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Perlane for Under Eye Hollows?

I am only 19, however, the area under my eyes is very hollow and the doctor said she would inject along the bone to fill the area. I am not too confident if perlane is the best option. Also, she said it would hurt so to avoid this she would inject adrenaline prior which would 'block' the area??? Could someone please tell me if this is the right way to go? Not too sure ...

Asked 31 months ago by pepper_leigh in Australia

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under eyes hollow

Injection of filler under the eyes

My personal preference is to use Restylane under the eyes. The skin in this area is very thin on most patients and Restylane is the least likely product to be visible through the skin. Perlane is preferable for areas of the face with thicker skin, as the product is more cross-linked. The under eye injections are quite comfortable and typically patients do not require even topical numbing cream for this procedure.

Umang Mehta, MD

Bay Area Facial Plastic Surgeon

Perlane under the eyes

I prefer not to use perlane under the eyes in the hollow because it is a fairly thick product. My preference is restylane for this area.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Filling under eye hollows

Greetings~ It is difficult to recommend for or against treatment without seeing you but generally speaking I prefer Restylane for the under eye hollows...though very similar, Perlane is thicker and consists of larger particles which can be more difficult to work with in the thin, delicate under eye area. Most patients are surprised how tolerable the injections in this area are. The majority of patients are fine with only topical anesthetic but injectable anesthetic... more

Grant Stevens, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

Perlane, Juvederm, Fill NLF's, Face Fillers, Restylane

Perlane is too thick to be placed just below the eyes and at 19, I can't imagine what you'd be treating. It is possible for teens to have pre-mature lower eyelid bags but these more often appear during the early 20's. You might consider seeing a facial plastic surgeon, plastic and cosmetic surgeon or a dermatologist for a consultation before proceeding.

Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

Perlane for the hollowing of the lower eyelid

I prefer using juvederm in this area - to me it's smoothness is unsurpassed and the ease of injection makes for a relatively painless procedure using just topical anesthesia. I do not find blocks necessary. Also, if the substance is injected deep to the thin circular orbicularis muscle, I have not had any instances of it being visible.

Douglas Stevens, MD

Fort Myers Facial Plastic Surgeon

Perlane is great for under the eyes!

I really like Perlane under the eyes. I use it more than any of the other fillers. Perlane is a lot like Restylane, only a little thicker and with slightly longer results. This is going to be a short answer, because it really is straight forward! Perlane is great for treating the tear trough, and cheek bone area. One caveat, treating under the eyes is an art and highly technique dependent, so like anything else that requires skill and touch, you will have to find... more

David Mabrie, MD

Bay Area Facial Plastic Surgeon

Do not use Perlane for under eye hollows

I agree with Dr. Kaplan. There are two red flags here that make me think that your injector lacks experience. First of all, Perlane is not a good filler in this area. Personally, I only inject Restylane in the so-called tear trough area. Perlane has a high risk of an unnatural result in this area. Secondly, a dental block is not used for this area. Injections are essentially painless with a topical anesthetic. My patients never report any pain with this procedure. I would look elsewhere... more

Ryan Greene, MD, PhD

Fort Lauderdale Facial Plastic Surgeon

Location of Injection More Important than Product

The tear trough area is one of the most difficult to get right. I have seen a number of patients treated by medi-spa injectors with poor, unnatural results. Generally, this is the result of placing the product in the wrong place rather than using the wrong product. Perlane can be used with good effect but must be used right along the bone to avoid a lumpy appearance. It sounds as if your physician is doing this. The advantage to using Perlane is that it is a... more

Joseph Campanelli, MD

Minneapolis Facial Plastic Surgeon

Tear Trough Correction with Perlane

The Tear Trough Defect is due to the combination of a bulging lower lid and orbital fat above and the sagging of the cheek inferiorly while its suspensory ligament is still attached to the lower rim of the eye socket below . The options are either to lift the sagging cheek OR add volume to the trough between the lower lid bulge and the sagging cheek bulge below. Although many fillers have been tried, the very thin skin of the base of the lower lid is unforgiving and almost translucent. It... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Perlane may not be best for under eye area

Hi Pepper, We agree with some of the other practitioners that Perlane may not be the easiest product to work with for the under eye area. Our preference is Restylane. As for the "block", you may be speaking about a "dental block" which is a term used to numb the face. We do not find that this is necessary and use a "triple numbing" cream. We are a bit concerned that the choice of product and the suggestion of a dental block indicates that your practitioner is... more

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Yes and No

First, if the area you're referring to is between the nose and the lower eyelid, the tear trough, then either Radiesse or a hyaluronic acid filler or sometimes even both can be used. The lower lid can be filled with any hyaluronic acid filler. If you're unsure about it I recommend starting with Mentor's Prevelle Silk as it will only last about 3-5 months. The other products last longer. If you want a more permanent fix than you'll need micro fat grafting. At your age if you're already... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

I would avoid Perlane under the eyes

Perlane is not the best option for under eye injections as the particles are quite large and it may end up looking pretty lumpy. Restylane is usually a much better choice, and it stays in this area for a long time, up to a year or two. Juvederm is a nice smooth filler, but it may end up more visible in this area. On another note, this area is surprisingly not tender on injections, so no block is usually necessary. A small amount of topical anesthetic cream is sufficient to numb it. It is... more

Stella Desyatnikova, MD

Seattle Facial Plastic Surgeon

Perlane for tear trough

Everything your doctor said seems on par, however, one of the thinner fillers are more commonly used (Restylane or Juvederm). Perlane might be a bit thick in this area but then again, I haven't examined you. Good luck!

Elan B. Singer, MD

Manhattan Plastic Surgeon

ASPS

Treatment for hollow eyes

There are several approaches to treating under eye hollows often referred to as tear troughs. The first and most simplest approach is to inject a filler like restylane or juvederm. I prefer restylane there since it is slightly less visible in that area than juvederm. I will not bore you with the science here. Also, I would not recommend perlane since it is a much thicker molecule and significant pain and bruising may result as well as lumpiness due to the larger size of the molecule. Other... more