Lower Eyelid Treatment in Surat

The lower eyelid is treated for two different problems. A single unit of Botox into the pretarsal orbicularis softens the roll of muscle that bunches under the eye when you smile and slightly widens the eye opening. Hollowing and dark shadowing under the eye is a volume problem and is treated with tear trough filler instead. At Elegance Clinic in Surat both are assessed at one consultation.

Two Different Lower Eyelid Problems

Patients often describe the same complaint, tired looking eyes, but the cause differs and so does the treatment.

• The jelly roll. A ridge of muscle that bunches up just under the lash line when you smile. This is the pretarsal orbicularis oculi contracting, and it is a muscle problem.
• The tear trough. A hollow groove running from the inner corner of the eye diagonally down the cheek, casting a shadow that reads as a dark circle. This is loss of volume and support, not muscle.
• Fine crepey lines. Thin, dehydrated skin under the eye, treated with skin quality treatments rather than muscle relaxation.

Treating the wrong one is the commonest reason patients are disappointed with under eye treatment elsewhere. The assessment matters more here than almost anywhere on the face.

Botox for the Lower Eyelid

One unit, occasionally two, is placed very superficially in the midpupillary line about three millimetres below the lash margin. Relaxing the pretarsal muscle softens the roll when you smile and, in suitable patients, opens the eye aperture by a small amount, giving a more rested look.

This is the most conservative area on the face and it is not suitable for everyone. Patients with poor lower lid tone, significant lower lid bags, or a history of lower lid surgery should not have it, because relaxing the muscle in a lid that already lacks support can worsen puffiness or cause the lid to sit lower. A snap test of lid tone is part of the assessment for exactly this reason.

Tear Trough Filler

Where the problem is a hollow rather than a muscle, a small amount of a firm, low water binding hyaluronic acid is placed deep on the bone in the tear trough to fill the shadow. It is a technically demanding treatment because the skin is the thinnest on the body and the area is rich in vessels. It is done with a blunt cannula, in very small volumes, often across two sessions.

Filler is the wrong treatment if the dark circle is caused by pigmentation rather than shadow, or if there are large fat pads that need surgery. Dr. Ashutosh Shah will tell you which you have.

The Treatment, Step by Step

1. Assessment of lid tone, the size of any fat pads, the depth of the tear trough and the strength of the muscle roll when smiling.
2. The correct treatment identified, or a clear explanation of why an injectable is not right for you.
3. Numbing cream for comfort.
4. A single Botox unit per side, or cannula placed filler, taking 10 to 20 minutes.
5. Review at two to four weeks.

Results, Downtime and How Long It Lasts

Botox here shows at 3 to 5 days and lasts about 3 months. Tear trough filler is visible immediately but takes two to four weeks to settle, and lasts 9 to 18 months.

Bruising is more likely around the eye than anywhere else on the face. Small bruises settle within a week. Swelling under the eye after filler can persist for two weeks, so do not judge the result early.

For 48 hours keep your head elevated when sleeping, avoid strenuous exercise, saunas and steam, and do not rub the area.

Risks and Who Should Not Have It

With Botox, the risks are a temporary worsening of under eye puffiness, a rounder looking eye or, rarely, a change in lid position. These are the reason for the strict patient selection described above. With tear trough filler, the risks include prolonged swelling, a bluish tinge if placed too superficially, and, rarely but seriously, vascular occlusion. Hyaluronidase is kept in the clinic to reverse a hyaluronic acid problem quickly.

Treatment is avoided in pregnancy and breastfeeding, active infection, certain neuromuscular disorders, poor lower lid tone and known allergy to a component of the product.

Cost in Surat

Cost depends on whether you need Botox, tear trough filler or a skin treatment. A price is quoted after your face to face assessment, before anything is injected, and EMI options are available. This is not an area to choose on price.

Frequently Asked Questions

Can Botox remove my dark circles?

No. If the darkness is a shadow cast by a hollow, filler helps. If it is pigmentation, a skin treatment is needed. Botox only treats the muscle roll.

What is the jelly roll under my eye when I smile?

It is the pretarsal orbicularis muscle bunching. A single unit of Botox softens it in suitable patients.

Will Botox under my eye make me look puffy?

It can, if your lower lid tone is poor or you have significant fat pads. That is why lid tone is tested before treatment and why some patients are advised against it.

How long does under eye filler last?

Typically 9 to 18 months, and it settles over two to four weeks.

Can this be combined with crow’s feet treatment?

Yes, and it usually is. See Botox for crow’s feet.

Is under eye treatment safe, and who should avoid it?

With Botox, the risks are a temporary worsening of under eye puffiness, a rounder looking eye or, rarely, a change in lid position, which is why patient selection is strict for this area. With tear trough filler, the risks include prolonged swelling, a bluish tinge if placed too superficially, and, rarely but seriously, vascular occlusion. Elegance Clinic keeps hyaluronidase on site to reverse a hyaluronic acid problem quickly. Treatment is avoided in pregnancy and breastfeeding.

How much does under eye treatment cost in Surat?

Cost depends on whether you need Botox, tear trough filler or a skin treatment. Elegance Clinic quotes a price after your face to face assessment, before anything is injected, and EMI options are available. This is not an area to choose on price.

Book an Under Eye Consultation in Surat

Lower eyelid treatment at Elegance Clinic is performed by Dr. Ashutosh Shah, M.B.B.S., M.S., M.Ch., D.N.B., a board certified plastic, cosmetic and reconstructive surgeon with over 22 years of surgical experience, at our Adajan clinic in Surat. Book an appointment or browse all Botox treatments in Surat.