Fillers under the eyes: a stunning transformation of the look

• area around the eyes: static wrinkles, incl. crow's feet;
• lips: wrinkles above the upper lip.

The drug is also used to correct minor depressions on the skin: post-acne, other scars.
The duration of the effect is up to 6-9 months, depending on the individual characteristics of the patient.

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What it is

Biorevitalization is a type of mesotherapy. During the procedure, a small dose of hyaluronic acid is injected into the middle layer of the skin. Biorevitalization differs from mesotherapy in its almost instantaneous effect, as well as in the drug used.

The procedure is indicated for various areas of the face and summer. One of the most common is biorevitalization under the eyes. Thin skin is highly susceptible to the aging process, any unfavorable factors quickly leave an imprint on the appearance, so the skin around the eyes is one of the first to need help.

Recovery period after the procedure

Until the punctures heal, it is recommended to change your face towel daily, do not touch the skin with dirty hands, and do not rub or scratch the area around the eyes. It is better to refrain from using decorative cosmetics.

For 7-14 days after the procedure, you cannot go to the bathhouse, swimming pool, or solarium. It is not recommended to sunbathe on the beach to avoid pigmentation. Do not overheat or overcool your face. It is not recommended to drink alcoholic beverages, as ethanol destroys hyaluronic acid.

If you have other facial procedures scheduled, attend them according to the plan prescribed by your cosmetologist.

Indications for hyaluronate injections

Cosmetologists divide problems in the eye area into several categories:

• reduced elasticity and excessive pigmentation;
• dark circles under the eyes;
• wrinkles;
• pronounced nasolacrimal groove;
• swelling and bags.

As a rule, the processes begin with the skin losing its elasticity. With age, the content of hyaluronic acid in it decreases, elasticity and density decrease, and the skin begins to “slip.” It is necessary to capture the process at the very beginning, before the changes become too noticeable, otherwise only surgical lifting will help correct the situation.

The cosmetologist’s task is to restore moisture content in tissues, stimulate metabolic processes and the production of one’s own collagen. This can be achieved by performing injections of hyaluronic acid.

What exactly is used in the area under the eyes?

Choice of drug

Cosmetologists should use preparations with optimal viscosity and plasticity so that the filler is not noticeable under thin skin. Moreover, the accumulated global experience in using drugs in the area under the eyes is important. There are a lot of really inexpensive drug offerings on the market that have just hit the market.

The drugs used to correct bags under the eyes are similar to those used to correct dark circles.

Preparations for correction of the orbital region

• Sculptra;
• Surgiderm 18;
• Teosyal Redensity II;
• Juvederm Volbella
• and others.

You should not buy into the inexpensive cost of a drug if it does not have a history and has not accumulated experience of use specifically in the orbital region.

Hyaluronic acid for biorevitalization

Over the years, the breakdown of hyaluronic acid in tissues begins to prevail over its synthesis. Such an imbalance negatively affects the condition of the skin. Not only age, but also a number of factors accelerate the breakdown of hyaluronic acid:

• psycho-emotional stress;
• exposure to ultraviolet radiation;
• negative habits;
• unbalanced diet;
• taking certain medications.

In cosmetology, hyaluronic acid of animal origin and synthesized in the laboratory is used. The drug is available in two forms:

• stabilized;
• unstabilized.

The choice of hyaluronate is made based on the type of procedure. For example, a stabilized preparation is used for facial reinforcement and contouring. This hyaluronate fills the lost volume well. The unstabilized drug is intended for mesotherapy and biorevitalization, as it well replenishes the moisture level in tissues.

What are the benefits of using fillers?

Dermal fillers are a great way to rejuvenate the skin around the mouth, eyes, and forehead. They are also injected into the lips to make them look fuller. Thanks to modern technologies, even deep folds disappear, and the face becomes more attractive.

There are different types of fillers, but the most popular are those containing hyaluronic acid (HA), a naturally occurring substance that is well accepted by the body. HA fillers essentially provide a non-surgical facelift from the inside out. The hyaluronic acid included in their composition stimulates metabolic processes, filling the skin with moisture and enhancing natural tissue renewal.

The effect of biorevitalization

Hyaluronic acid injections are used not only for tissue hydration. They stimulate the production of their own collagen and activate fibroblasts. Fibroblasts are cells responsible for the production of hyaluronic acid by the skin. Accordingly, the introduction of a small amount of the drug pushes the body to synthesize its own hyaluronate.

The effect of the procedure can be assessed almost immediately – as soon as the swelling subsides. It lasts for 4-6 months. It is recommended to undergo a course of biorevitalization under the eyes, consisting of several procedures. Their number is determined by a specialist, based on age, skin condition, and individual characteristics of the body. Hyaluronic acid is a natural component of the body, and therefore its use has a minimum of contraindications.

Why does your skin need fillers as you age?

Our skin in its structure can be compared to a building structure, the basis of which is two proteins - collagen and elastin. Between them there is a filler - hyaluronic acid, which retains moisture. All these structures are connected and stimulate each other's production.

Over time, the protein framework of the skin weakens and sag. As a result, the skin begins to lose elasticity, which leads to sagging skin and the appearance of wrinkles. The skin loses moisture and becomes dry. The aging process is inevitable, but, fortunately, there are safe drugs - fillers that fill wrinkles and restore youth to the skin.

How is hyaluronic acid injection performed under the eyes?

In general, the technique is simple. The doctor performs make-up removal on the skin, removing traces of cosmetics, sebum, and dead epidermal cells. Then the injection area is treated with a cream with an anesthetic effect. As soon as the product begins to act, the skin is treated with a disinfectant solution, and hyaluronic acid is injected with a syringe with a thin needle into pre-marked points. After several injections, the specialist again treats the skin with a disinfectant and applies an anti-inflammatory cream. The procedure takes from 30 to 50 minutes.

Biorevitalization does not impose any special restrictions on your habits and rhythm of life. However, there are still certain recommendations:

2-3 days before you should give up alcohol and smoking, stop taking antipyretic, anti-inflammatory and painkillers;

Do not apply cosmetics for 6 hours afterward; for the next week, avoid hot baths, saunas and steam baths, solariums and exposure to the open sun.

Sign up for biorevitalization right now by phone or on the website. Our centers in St. Petersburg employ highly qualified specialists and use drugs from leading manufacturers. Professional advice, effective results and affordable prices await you.

Advantages of introducing HA fillers into the periorbital area

In the middle part of the face, with the help of such drugs, replenishment of volumes in the cheek area, smoothing of nasolabial folds, infraorbital grooves, as well as a decrease in age-related lengthening of the lower eyelid are ensured. Eyelid retraction and excessive visibility of the sclera of the eye are problems that can also be solved with hyaluronic fillers.

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The advantage of working with hyaluronic acid in the delicate area around the eyes, compared to other drugs, is the ability to correct the results obtained, as well as the complete breakdown of the drug by hyaluronidase.

The effect after correction of the lower eyelid with dermal fillers usually lasts for 1–3 years. HA also provides good volumization, contouring and lifting of the lateral part of the eyebrow.

Filling glabellar wrinkles with HA fillers

Correction of glabellar wrinkles is associated with risks of vascular complications, therefore, in most cases, botulinum therapy is the gold standard for working in the glabellar area.

To administer HA fillers, the author always uses a 22-gauge cannula and inserts it from a point located at the top of the forehead. After this, the instrument is inserted several times under the folds, using the subcision technique, to create space for injecting the filler - otherwise, lateral displacement of the drug is possible and, as a result, deepening of the wrinkles.

The author always presses the supratrochlear and supraorbital arteries on the treated side of the face to reduce the risk of intravascular filler injection. It is important to inject the drug slowly and immediately stop injection if signs of vascular damage occur, then massage the area and administer the appropriate dose of hyaluronidase.

“Wrinkles of anger”: correction with botulinum toxin

Superficial injection of fillers such as Restylane Silk or Belotero Balance using the intradermal injection technique directly into the glabellar lines provides a satisfactory effect without the risk of vascular damage.

Rice. 1: (A) Tyndall effect after correction of the lower eyelid with Belotero Balance fillers; (B) improvement after administration of 30 units of hyaluronidase

Working with HA fillers in the mid-face and crow's feet

As in the case of eyebrow wrinkles, botulinum toxin or hardware techniques are more suitable for correcting crow's feet.

To improve the condition of the area around the eyes and smooth out the folds under the lower eyelid, it is often enough to inject filler into the nasolacrimal and palpebromalar grooves.

For crow's feet, a technique that can be used to smooth them out is the superficial application of very small amounts of a medication such as Restylane Silk or Belotero Balance. To replenish the volume lost with age in this area, a small amount of filler can be injected just lateral to the outer corner of the eye. Highly elastic fillers (for example, Juvederm Voluma, Radiesse, Restylane Lyft) are excellent for creating attractive curves in the middle third of the face. They provide good tissue support and often reduce the severity of infraorbital grooves without direct correction.

Improving the contour of the cheekbones and lifting the nasolabial folds, as well as visually reducing the length of the lower eyelid are effects that can also be achieved using the above-mentioned drugs.

In most cases, to lift and revolumize the midface, the author uses the technique of deep deposition of filler onto the periosteum. The administration of HA should begin from the upper point of the zygomatic arch, located slightly below and lateral to the outer corner of the eye. The correction is performed with a 22-gauge cannula. If the doctor works with a needle, it is inserted perpendicular to the skin to the level of the periosteum. Without removing the needle, the author injects the drug until the desired effect is achieved.

The amount of the drug injected depends on the patient and is 1–2 ml of filler (for both sides of the face).

Technique for rejuvenating the infraorbital area with dermal fillers based on hyaluronic acid

Eyebrow contouring and lifting with HA filler injections

For eyebrow contouring and lifting, the author injects an average of 0.2–0.4 ml of hyaluronic filler using a 22-gauge cannula. The choice of instrument is determined by the location of the superficial temporal artery/vein in close proximity to the fat pads of the eyebrows.

It is important to inject the filler deeply to avoid contouring of the product, which is possible if the injection is too superficial.

The drug is injected into the lateral part of the eyebrow, which is approximately 30–40% of its total length. To improve the lifting effect, several units of botulinum toxin can be injected into the lateral part of the orbicularis oculi muscle.

Rice. 2: (A) before and (B) after eyebrow lifting with HA fillers

To highlight the peak of the brow arch, you can inject more filler into this area and gradually reduce the amount as you move towards its outer edge.

HA fillers can be used to optimize the results of lower eyelid surgery, as well as to correct post-traumatic deformities.

Rice. 3: (A) before and (B) after blepharoplasty of the lower eyelids with fat reposition (after the operation the patient still had complaints about the presence of infraorbital grooves); (C) after the injection of Belotero to smooth the border between the lower eyelid and the cheek area

Cost of the biorevitalization procedure

Features of the procedure

No special preparation is needed for the procedure. The procedure is carried out in one session. If you want to consolidate the result, then repeat it after a month. The effect will be noticeable within 12 months. Immediately after the procedure, redness, swelling, bruising, and a feeling of skin tightness may appear. In a couple of days this all goes away.

Teosyal PureSense Redensity II shows a good effect of rejuvenation of the periorbital area. The drug not only eliminates age-related changes, but also prevents the appearance of wrinkles, bags, and dark circles. After the procedure, your face will look rested and rejuvenated.

Contraindications

Eyelid contouring has a number of contraindications:

• pregnancy and lactation;
• autoimmune diseases;
• viral diseases;

• diseases associated with blood clotting;
• chronic diseases during exacerbation;
• skin diseases in the area of ​​drug administration.

A few days before the injection of filler, you must refrain from drinking alcohol, visiting a solarium, and sunbathing.

Progress of the procedure

Before the injection, the cosmetologist examines the patient, determines the presence of indications and contraindications, and selects the optimal drug, its quantity and density.

The injections do not take much time - usually all manipulations take about 15-40 minutes. The duration depends on the severity of wrinkles and other cosmetic problems.

• The doctor removes decorative cosmetics and impurities from the face.
• The skin is wiped with an antiseptic.
• If the pain threshold is low, a cream with an anesthetic effect is applied to the treated areas.
• After the anesthetic begins to act, the doctor prepares the drug and injects it at predetermined points. Lower density fillers are used for initial signs of aging. For pronounced wrinkles, the doctor selects a drug of higher density, which is injected into the deep layers of the skin.
• After the filler is injected, the skin is again wiped with an antiseptic and a softening cream is applied.

To get visible results, just one procedure is enough. It will be possible to evaluate the effect of eyelid contouring in a few days, when traces of swelling and slight swelling at the injection sites have subsided.

Photos of work before and after