Restylane vs Juvederm

Daniel Reichner, MD answers: Restylane or Juvederm doctor consultation - what to ask

What should I ask my doctor before getting a Restylane or Juvederm injection? I don't want to look lumpy or unnatural. It's for naso-labial folds and my eye area.


Daniel Reichner, MD
10 months ago

At my Medical Spa, I use both products for the naso-labial folds and tear trough areas.  Probably more important than which hyaluronic acid filler you use is the experience of the injector - does your doctor understand the anatomy of the area.  This is especially true of the tear trough area. 

This area is very complex and improper application of either filler in this area can cause problems. I suspect that when some practicioners have problems they blame the product and not their technique. 

I would highly recommend an experienced Board Certified Plastic Surgeon who understands the surgical anatomy of the tear trough and upper cheek - the orbital septum, arcus marginalis, lateral canthal tendon attachments, medial obicularis muscle attachments on the orbit, the SOOF layer of fat below the obicularis muscle and the orbital-cheek fat junction. 

Most of the problems that I see in the tear trough region involve poor understanding of this anatomy and improper injections - trying to "fill" the depression.  Many of these improper injections require an enzyme (hyaluronidase) to correct the excess Restylane or Juvederm.

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