A good exam by a Board Certified Plastic Surgeon would be the best place to start. The question is what exactly is the anatomic issue that is causing the aged or "tired" look of your lower eyelids: is it too much skin, bulging fat, a deep tear trough, or a combination of these factors? Once the problem is properly identified, then you will have some options.
If indeed it is simply the tear troughs being too deep, I would personally recommend Restylane for this area, not Radiesse, Perlane, or Juvederm. Radiesse and Perlane are both simply too thick in my opinion for injection into such a delicate area, and the risk of both significant swelling, bruising or obivous bumps after the procedure can be high.
Juvederm, while similar to Restylane, is more hydrophilic (attracts more water) which makes it a great options in areas that you want to be more plump (like lips) but not as good under the eyes, as it can cause significant swelling that can take months to settle.
Some other surgeons may have a different experience with these products, and so I think it is important to have a good exam and consultation first before deciding on the course of action that would work best for you.
Dr. S
