic surgery. Her personalized and detailed approach is key to the beautiful and natural results she achieves. Having trained in Brazil, one of the largest and most well-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best. She completed her medical studies and her training as a specialist for plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the medical state examination. Two years later, in 2011 she received the German and in 2012 the EU specialist recognition (EBOPRAS) for plastic surgery. From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris. A VDÄPC Fellowship (continuing fellowship for graduate students) in Switzerland, France and the USA has further enriched her professional experience. Dr. Santos Stahl is active in several prestigious professional societies. Besides the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP. She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.


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