Who Should Not Get Under Eye Fillers?

Get Your Dermal Filler Consultation with Dr. Laura Geige at It’s Me and You Clinic

General Contraindications

Pregnancy and Breastfeeding

The general contraindications for under-eye fillers are specific medical conditions that may increase the risk of complications or affect the efficacy of the treatment. These include, but are not limited to:

Active acne or rosacea on the treated area: Under-eye fillers can exacerbate acne and rosacea symptoms, making them a less ideal choice for individuals with these conditions.

Blepharitis or conjunctivitis: Inflammation of the eyelids or conjunctiva may interfere with the filler’s absorption or cause irritation during or after treatment.

Autoimmune disorders such as rheumatoid arthritis, lupus, or Sjögren’s syndrome: The active inflammation and autoimmune responses can compromise the filler material and lead to unpredictable results.

Hypersensitivity reactions or allergies: Individuals with a known allergy to the filler material, such as hyaluronic acid or calcium hydroxylapatite, should avoid under-eye fillers altogether.

History of orbital or peri-orbital surgery: Previous surgeries in the surrounding area can cause scarring, adhesions, or other complications that may interact with the filler treatment.

Clinical conditions such as dystonic reactions, Parkinson’s disease, or multiple sclerosis: The neurologic effects of these conditions may increase the risk of adverse reactions to under-eye fillers.

Active infections on the treated area: Under-eye fillers can be pushed deeper into the skin by an infection, potentially leading to more severe complications.

Tumor or cyst on the face, particularly around the orbit: The filler material may be misplaced if a tumor or cyst is present, causing unintended consequences such as bruising or inflammation.

Active inflammatory eye conditions like uveitis, conjunctivitis, or scleritis: Fillers can exacerbate these conditions and lead to vision loss, pain, or other severe complications.

Thyroid disorders that may cause eyelid swelling or other changes: Individuals with untreated thyroid problems may experience unpredictable effects from under-eye fillers due to fluctuations in thyroid hormone levels.

Giant papillary conjunctivitis (GPC): A condition caused by an allergic reaction to contact lenses, GPC can lead to chronic inflammation and scarring on the eye surface, making it a contraindication for under-eye fillers.

Pregnancy or breastfeeding: There is limited research on the safety of using under-eye fillers during pregnancy or breastfeeding. However, it’s recommended that women avoid fillers until after they have completed their postpartum recovery and are no longer breastfeeding to minimize potential risks to the fetus or baby.

Avoid getting under eye fillers during pregnancy or breastfeeding as their effects on the fetus or baby are unknown.

Avoid under-eye fillers if you are pregnant or planning to become pregnant, as the effects of these fillers on the fetus are unknown and may pose a risk to the developing baby.

This precaution is necessary because the safety of using fillers during pregnancy has not been established through extensive clinical trials, and the potential risks associated with their use may outweigh any possible benefits.

During pregnancy, the body undergoes significant changes that can affect the way certain medications work, including dermal fillers. As a result, it is recommended to wait until after delivery before undergoing cosmetic treatments such as under-eye filling.

In addition to pregnancy, there are other situations where under-eye filler use should be avoided. These include:

– Immunocompromised individuals: People with weakened immune systems due to conditions like HIV/AIDS or taking immunosuppressive medications should not use fillers until their condition is well-managed.

– Bleeding disorders or surgery in the near future: Individuals with bleeding disorders such as hemophilia, and those planning to undergo surgery within a certain timeframe (usually 2-3 weeks), may need to avoid under-eye filler treatments due to an increased risk of complications like bleeding or bruising.

– Certain medications and substances: Certain medications like retinoids, isotretinoin, and certain antibiotics should not be used in conjunction with fillers, as they can increase the risk of adverse reactions.

– Autoimmune disorders: Individuals with autoimmune disorders such as rheumatoid arthritis, lupus, or multiple sclerosis may need to exercise caution when using under-eye filler treatments due to an increased risk of autoimmune complications.

– Ocular surface disease or eye conditions: Certain eye conditions like dry eye syndrome, conjunctivitis, or ulcers should be treated before undergoing filler treatments to avoid exacerbating these conditions.

– Recent skin injuries or infections: Fillers should not be used on areas with active skin infections or recent injuries, such as cuts or burns, until the affected area has healed and is no longer at risk of infection.

It’s essential to consult a qualified healthcare professional or dermatologist before undergoing under-eye filler treatments to discuss individual risks and determine the best course of treatment.

Risk Factors for Complications

Autoimmune Disorders

Autoimmune Disorders can significantly increase the risk of complications from under-eye fillers, a cosmetic treatment aimed at reducing fine lines, wrinkles, and dark circles under the eyes. Individuals with compromised immune systems are more susceptible to adverse reactions, such as allergic responses, infections, or delayed healing.

A history of *_Autoimmune Disorders_* like lupus, rheumatoid arthritis, or _*_Hashimoto’s Thyroiditis_*** increases the risk of complications from under-eye fillers. For instance, patients with autoimmune disorders are more prone to developing antibodies against the filler materials, which can lead to severe reactions.

Cold Sores and Herpes Simplex, a viral infection caused by *_Herpesviridae family_***, can increase the risk of complications from under-eye fillers. The herpes simplex virus is active during periods of stress or when an individual experiences a _*_cold or flu_***. This heightened susceptibility to infection may lead to delayed healing, inflammation, or scarring.

_Pregnancy and Breastfeeding_ are also significant risk factors for complications from under-eye fillers. During these periods, the body’s immune system is naturally weakened, making it more challenging to tolerate foreign substances. Additionally, pregnant or breastfeeding women may be at increased risk of developing antibodies against the filler materials.

Dental and Oral Health Issues, particularly _*_Periodontal disease_*** or *_Denture-induced stomatitis_***, can compromise the overall health of individuals who undergo under-eye fillers. Poor oral health may lead to an increased risk of complications, including infection, scarring, or delayed healing.

Taking Immunosuppressive Medications, such as _*_corticosteroids_*** or *_biologics_***, can significantly increase the risk of complications from under-eye fillers. These medications suppress the immune system, making it more challenging to tolerate foreign substances and increasing the risk of adverse reactions.

HIV/AIDS, a chronic viral infection caused by *_HIV-1 or HIV-2_***, is another significant risk factor for complications from under-eye fillers. Individuals with HIV/AIDS often require immunosuppressive medications to manage their condition, which can increase the risk of adverse reactions to filler materials.

Past Infections, particularly those caused by *_Viral infections (e.g., herpes simplex)_*** or _*_Bacterial infections (e.g., folliculitis)_***, can also compromise an individual’s health and increase the risk of complications from under-eye fillers.

Poor Lymphatic Function, which may be caused by various factors including *_Obesity_***, _*_Smoking_***, or _*_Poor Nutrition_*_, can also contribute to an increased risk of complications from under-eye fillers. Reduced lymphatic function can impede the body’s ability to remove waste and toxins, leading to inflammation, swelling, or scarring.

Neurological Disorders, such as _*_Migraines_*** or _*_Multiple Sclerosis_***, may increase an individual’s risk of complications from under-eye fillers. These conditions can compromise the body’s ability to regulate blood pressure, which may lead to increased bleeding or bruising at the injection site.

Poor Skin Health, characterized by _*_Acne_***, _*_Rosacea_***, or _*_Psoriasis_***, can also increase an individual’s risk of complications from under-eye fillers. Such skin conditions may lead to inflammation, scarring, or delayed healing.

Past Allergic Reactions, particularly those caused by *_Local anesthetics_* or _*_Other injectables_***, can increase an individual’s risk of complications from under-eye fillers.

Aging and Age-Related Health Conditions, such as _*_Atherosclerosis_*** or _*_Osteoporosis_***, can compromise an individual’s health and increase the risk of complications from under-eye fillers. These age-related conditions may lead to reduced blood circulation, which can impede the delivery of filler materials.

Poor Surgical History, characterized by _*_Previous facial surgeries_*** or _*_Scarring disorders_***, can increase an individual’s risk of complications from under-eye fillers.

Individuals with autoimmune disorders, such as rheumatoid arthritis or lupus, may be at higher risk of complications from under eye fillers. A study published in the Journal of Clinical and Aesthetic Dermatology found that patients with autoimmune disorders were more likely to experience adverse reactions.

The presence of an autoimmune disorder can increase the risk of complications from under-eye fillers. Individuals with conditions such as rheumatoid arthritis, lupus, or psoriasis may be more susceptible to adverse reactions due to their compromised immune system.

• A study published in the Journal of Clinical and Aesthetic Dermatology found a significant correlation between autoimmune disorders and increased risk of complications from under-eye fillers.
• The study highlights the importance of considering a patient’s medical history, particularly when it comes to autoimmune disorders, before administering any cosmetic treatments.
• Patients with rheumatoid arthritis, for instance, may be at higher risk due to their compromised immune system, which can lead to a greater reaction to foreign substances in the filler material.

Another factor that may contribute to increased complications is the presence of certain medications. Individuals taking immunosuppressive or anti-inflammatory medications, such as corticosteroids, may be at higher risk due to their ability to suppress the immune system and increase sensitivity to foreign substances.

The type of filler material used can also play a role in increasing the risk of complications for individuals with autoimmune disorders. For example:

• Human serum albumin (HSA) fillers may not be suitable for patients with autoimmune disorders, as they contain human proteins that can trigger an immune response.
• Synthetic fillers, on the other hand, such as hyaluronic acid or calcium hydroxylapatite, may be a safer option, but individual reactions can still vary depending on specific circumstances.

It is essential to note that every individual’s response to under-eye fillers is unique, and medical professionals should carefully assess each patient’s risk factors before proceeding with treatment.

• A thorough medical history, including information about autoimmune disorders and medications, will help determine the best course of action for each patient.
• Additionally, regular follow-up appointments after the procedure can help identify any potential complications early on.

Specific Groups

Certain Medications

Individuals with active infections, such as conjunctivitis (pink eye), should avoid undergoing treatments like under-eye fillers until their infection has cleared up.

Certain medical conditions require individuals to refrain from getting under-eye fillers. These include:

• Thyroid disorders: Individuals with untreated hypothyroidism or hyperthyroidism may not be suitable candidates for under-eye fillers as the medications used can exacerbate thyroid-related issues.
• Autoimmune diseases: Conditions like rheumatoid arthritis, lupus, and psoriasis might increase the risk of complications after receiving under-eye fillers. A thorough medical evaluation is necessary to ensure it’s safe to proceed with treatment.
• Blood clotting disorders: Individuals suffering from hemophilia or those taking medications that affect blood clotting should exercise caution when considering under-eye fillers, as there may be an increased risk of complications.
• Fibromyalgia: While this condition is not an automatic contraindication for under-eye fillers, individuals with fibromyalgia might experience enhanced sensitivity to pain and discomfort after the treatment. Careful monitoring by a medical professional is advised.
• Dermatological conditions: Skin issues such as rosacea or severe acne should be carefully evaluated before undergoing under-eye fillers, as these conditions may worsen with treatment or lead to increased scarring.
• Pregnancy and breastfeeding: Due to the lack of research on the use of under-eye fillers during pregnancy and breastfeeding, it’s generally recommended that women delay receiving these treatments until after they’ve completed their reproductive years.

Medications can also interfere with the effectiveness or increase the risks associated with under-eye fillers. Certain medications should be avoided before, during, or after treatment:

1. Immunosuppressants: Medications like cyclosporine and tacrolimus suppress the immune system and may interact negatively with under-eye fillers.
2. Anti-inflammatory medications: Long-term use of anti-inflammatory medications like aspirin, ibuprofen, or naproxen can affect blood clotting, potentially increasing the risk of complications after filler injection.
3. Anticoagulants: Medications that thin the blood, such as warfarin, may interact with under-eye fillers and increase the risk of bruising, swelling, or bleeding at the treated site.
4. Beta-blockers: These medications can cause vasoconstriction, leading to increased bleeding or swelling at the injection site. They may also mask symptoms of an allergic reaction to under-eye fillers.

Additionally, individuals taking certain supplements should avoid them before undergoing under-eye fillers:

• Aspirin and other NSAIDs: As mentioned earlier, these medications can affect blood clotting and increase the risk of complications after filler injection.
• Fish oil supplements: These may contain omega-3 fatty acids that can thin the blood and potentially interact negatively with under-eye fillers.
• Herbal supplements like ginkgo biloba, bromelain, or St. John’s Wort: Interactions between these supplements and under-eye fillers are not well understood and can pose risks to the individual receiving the treatment.

Individuals with a history of allergic reactions or an adverse response to any filler or medication should exercise extreme caution before proceeding with under-eye fillers. It’s essential for them to discuss their medical history thoroughly with their healthcare provider or dermatologist before making a decision.

Patients taking certain medications, such as blood thinners or antidepressants, should consult their doctor before undergoing under eye filler treatment. The American Academy of OtolaryngologyHead and Neck Surgery recommends that patients stop taking these medications for a specified period before the procedure.

If you are taking certain medications, it’s essential to consult with your doctor before undergoing under-eye filler treatment.

The American Academy of Otolaryngology – Head and Neck Surgery emphasizes that patients taking blood thinners, such as warfarin or aspirin, should stop taking these medications for a specified period before the procedure.

For example:

• Blood thinners like warfarin (Coumadin) may increase the risk of bruising and bleeding at the injection site.
• Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can also cause increased bleeding risks.

Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), are another type of medication that should be stopped before under-eye filler treatment.

These medications may increase the risk of complications, such as bruising, swelling, or scarring.

Avoiding these medications for a specified period allows the doctor to assess the risks and make informed decisions about the procedure.

In general:

1. Stopping blood thinners at least one week before treatment is recommended.
2. Cessation of antidepressants should be determined on an individual basis, taking into account the specific medication and dosage.

It’s essential to consult with your doctor or a qualified medical professional to determine the best course of action for your specific situation.

Their guidance will help you make informed decisions about your treatment options and minimize potential risks.

A thorough consultation can also ensure that you’re aware of any necessary precautions or adjustments during the treatment process.

Eye Disorders

Book a Dermal Filler Consultation with Dr. Laura Geige at It’s Me and You Clinic

The use of eye fillers, such as hyaluronic acid or calcium hydroxylapatite, has become increasingly popular in recent years due to their ability to restore lost volume and smooth out fine lines and wrinkles around the eyes. However, like any medical treatment, there are certain groups of people who should avoid getting under-eye fillers.

One group of people who should not get under-eye fillers are those with a history of eye surgery or injury. This includes patients who have had cataract surgery, glaucoma surgery, or retinal detachment surgery, as well as individuals who have suffered from eye injuries such as a blow to the head or a penetrating eye wound.

Another group of people who should avoid under-eye fillers are those with certain underlying medical conditions. For example, patients with autoimmune disorders such as rheumatoid arthritis, lupus, or scleroderma may be more susceptible to complications from filler injections, and should therefore avoid getting under-eye fillers.

People with allergies to the ingredients used in eye fillers are also advised against using them. Hyaluronic acid fillers, for example, contain a protein called hyaluronan that can cause allergic reactions in some individuals.

Additionally, patients who have had recent eye infections or inflammation should avoid getting under-eye fillers until their condition has fully resolved. This includes conditions such as conjunctivitis, uveitis, or keratitis.

Schedule Your Dermal Fillers with Dr. Laura Geige at It’s Me and You Clinic

Those with a weakened immune system, such as patients undergoing chemotherapy or taking immunosuppressive medications, may also be at increased risk of complications from eye filler injections.

Furthermore, individuals who are taking certain medications that thin the blood, such as warfarin or aspirin, should use caution when getting under-eye fillers. These medications can increase the risk of bleeding and bruising at the injection site.

Older adults, particularly those over the age of 65, may also be more susceptible to complications from eye filler injections due to their increased likelihood of underlying health conditions or decreased healing ability.

Finally, pregnant or breastfeeding women should avoid getting under-eye fillers until further research has been conducted on their safety in these situations.

In summary, there are several groups of people who should exercise caution or avoid getting under-eye fillers altogether. It is essential to discuss any underlying medical conditions or concerns with a qualified healthcare professional before undergoing eye filler injections.

Individuals with preexisting eye disorders, such as glaucoma or detached retinas, should consult their doctor before getting under eye fillers. The American Academy of Ophthalmology advises against filling the tear trough area if it is associated with an eye disorder.

The decision to undergo under eye fillers, such as Restylane or Kybella, is a personal one that requires careful consideration. However, there are specific groups and individuals with preexisting eye disorders who should consult their doctor before getting these treatments.

Glaucoma patients are advised to exercise caution when considering under eye fillers, especially if they have had previous eye surgery or have experienced complications from glaucoma treatment. The filler material can potentially increase the pressure inside the eye, which may exacerbate existing glaucoma symptoms.

Detached retinas pose a significant risk when it comes to under eye fillers. A detached retina is a serious condition where the retina separates from the back of the eye, and filling the tear trough area in such cases can lead to further complications. The American Academy of Ophthalmology strongly advises against filling the tear trough area if it is associated with an eye disorder like a detached retina.

Furthermore, patients with dry eye syndrome should exercise caution when considering under eye fillers. Filling the tear trough area can potentially worsen dry eye symptoms, and some fillers may even increase the risk of dry eye-related complications.

Nbua, or neuroma, is another condition that requires careful consideration before undergoing under eye fillers. In this condition, nerve tissue grows into the orbital fat, leading to pain, numbness, or tingling in the face and eye. Filling the tear trough area may not be suitable for patients with Nbua, as it can potentially push the nerve further into the bone.

Additionally, individuals with a history of eyelid drooping (ptosis) should consult their doctor before getting under eye fillers. Ptosis is a condition where the eyelid does not lift properly, and filling the tear trough area may exacerbate this condition.

Amyloidosis, a condition characterized by abnormal protein accumulation in the body, also requires caution when considering under eye fillers. In some cases, amyloidosis can affect the eyes and lead to vision problems. Filling the tear trough area may not be suitable for patients with this condition.

Finally, patients with certain systemic conditions, such as thyroid disorders or autoimmune diseases, should consult their doctor before getting under eye fillers. These conditions can affect the body’s response to the filler material and lead to unpredictable results.

• Glaucoma patients
• Patients with detached retinas
• Patients with dry eye syndrome
• Patients with Nbua (neuroma)
• Patients with ptosis (eyelid drooping)
• Patients with amyloidosis
• Patients with thyroid disorders or autoimmune diseases

Read more about Fringe Beverly Hills here. Read more about Highland Spring Magazine here. Read more about Highland Spring Magazine here. Read more about En Bloch Hotels here.