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.
Restylane or Juvederm for Genetic Tear Trough Deformity or Hollowness?
Doctor Answers 8
Do You recommend Restylane for tear troughs ?
Restyane works very well for hollow tear troughs with great outcomes in experienced hands. Although the estimate you got seems on the higher end of prices, you are paying for experience and perhaps location. I am sure that you can find someone in LA who can do it for less than 1,000 dollars and who has (most importantly) the reputation and experience to give you a very nice outcome For that price (1500 - 2500), you can probaby get autologous fat transfer. .
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.
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. For this reason, many dermatologists are not comfortable placing this treatment. Also you may in fact need more than one syringe of filler to treated the under eye area. The longevity of the Restylane in this area is excellent and can last up to 2 years so that a well done service even on the more expensive side can be a very good value.
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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:
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 filler visibility and get a natural-looking outcome.
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 on the high side.) Another option you may want to look into is fat transfer, which can be a permanent correction.
Tear Trough deformity fillers
In addition to Restylane and Juvederm, I have had recent success with Evolence in this area and it seems to last longer. But be careful and go to an experienced physician. It should cost less than $1500.00 for two syringes!
Restylane or Juvederm
Filler in the tear trough area should be placed (carefully), deep to the orbicularis oculi muscle in that area. You can get a nice, natural result with Restylane, my filler of choice for the lower eyelid hollows. You could probably do much better than $1500 per syringe. I would check around.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.