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 also important for you to know that under eye injections are done off label, so it is important for the doctor to discuss all the risks, benefits and alternatives of this procedure.




