FACEit Live: The Ultimate Ultrasound and Anatomy Experience | December 1-3, 2023 in Cambridge, MA.

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Navigating The Undereyes

What causes under eye puffiness? 

Under the eye, puffiness can occur from a variety of causes, from genetics to medical conditions, to the food eaten on a daily basis. The importance of good night’s sleep is vital in preventing under eye puffiness. Lack of sleep causes dilation of blood vessels under the eyes, increasing blood flow to the under eye area and leading to puffiness. It’s so true what they say about how one’s diet can affect not only how one look and feel on the outside but also on the inside. A diet high in sodium and salts can cause water retention, leading to puffiness under the eyes. Foods high in salt include canned goods, smoked/cured/salted meats, frozen meals, etc. Allergies can be a determining factor in causing puffiness from the congestion and inflammation that arises. The under eye skin being thinner results in the puffiness being exaggerated… If filler was to be placed in the under eye, it would block the lymphatic outflow, resulting in fluid accumulation and the puffiness worsening under the eyes. Prolapse fat around the orbit can be another determining factor in the occurrence of puffiness under the eyes. The fat held by the ligaments can migrate to the orbital area, revealing bugging under the eyes.

Is under eye filler right for you? 

Under eye fillers are oftentimes thought to be the answer for “fixing” the puffiness under the eyes. However, it’s important to understand the underlying cause of the puffiness prior to the placement of injectable fillers. Filler placement can potentially worsen the appearance of undereye puffiness, causing more harm than good. It’s important to find a provider with in-depth knowledge of anatomy and physiology to provide the best treatment outcomes. 

Who is considered a great under eye filler candidate? 

Patients that have a loss of volume under the eyes can experience hallowing and darkening that creates a tear trough deformity. These patients are great candidates for tear-through filler placement. The filler placement will immediately leave you feeling brighter and depuffed, bringing the focus back to the eyes! 

What alternative treatments can help with under eye crepiness? 

Platelet-rich fibrin (PRF) is a great alternative all-natural treatment to building collagen under the eyes, an area that loses volume and skin thickness. Collagen makes up 25% to 30% of our body’s protein content and is the main structural protein in our connective tissue. Over time we start to lose collagen, resulting in sagging and loss of bounce to our skin. PRF treatments will allow for new collagen to build, decreasing the thinning, hallowing and appearance of dark circles under the eyes.

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