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Fillers also take a minute to "settle" — basically where they're actually going to sit on your face long-term. They can also feel a little lumpy under your skin, but the fillers will smooth out on their own. Settling can take anywhere from one day to two weeks, says Dr. Marmur. No matter what, you should schedule a follow-up for two weeks after your treatment so your doctor can make sure everything is looking perfect.
Unlike lip filler, which lasts about six months, the effects of treating your undereye area lasts much longer. "That's one of the best, most gratifying things about fillers under the eyes," says Dr. Marmur. "It lasts a very long time — sometimes for years and years." Because the undereyes aren't a very highly trafficked area of the face (as opposed to the lips, for example), it takes longer for the body to gradually absorb the hyaluronic acid particles. Usually undereye fillers last around a year.
Yes. If for some reason you don't like the look of your undereye filler, your doctor can inject hyaluronidase and within 48 hours the filler will dissolve.
You should make sure you're going to a board-certified dermatologist or board-certified facial plastic surgeon. This isn't the time to use your Groupon or go to a MedSpa. "The doctor shouldn't be pushy," says Dr. Marmur. "It should be somebody who you feel is not a salesperson, and who is really there because they love the art of doing this. Also, somebody who likes the 'less is more' approach. You need to get a sense that you trust that they'll take care of you if something goes wrong and that they can talk to you from experience."
Dr. Marmur says she thinks it's a good thing that procedures like dermal fillers and Botox are more readily available, but you should still treat it in the same way as any other medical procedure — in other words: go to a doctor's office not a mall kiosk.
"There's a lot of trust transfer going on here," she says. "It might seem like we're in this new age where a lot of the mystique has fallen from doing fillers and Botox. I'm happy because it allows people to ask questions. There's nothing vain about it, it's self-care, and it's healthcare as well. You have to understand you're taking a leap of faith and that you really need to feel like that person is legit."