Restylane or Juvederm for Genetic Tear Trough Deformity or Hollowness?

asked 2 years ago by Sevook77 in Los Angeles
Latest answer by James C. Marotta, MD
Question viewed 1,645 times
Tags: age 18-24, tear trough, female, hollow

I’m 24 years old and always have had deep hollowness under my eyes (safe to assume it’s genetic). I’m seeking fillers and have found an ophthalmic surgeon in Los Angeles, but want more options. He asking for $1,500 for 1 syringe, is this average? I’m curious whether it will help with my situation or will it make it bumpy and wrinkly when I smile. Also, should I get Restylane or Juvederm? I had Juvederm in my lips roughly 2 years ago and it went well. I’m extremely scared. Any suggestions/advice will be appreciated.

7 answers to Restylane or Juvederm for Genetic Tear Trough Deformity or Hollowness?

Get Restylane for Tear Trough Deformity

Your best bet is to use Restylane under the eyes. Juvederm is a great product for elsewhere on your face. However lower eyelids swell very easily and Restylane is less likely to swell. The good news about Restylane (or Juvederm) treatments is that they are reversible. If you are unhappy with the treatment after a few weeks, the filler can be completely dissolved with a simple injection of Hyaluronidase. Hope this is helpful.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

It is always possible to find someone to do anything for less

The placement of filler in the under eye area is an art form and not so much a treatment technique. The price you were quoted is about right for the high end Beverly Hills and West Los Angeles practices with the most experienced injectors. For this type of cost, you should expect a detailed service by the actual surgeon rather than a nurse or other type of injector. This type of treatment places an absolute premium on a detailed surgical knowledge of the lower eyelid midface anatomy.... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Fillers for under eye hollows

Improving hollows under the eyes with filler is definitely an option. And a good option - patients do very well if there are hollows. Here is my advice: 1. Ask for before and after photos. 2. Ask how many syringes the physician thinks will be required. In my experience you usually do not need more than 1. 3. Realize that you will have bruising so plan for this procedure when you do not have any big events coming up. 4. Make sure the physician is board certified and injects a lot. Filling... more

Kavita Mariwalla, MD
New Haven Dermatologic Surgeon

Juvederm or Restylane for under eye hollows both work well

I use Juvederm and Restylane and I think they're equally effectively for filling in under eye hollows or the tear trough deformity. Both products are clear, gel-like and made of hyaluronic acid, which is probably the filler with the greatest safety profile. Injections around the eyes of any filler should not be taken lightly. You must seek expert advice from a doctor. that performs a lot of fillers in this area. Artistic injecting technique proper deep area or plane is critical to avoid... more

James C. Marotta, MD
Long Island Facial Plastic Surgeon

Options for fillers in the tear trough

I would assume you are looking for a long-term solution. The HA fillers Restylane and Juvederm are both good choices for that area, but there is one thing to be careful of: if you have thin skin, you may see some bluish coloration even with the filler deep as it should be, especially toward the inner corner of the eye. I like Evolence for this area because it doesn't have the color issue, though I do use both Restylane and Juvederm there frequently. ($1500 for one syringe sounds a little... more

Richard Baxter, MD
Seattle Plastic Surgeon