Structural fat grafting can be performed on upper eyelid hollows, to smooth hollows under the eyes, to fill sunken cheeks, for filling sunken hollows under eyes eyes and is often used for blepharoplasty correction when too much skin and or fat has been removed in an eyelid surgical procedure. Fat... more








134 posts
25 Sep 2008
Any filler can be used in the tear trough, but I think Restylane is the best for this area. Juvederm can be used but it tends to cause more swelling, probably because it has a higher concentration of Hyaluronic Acid than Restylane. Perlane is too thick for this area. Radiesse is hard to use in this area. The skin is VERY thin, Radiesse is very thick. If you get a lump with the Radiesse it is going to be there for a long time. I would not advise that you even try Sculptra in this area because the potential for lumps developing over time is too great in this area. Michael Sinclair, MD
10 posts
24 Sep 2008
In experienced hands, you can get good results with any filler. Hyaluronic acid, in general, gives smoother results for the thin under-eye (aka, tear trough) region. Restylane in particular is more reliable and seems to produce less temporary swelling. So I prefer Restylane for this area.