Although many doctors use Restylane, Juvederm and other soft tissue fillers to correct under eye hollows, I do not.
Although retinal artery occlusion and blindness is very rare and unlikely (2 cases in the literature), visible lumps under the skin and downward migration of the filler is very common.
The eyelid skin is so thin that the filler is often visible as grey lumps.
More commonly, filler injections for under eye hollows, after 6 months are pushed downward by gravity and the action of the eyelid muscle, and the rim of filler is seen on the rim of the orbital bone beneath the dark eye hollow-this actually makes the hollow look worse.
Many, many doctors disagree with me, but i have seen these prob;lems in patients who have had their filler injections iunde rthe eye done by the 'worlds experts' at filler injection.
If you want to do this be certain you see a widely recognized expert board certified plastic surgeon and have him/her show you before and long term 96 months or longer0 results of his/her patients that they have injected.
In my opinion, the proper procedure to correct under eye hollows is surgical fat grafting--it is permanent and smooth-see reference below.
