Photo Credit: ShutterstockDr. Mariano Busso is a Diplomate of the American Board of Dermatology and a Fellow of the American Academy of Dermatology. He is recognized as one of the world’s leading experts in cosmetic fillers as acknowledged in the prestigious Journal of the American Academy of Dermatology (JAAD) by the president of the American Academy of Dermatology, Dr. C. William Hanke. Dr. Mariano Busso was honored to be a part of the FDA advisory panel that developed national guidelines for the use of cosmetic fillers. Over the past three decades, Dr. Busso has developed one of the largest cosmetic practices in the U.S. based in Miami, Florida and has since expanded his practice to Beverly Hills, California to serve his celebrity clientele.

Haute Beauty caught up with Dr. Mariano Busso talks to learn more about his upgraded approach to address dark under-eye bags that he’s been performing for decades. His unique injecting technique lasts longer than your average tear trough filler and has transformational results.

HB: How do you address dark circles under the eyes?

Most dark circles are dark not because the skin is dark, but because of sagging. We use hyaluronic acid like everyone else but for some reason, that specific location tends to hold longer than other areas. We use Voluma which by definition lasts 1-3 years. But secondly, the filler is not lost very easily in the specific compartment that we inject.

It takes some time to master the technique and I’ve been doing this for a long time so most doctors don’t do it. At the most, they will do tear trough fillers which is a sparse improvement.

HB: How does the treatment work?

First, we do laser mapping of the area to map the vascular system and avoid bruising. Second I use a cannula, no needles because it causes more trauma which creates more bruising and swelling. I am one of the few people that use Voluma in that area because it is robust and doesn’t move.

Photo Credit: Shutterstock

HB: What is recovery like?

Most people don’t bruise or swell and they’re ready to go on with their lives after treatment. Maybe once in a while, someone might bruise or have some swelling but it is very temporary.