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Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
How often would someone need to have Juvederm injected for dark under eye circles?
Although Juvederm lasts only an average of 10 months elsewhere, it frequently lasts 18 months or longer when injected around the eyes. Radiesse can last at least that long and frequently longer around the eyes. Both should be injected by a very experienced injector using a blunt needle.
I think fat grafting is a much safer, predictable and obviously longer lasting that Juvederm or any other under eye filler. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, and by a plastic surgeon with significant experience and expertise in fat grafting.