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Filler Correction for Eyes

This picture is not reflective of any results of treatments at our clinic. It is not a picture of our patients.

This picture is not reflective of any results of treatments at our clinic. It is not a picture of our patients.

Are you having tear troughs or sunken eyes?

Tear troughs are caused by sunkenness under the eyes, creating lines that may look like eye bags or dark circles. This is easily reversed with a non-surgical procedure – a simple injection with a very soft filler such as Juvederm Ultra and Restylane Vital Light under the eye areas to restore and rejuvenate.* Eyes can also look sunken on the upper eyelids, making a person look haggard and older.

If you happen to suffer from dark eye circles at the same time, which commonly happens to people who have sunken undereyes, the treatment also improves the appearance and reduce the extent of dark eye circles. It also helps to reduce fine lines under the eyes – for better reduction, combination with botox treatment is often recommended.*

Even some eyebags may be corrected by this no-downtime, simple filler procedure in suitable candidates. Certain eyebags are visible due to sunkenness and loss of volume below the eyes, which is easily hidden again once the volume is replaced by filler. True eyebags seldom happen in younger people and surgery is not required for correction. In fact, removing these eyebags with surgical removal may lead to further sunkenness, dark circles and looking tired or older, requiring filler for correction eventually anyway. Volume loss is best corrected by filler and not surgery.

How is the treatment done?

A very soft filler is selected for eye area treatment, such as Restylane Vital Light or Juvederm Vobella. The filler is placed under or above the eyes where required and along tear troughs to correct the depression and lines. The procedure is done under simple anaesthesia and completed in under 30 minutes.

Possible side effects

An occasional side effect is slight bruising or needle mark under the eyes for a few days. There is generally no downtime as the swelling is minimal and the result is obvious immediately.*

*Note: As this is a medical procedure, results & outcomes are not guaranteed and may vary from person to person.

Pricing SGD 650

For more information

To find out about our pricing or to book an appointment, please call us at 6338 9448 or sms us at 9186 0805 (24 hr) or email us at enquiry@tiffinyyangclinic.com today. You can also find us here.

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FAQ on dermal fillers:

What are fillers?

How many types of fillers are there?

In a nutshell, fillers can be classified into temporary, semi-permanent and permanent fillers. Our favourite is the hyaluronic acid (HA), which is a temporary filler lasting between 9-12 months. It’s made of glycosaminoglycan polysaccharide and is not just found to be naturally occurring in the body as universal extracellular matrix– it’s also chemically identical across species and therefore, is very low on antigenicity, i.e. less likely to cause bad immune reactions. In other words, it’s very safe. There are many other brands in the market that are also similarly good in quality. Be sure to check with your doctor on this.*

There are also other type of fillers that are non-hyaluronic acid based, such as poly-L-lactic acid, calcium hydroxyapatite and poly-caprolactone. They essentially work by having an initial bulking effect plus an additional benefit of stimulating collagen synthesis wherever they are placed. This enhances their volume enhancing effect in the mid-term, so you may have to wait a little for the full effect. However, they may not necessarily last longer than current, newer type hyaluronic acid fillers. An alternative would be to choose a more viscous hyaluronic acid product, which your doctor can recommend to you.*

Semi-permanent fillers last the longest. Examples include polyacrylamide gel (i.e. plastic), and liquid silicone, which is the longest lasting of all fillers. These can last for years. However, the longer lasting the filler, the more likely it can cause complications such as lumps and scarring.*

Why did the facial filler seem to decrease so quickly in the first 2 days after injection?

Hyaluronic acid (HA) occurs naturally without cross linkages. In this form, it is easily broken down in the body in 1-2 days. The HA that remains are those that are still cross-linked, which prevents its breakdown, and this is the form that lasts. Therefore, your facial filler with HA can seem to decrease quickly in the first 2 days before it plateaus into a steady state. The rest decreases slowly. Therefore, the more cross-linked the HA, the longer it lasts.*

There is also a part of the filler procedure that causes a little swelling, such as the local anaesthetic and the inflammation of local trauma. This quickly subsides in a few days, leading to a reduction of up to 20-30% in the final result.*

Should I always choose the brand of HA that lasts the longest to save cost?

The longer HA lasts, the more viscous it must be and therefore, the harder its feel may be or its chance of leaving residual lumps. Harder HA may not be suitable for all areas of facial correction, even though they last longer, because they may not be suitable for all areas or feel all that natural in others.*

Why does my nose have a bluish tinge after filler injection with hyaluronic acid?

If it isn’t a bruise, it can be due to the Tyndall effect, which occurs after injection of hyaluronic acid is done too superficially so that it shows through the skin, making it take on a bluish tint that is not easily hidden by makeup. It doesn’t happen often, though, and can be avoided by placing the filler in the correct plane. Newer improved fillers seldom give the Tyndall effect these days.*

After a facial filler injection, can I go for massage or wash my face?

Temporary fillers are moldable in the first 4 hours or so and they settle in approximately 2 days. In the first 4 hours, you shouldn’t apply firm pressure on the area of the filler or massage too hard. Gentle washing of the face is permitted. For the first 2 days, it is advisable not to apply prolonged pressure on the area of the facial filler e.g. sleeping on that side of the face– there is a slight chance it may shift. Thereafter, once it has set, you can do whatever you want and it should not change in shape.*

*Note: As this is a medical procedure, results & outcomes are not guaranteed and may vary from person to person.

Myths about dermal fillers– busted.

Myth: Fillers are permanent.

Truth: There are many different types of fillers. Some are permanent, some are semi-permanent and the rest are temporary fillers. Temporary fillers are mostly made of hyaluronic acid nowadays. It is a substance that is also naturally found in the body and is absolutely safe for use. It is gradually broken down by the body and absorbed, usually lasting from 6-12 months.*

Myth: Fillers are harmful for the body since they are absorbed by the body.

Truth: Absolutely not. Hyaluronic acid, which is used as temporary filler, is a natural substance found in the skin, joints and eyes of the body. It is gradually broken down by the body and not harmful to health. In fact, some brands of fillers have obtained FDA’s approval for clinical use.*

Myth: Surgery is required to place fillers into the body.

Truth: Not at all. Facial fillers for the nose, nasolabial folds, cheeks, chin, etc. are easily placed into the respective parts via a few simple injections. There is no need to undergo the knife– hence the wonder of minimally invasive procedures. Even breast fillers only require 1 or 2 injection sites under the breasts. Minimal pain and minimal scarring, in just under 15min!*

Myth: You need to keep coming back for frequent top-ups once you do fillers.

Truth: Top-ups are required only because temporary fillers are naturally broken down by the body and absorbed, so its effect diminishes over time. They are not in the least bit addictive and you can choose not to top up again if you’d like. The filler will simply disappear and the part of the body will return to its original state as before filler was done.*

There can be incidences where the fillers last longer than expected in some people, especially after 1 or 2 top ups. This eliminates the need for frequent top ups over time.*

Myth: When the filler disappears, you’ll look worse than before.

Truth: Fillers do not change the original state of the body part it is placed into. When it is absorbed, that part of the body simply returns to how it was supposed to be. Of course, temporary fillers last up to a year or more and in that time, the body is still undergoing its own aging process.*

Myth: Fillers are harmful to the body when used in the long term.

Truth: Hyaluronic acid is a natural substance found in the skin, eyes and joints. It is gradually broken down by the body’s natural metabolism and is not known to be harmful in the long term or short term. Newer studies have also showed that it may actually boost natural collagen in the skin for a more longer term effect, which can be considered desirable in many cases.*

Myth: Fillers change the shape of the body part permanently.

Truth: Not all fillers. Temporary fillers are made up of hyaluronic acid which are absorbed by the body over months and gradually, the body returns to its original state, as it was before. Of course, as part of aging and change, the body does sometimes alter from its natural state but it is not usually affected by temporary fillers like these. Permanent fillers are not absorbed, though, and they can stay for a long long time. In that sense, they change the shape of the body part permanently.*

Myth: Doing something to your face with fillers makes it look fake.

Truth: Amazingly, it is rather difficult to look fake with facial fillers. They can give dramatic natural results and yet escape others’ eyes unnoticed. Too many have told me how they wished people had noticed– even though in their own eyes, it was a great difference!*

Myth: Fillers are very painful.

Truth: Some pain is to be expected but it is usually minimal and quickly forgotten after the procedure. The pain is usually only of the injections and subsequently, a vague dull ache during filler injection. After the procedure, the dull ache may remain for a couple of days but it isn’t particularly noticeable and resolves quickly. In other words, it definitely isn’t something you’ll remember for too long.*

*Note: As this is a medical procedure, results & outcomes are not guaranteed and may vary from person to person.

More Resources

If you are trying to decide which filler works best for you, here’s a useful article to give you the tips you need: http://tiffinyyang.com/2014/09/02/a-review-on-different-brands-of-facial-fillers/

 

This article was written and produced by Tiffiny Yang Aesthetics & Surgery

“Medical Aesthetics: Fabulous, Not Fake”