TürkçeUnder-eye light filler, as its name suggests, is the placement of a filler material beneath the skin. When we apply filler under the eyes, there is a transition line where the lower eyelid meets the bone structure, known as the tear trough. This area can be quite deep, making under-eye light filler an appropriate treatment. It helps prevent the shadowing in that area and adds brightness to the eyes. However, when we refer to under-eye light filler, it should not be assumed that the discoloration of the lower eyelid will lighten. It only eliminates the hollowing that causes the shadowing.
Under-eye mesotherapy, on the other hand, involves injecting medications beneath the skin that help eliminate the substances responsible for pigmentation, namely the darkness in the skin. It becomes highly beneficial when performed through repeated sessions. Results should not be expected within 1–2 sessions. Patients should prepare themselves for long-term treatment and multiple sessions.
| What is under-eye light filler? | It is the application of filler materials, usually hyaluronic acid-based, to fill hollowness under the eyes, restore lost volume, and provide a more rested appearance. |
| What is under-eye mesotherapy? | It is a skin rejuvenation procedure that aims to deliver ingredients such as vitamins, amino acids, minerals, peptides, antioxidants, and hyaluronic acid into the under-eye skin through microinjections. |
| Main mechanism of action | Light filler camouflages hollowness by restoring volume. Mesotherapy, on the other hand, aims to improve skin quality, hydration, and vitality. |
| Most suitable conditions | It is more effective for individuals with significant under-eye hollowness, volume loss, and the resulting shadowed appearance. Mesotherapy is preferred for fine wrinkles, dryness, dull skin, and mild discoloration. |
| Effect on dark circles | It may reduce dark shadows caused by hollowness. Its effect on pigment-related dark circles is limited. Mesotherapy may improve the appearance in some individuals by enhancing skin quality, but its effect on pigmentation is generally limited. |
| Effect on under-eye bags | It does not treat under-eye bags. In individuals with prominent bags, if patient selection is inappropriate, it may make the appearance more noticeable. Mesotherapy also does not eliminate prominent under-eye bags. |
| Application method | The filler material is injected into specific points beneath the eyes. |
| Number of sessions | It is generally performed in a single session. If necessary, minor corrections can be made during a follow-up session. |
| Onset of effect | The results are largely visible immediately after the procedure and become more natural as the swelling subsides. |
| Duration of effect | Depending on the filler used and individual factors, it can generally last between 9 and 18 months. |
| Advantages | It quickly corrects hollowness and may provide a more rested and brighter appearance. |
| Disadvantages | Incorrect patient selection or improper application may result in irregularities, swelling, or the Tyndall effect (a bluish discoloration). |
| Who is it more suitable for? | It is more suitable for individuals with pronounced under-eye hollowness and a tired appearance due to volume loss. |
| Can they be combined? | Yes. In suitable patients, volume loss can first be corrected with filler, followed by mesotherapy to support skin quality. |
| Possible side effects | Temporary swelling, bruising, tenderness, and redness may occur. Although rare, serious complications such as vascular occlusion may develop, making it important for the procedure to be performed by an experienced physician. |
| Which one is more effective? | For significant hollowness and volume loss, light filler is generally more effective. For improving skin quality and hydration, mesotherapy is a more suitable option. Rather than being alternatives to one another, these two procedures address different concerns. |
Frequently Asked Questions
Under-eye light filler is used to restore lost volume and fill hollowness, whereas mesotherapy aims to improve skin quality. Light filler provides structural support, while mesotherapy mainly enhances hydration, vitality, and radiance.
The cause of the dark circles determines the appropriate treatment. Light filler may be more effective for shadows caused by hollowness, while mesotherapy may provide better results for darkness related to poor circulation and skin quality.
The effects of light filler generally last between 12 and 18 months. Mesotherapy, however, requires repeated sessions at specific intervals, and regular maintenance sessions are recommended to preserve the results.
For individuals with significant under-eye hollowness, light filler generally provides more effective results. Mesotherapy alone does not restore volume but can improve the appearance after light filler by supporting skin quality.
These two methods can be combined in many patients. While light filler corrects volume deficiency, mesotherapy enhances skin hydration and elasticity, contributing to a more natural and youthful appearance.
The results of light filler are generally noticeable shortly after the procedure. With mesotherapy, skin renewal occurs over time, so several sessions may be required before significant results become visible.
Mild swelling, redness, or bruising may occur after both procedures. Light filler carries a risk of filler-related complications, whereas this risk is lower with mesotherapy, where reactions are generally temporary.
If age-related volume loss is significant, light filler may be more advantageous. If skin dryness, fine wrinkles, and loss of elasticity are the primary concerns, mesotherapy may be performed, or both methods may be planned together.
Most people can return to their daily activities on the same day. Mild swelling or bruising usually subsides within a few days, while improvements in skin quality after mesotherapy develop gradually and can be supported with regular sessions.
When planning treatment, under-eye hollowness, the cause of dark circles, skin quality, age, expectations, and previous procedures are evaluated. After a specialist examination, the most suitable treatment method or combination is determined for the individual.
He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996–2002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.
Between 2002–2009, he worked at Süleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.
Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. Dr. Nasır became a Professor in 2019 and continues to work as a faculty member in this position.
Between 2006–2008, he conducted studies on composite tissue transplantation at the Cleveland Clinic in Ohio, USA, together with Dr. Siemionow, who performed the first face transplant in the United States and the second in the world.
In 2012, he successfully performed Turkey’s second face transplant, which was the third among full face transplants in the world and the 22nd overall. Simultaneously with this face transplant, the world’s first quadruple limb transplant was carried out at Hacettepe University by a large team under his leadership.
He won second-place awards in the experimental and clinical specialist competitions at the 31st and 32nd National Plastic, Reconstructive and Aesthetic Surgery Congresses. In 2023, he completed his doctorate in Hand Surgery at Hacettepe University Faculty of Medicine.
He is a member of the American Society of Reconstructive Microsurgery, Plastic Surgery Research Council, Turkish Society of Plastic, Reconstructive and Aesthetic Surgery, Reconstructive Microsurgery Association, and Turkish Society for Surgery of the Hand and Upper Extremity.
