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Restylane or Juvederm Injection Safe and Effective for Under Eyes?

asked 2 years ago by hopefulhollow in louisville, ky
Latest answer by Monika Kiripolsky, MD
Question viewed 4,234 times
Tags: age 45-54, under eyes, hollow, safety

Is it safe and effective to have Restylane or Juvederm injected under the eyes for hollowness? If so, which is better? I had a lower blepharoplasty 8 years ago and I'm very hollow under the eyes. I am 48 years old and I have an appointment for a consultation and possible treatment this coming week, but I am apprehensive about the actual injection.

17 answers to Restylane or Juvederm Injection Safe and Effective for Under Eyes?

Restylane is safe and effective for under eyes

Dear Hopefulhollow, RESTYLANE. Hands down. Juvederm is a great filler but causes more swelling and is best not used along the periorbital area. For best results, I would insist on getting the injections from an experienced DOCTOR (not a nurse or other injector). As a plastic surgeon, I COULD smugly tell you that we are THE best. But that would not be true. I would though pick a GOOD ENT (facial plastics) or Dermatologist as easily but make sure they can deliver what you want and will be... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Eyelid surgery, Restylane, Peri-orbital hollows, hollow under eyes, tired eyes

You ask a very good question- the under eye area needs special attention and care. The hollow contributes to a tired appearance. With blepharoplasty the area under the eye must be filled in or the eyes may look more tired in the short time when the surgical swelling has resolved. Restylane can be used to correct the hollow very nicely. As an alternative the hollow can be fat grafted at the time of surgery or if not then- at a later date. Fat grafting gives a permanent result to the... more

Trevor M. Born, MD
Toronto Plastic Surgeon

Fillers for Tear Trough

You are talking about having a filler placed into the tear trough area. After blepharoplasty some patients can suffer from excessive hollowing and more prominence of the tear trough. Both are great at filling in the area. I find that restylane goes a bit longer than juvederm does, but that is solely my experience. They both work well in that area. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Filler along the lower eye

Placing filler material such as restylane and juvederm along the lower lid can be done. There is a slight risk of blindnes that has been reported with this technique although it is extremely rare. Go to an experienced injector.

Steven Wallach, MD
Manhattan Plastic Surgeon

Yes, it can be done, but it is a very tough procedure and should only be done by an expert

When I say expert, I mean it. If you go to the medispa down the street, you are most likely going to be very unhappy. It can have real problems (read some of the RealSelf questions on this subject if you doubt that) if done improperly. Even if it is done properly, it sometimes doesn't work all that great as that area can be scarred from the initial procedure and the anatomy of the area can be 'off'. Good luck whatever you do!

Joel Schlessinger, MD
Omaha Dermatologist

www.LovelySkin.com

Restylane and Tear Trough

Of all the areas in which we place fillers, this is potentially the highest impact region of the face. The results of a well-done augmentation of the lower lid complex can have major rejuvenating effects. However, of all the areas, this is the one in which you need to find an injector with expertise and experience in injecting this area. The potential complications can range from minor irregularities to serious injury to the anatomy around the eye. In well-trained hands, the risks... more

Amir M. Karam, MD
San Diego Facial Plastic Surgeon

www.drkaram.com

Restylane Injections Under the Eyes to Correct Hollowness

Hi Hopeful, I, and many others now only use Restylane to fill lower eyelid hollowness because of experience with too much swelling under the eyes with Juvederm in one of my patients, and in many patients injected elsewhere. The safety of the injection in this area is related to the experience and skill of the injecting physician. It is a very delicate and unforgiving area so choose your injecting physician most carefully. When performed properly, the results are excellent. Good luck and be... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Fillers for under eyes

Filling up the tear trough area can be a very effective option and if done well looks very natural. Juvederm and Restylane are versatile products for this area but there is one thing to be careful about: if your skin is very thin, especially toward the inner corner of the eye, you may get a bluish appearance because the products are clear. Another filler called Evolence works well in that case. As long as your injector is experienced with treating this area, they will be able to make a good... more

Richard Baxter, MD
Seattle Plastic Surgeon

Prefer Restylane for under eye hollowing

I think that a filler procedure is ideal for the circumstance described. The loss of volume (reduction of fat) after blepharoplasty creates hollowing under the eyes. This is best addressed with a filler agent that can "volumize" the hollow area. I agree with comments noted by other physicians that this is safe and effective but highly dependent on the skill of the person performing the procedure. Another option for longer-term results is fat injection.

Guy Lin, MD
Manhattan Facial Plastic Surgeon

Great caution in injections around the eyes

Great caution must be exercised in this area when injecting any filler. I will only inject a reversible filler in this area ie Juviderm or Restylane. Both can be reversed with another injection. The incidence of complications or undesirable results in this area are at least 10% by most reports so again make sure the person injecting in this area is extremely experienced. To me this requires a facial or plastic surgeon or eye plastic surgeon...ie someone who has an understanding of the... more

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon

Yes if done for the right reason

Fillers are safe and effective if done properly and for the right reason. If you need lower eyelid lift and expect the fillers to give you the same result, you will not be happy with result. Fillers are to fill depressions and loss of volume. The risk is higher when filler are injected close to the eye. You should make sure your doctor is qualified to do this procedure.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Prefer Restylane

Filler injections are effective and safe under the eyes. This is especially true in the tear trough area. However, this is one area that less is better so be sure not to "push" your injector to place more material than is necessary. You can find pictures on RealSelf displaying examples when too much substance was placed in this area. My preference is Restylane since it does not seem to migrate.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Restylane, Juvederm, or other hyaluronic acids to treat tear troughs (under eye hollowing)

Dear, Hopefulhollow, Your question is a good one. I will try not to "reinvent the wheel," as I agree with many of the answers already listed above by some of the most well-renowned and experienced practitioners in our field. I agree that this is NOT an area in which you should choose your doctor based upon a price quote (instead, I encourage you to choose a practitioner who has expertise in this particular procedure and with whom you feel comfortable).... more

Monika Kiripolsky, MD
San Diego Dermatologic Surgeon

Restylane or Juvederm for Hollow Eyes?

Hello hopefulhollow. As you may have discovered from doing your research on realself, the under eye area can be very unforgiving when done incorrectly. The best results are obtained when you find an experienced injector that uses a technique where the product is placed under the muscle in this area. That technique helps avoid a lumpy appearance that can actually create bags instead of fixing hollowness. We prefer Restylane in the tear troughs, but would... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Filler for under the eyes

It is only safely done on the part of the lower eyelid that is overlying the bony part of the upper cheek, not the eyelid skin between the eyelashes and the cheekbone. If the filler is placed superficially in the skin right below the eyelid, it may look too lumpy.. Both Restylane and Juvederm are commonly used for the tear trough and the skin above it underneath the hollow but above the bone and underneath the muscle. This is an off-label use and is done by experienced physicians.... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Restylane or Juvederm for Lower Lid Hollowness

Unfortunately you are suffering from the common problem that occurs with periorbital fat removal-remove too much fat and later on patients get hollowness. Yes fillers can help but are only temporary. Micro fat grafting would be a better, more permanent solution.

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Use of fillers juvederm or restylane to tear trough or lower eyelid area

There are risks to any procedure. Of course you should seek the skills of a physician who is experienced in this technique. I have generally preferred the use of juvederm ultra in this area but that is a personal recommendation and I certainly have no objection to the other products which I have used in this area.