Menu

PRP vs Fillers Under Eyes – Achieve a Youthful Appearance

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

When considering rejuvenation techniques for under-eye concerns such as dark circles, hollowness, and fine lines, two popular treatments are Platelet-Rich Plasma (PRP) and dermal fillers. PRP, a substance derived from one’s own blood, works by stimulating collagen production and improving skin elasticity.

It promises gradual, natural-looking enhancement with minimal risk of allergic reactions. Dermal fillers, on the other hand, offer instant volume restoration and wrinkle smoothing with results that are more immediate. Choosing between PRP and fillers depends on the specifics of the under-eye issues, the desired outcome, and individual patient factors. Both treatments have their unique advantages, and understanding these can help in making an informed decision toward achieving a youthful and refreshed appearance.

Comparing PRP and Dermal Fillers for Under-Eye Rejuvenation

When targeting the sensitive under-eye area, PRP and dermal fillers each bring distinct approaches to the table. PRP taps into the body’s natural healing processes, while fillers provide a more immediate volumizing effect. Patients must weigh the gradual and natural results of PRP against the instantaneous but temporary effects of fillers. The complexity of the under-eye region requires careful evaluation to find out which treatment aligns best with the individual’s aesthetic goals and medical history.

Efficacy and Results

Studies Supporting PRP Efficacy: Research into PRP’s ability to revitalize under-eye skin points to the treatment’s efficacy. By concentrating platelets from the patient’s own blood, PRP harnesses growth factors that naturally encourage collagen production and tissue regeneration. One study showed that PRP injections resulted in improved skin texture and firmness with high patient satisfaction ratings. Gradual and sustained results following PRP treatments are often highlighted, demonstrating its capacity as a long-term solution for enhancing under-eye aesthetics.

Duration of Results for PRP vs Fillers: One crucial factor in the PRP versus fillers discussion is the durability of results. PRP treatments offer long-lasting effects, with improvements in skin quality persisting for months or even years. The gradual collagen revitalization affords a sustained transformation. Fillers, although offering immediate results, typically require regular maintenance treatments. The longevity of filler outcomes varies, usually lasting from months up to a year, at which point repeat sessions are essential to maintain the volumizing effect.

Safety and Side Effects

Risks Associated with PRP Injections: PRP treatments, while utilizing the body’s own natural healing mechanisms, are not entirely without risk. The procedure involves drawing blood, which could lead to infection, bleeding, or bruising at the puncture site. Additionally, as with any injections, there is a small risk of nerve damage or pain at the injection site. However, since PRP is derived from the patient’s own blood, the risk of allergic reaction or rejection is significantly minimized. It is also important to ensure sterile conditions to prevent contamination and consequent infections.

Risks Associated with Dermal Filler Injections: The introduction of dermal fillers under the eyes carries the usual risks of infection, bruising, and swelling. More specific to fillers, there’s a risk of overfilling, lumpiness, asymmetry, and the Tyndall effect, where skin might appear bluish due to light reflecting through the filler. Rarer, yet more severe complications include vascular occlusion, which can lead to skin necrosis or even blindness. Proper technique and the experience of the injector are crucial to mitigating these risks.

Potential Complications and Their Management: Complications from under-eye treatments with PRP or fillers, while rare, require careful planning and management. PRP-related complications often resolve with minimal intervention, but any signs of infection may need antibiotic treatment. Filler complications might require more immediate action such as dissolving the filler with hyaluronidase, especially in cases of vascular compromise. For both treatments, patients should be advised on proper aftercare and to contact their provider if they experience unusual side effects.

Candidate Selection

Ideal Candidates for PRP Under-Eye Treatment: Ideal candidates for PRP under-eye treatments are those with mild to moderate skin laxity, fine lines, and volume loss, who seek gradual improvement with natural results. Patients who prefer a holistic approach and are interested in harnessing their body’s own healing potential would find PRP appealing. Those with thinner under-eye skin who are looking to improve texture and tone tend to benefit most from PRP treatments.

Ideal Candidates for Dermal Filler Under-Eye Treatment: Candidates best suited for dermal filler treatments under the eyes are those seeking immediate correction of hollows or deep tear troughs. Individuals with good skin quality, without severe elastosis or prominent eye bags, generally experience the best outcomes. Those who desire a non-surgical option to refresh their appearance quickly and who understand the need for potential maintenance treatments are well-matched for filler procedures.

Contraindications and Precautions: It’s crucial to identify individuals for whom PRP or dermal fillers may be unsuitable. Patients with a history of heavy smoking, alcohol use, or certain medical conditions such as clotting or autoimmune disorders may experience suboptimal results with PRP. For dermal fillers, contraindications include active skin infections, allergies to filler components, or individuals with bleeding disorders. It is advisable for those seeking under-eye treatments to avoid blood-thinning medications and supplements pre-procedure to reduce the risk of bruising. Patients should disclose their complete medical history, including any medications, to their healthcare provider prior to undergoing these treatments.

Combining PRP and Dermal Fillers for Optimal Under-Eye Rejuvenation

Combining PRP with dermal fillers may offer a complex approach for enhancing the under-eye area, potentially delivering both immediate and enduring benefits.

Rationale Behind Combination Therapy

Synergistic Effects of PRP and Fillers: The concept of using both PRP and dermal fillers is grounded in their complementary actions. Fillers offer immediate volume and PRP gradually improves skin quality. When used together, they may enhance the overall rejuvenation effects: fillers provide the initial scaffolding by elevating depressed areas and smoothing lines, while PRP fosters long-term tissue regeneration and healing. This synergy allows for immediate cosmetic improvement while setting the stage for continual biological enhancement, possibly leading to more nuanced and natural-looking results.

Addressing Multiple Aspects of Under-Eye Aging: Combining these treatments addresses the multifactorial nature of under-eye aging, targeting not only the loss of volume but also skin texture, resilience, and coloration. While fillers tackle the structural deficits, PRP helps in the biochemical revitalization of the skin. This dual approach can effectively address the layered complexity of signs associated with the aging eye area.

Treatment Protocol and Sequence

Initial Dermal Filler Injection for Instant Results: The sequential protocol often begins with the administration of dermal fillers, capitalizing on their ability to immediately rectify volume loss and deep creases. By first establishing a rejuvenated baseline, fillers lay the groundwork for subsequent treatments and offer patients an instant boost in appearance. This can be particularly motivating and satisfying, providing visible enhancements right from the treatment’s outset.

Subsequent PRP Treatments for Long-Term Benefits: Following the filler injections, PRP is introduced in series to promote tissue repair and collagen production, thereby enhancing the staying power of the initial improvements from fillers. These PRP sessions are spaced out to allow the body to naturally respond to the growth factors present in the platelets, which reinforce skin elasticity and quality over time. This long-term strategy aims to maintain and augment the restorative effects, leading to sustained under-eye rejuvenation.

Frequently Asked Questions

How long do the results of PRP under-eye treatment last?

The results of PRP under-eye treatments typically last between 6 months to a year, varying with individual healing responses and lifestyle factors.

Are there any side effects or downtime associated with PRP under-eye injections?

Side effects of PRP under-eye injections are usually minimal and may include temporary swelling, bruising, or redness, with most patients experiencing little to no downtime.

Can dermal fillers be dissolved if I am not satisfied with the results?

Yes, hyaluronic acid-based dermal fillers can be dissolved with an enzyme called hyaluronidase, allowing for adjustments or reversal of the effects if desired.

How often do I need to repeat dermal filler injections for maintaining results?

Dermal filler injections may need to be repeated every 6 to 18 months to maintain results, depending on the type of filler used and individual factors.

How do I choose between PRP and dermal fillers for my specific under-eye concerns?

The choice between PRP and dermal fillers depends on individual concerns, goals, and skin condition. A consultation with a skincare professional can help determine the most suitable treatment.

Can PRP or dermal fillers be used for prevention of under-eye aging in younger individuals?

PRP and dermal fillers can be used as a preventative measure to address early signs of aging and maintain under-eye skin quality in younger individuals.

Conclusion

In summary, PRP and dermal fillers offer varied avenues for under-eye rejuvenation, each with its own set of advantages, costs, and considerations. PRP presents a natural option with longer-lasting effects, while dermal fillers provide immediate volume correction and are customizable. The selection process should weigh these factors, as well as the potential risks and required maintenance treatments. A personalized approach, sometimes involving a combination of therapies, can address the complex nature of under-eye aging and yield the most satisfying results for patients.

Was this article helpful?

Yes
No

References:

Trinh, L. N., Grond, S. E., & Gupta, A. (2022). Dermal Fillers for Tear Trough Rejuvenation: A Systematic Review.

https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0041-1731348

Mehryan, P., Zartab, H., Rajabi, A., Pazhoohi, N., & Firooz, A. (2014). Assessment of efficacy of platelet-rich plasma (PRP) on infraorbital dark circles and crow's feet wrinkles.

https://onlinelibrary.wiley.com/doi/10.1111/jocd.12072

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.