Safer Option for Sunken Under Eyes Other Than Sculptra?

The risk of Sculptra nodule is significant for lower eyelid tear trough injection. One is better using a hyaluronic acid filler (Restylane, Juvederm, or Perlane) as the material can be reversed almost completely by hyaluronidase.

Sculptra Aesthetic is our preferred material for creating fullness in the cheeks, chin, and along the jawline. It should not be used in either the lower or upper lids. I doubt that your physician is planning to use it in your lids. Properly injected material does not move into the lids from elsewhere. The horror stories you have read were typically due to product being injected into the lids Dr. Mayl

For treatment of the tear troughs or the lower lid hollows, it is better to use Juvederm or Restylane.  Sculptra is not the best choice for this area.   

Sculptra is not indicated in the eyelids. However I have done it with great success. Here is the key; Dilute to 10cc and put only 1cc in that area under the orbicularis oculi muscle and do not hit the periosteum or bone. If your physician does not have enough experience with Sculptra in that area then don't do it. Juvederm / Restylane are safer options because hyaluronidase can remove any extra filler if it does not look good. Regards

Hi! The package insert specifically states that Sculptra should not be used under the eyes.  Restylane is safe with good technique if injected in very small quantities deeply under the muscle. In New York, we often use fat injections to correct the tear trough hollow