Best injectable filler for undereye hollows?

What is the best injectable dermal filler (apart from fat) for under-eye hollowness?  What about upper-eye hollowness? Is this safe?

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6 answers to “Best injectable filler for undereye...”

A: Fat to correct hollows of Upper or Lower Eyelids

Michael Law, MD

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

A: Best dermal filler for under eye hollows

Otto Joseph Placik, MD

This is a tough question and to some degree it is a matter of opinion and personal preference. I want to clarify that although a dermal filler is being used, the vast majority of physicians do not inject this into the dermal or subdermal layers but instead prefer to inject deep. Probably more important than... more

A: Restylane is the best for the lower lids

Richard P. Rand, MD

For improvement of the tear troughs of the lower lids, the best injectable filler is Restylane.  It works extremely well and lasts approximately one year in this area in my experience.  It is best in the younger patient with early aging of the lids and thicker skin and not so good in the older... more

A: Restylane

Michael A. Persky, MD

Hi Hot Nani in Hotlanta, I went to medical school in Atlanta, so I will try to answer your question with Emory pride.  I have used both Restylane and Juviderm for facial filling; they are both very good hyaluronic acid filler products. Under the eyelid in the tear trough depression area, I have again used... more

A: Dermal fillers

Jennifer S. Landy M.D.

There are certain fillers that are safe for hollowing under the eyes.  Typically, the hyaluronic acid products such as Restylane or Juvederm can fill in the hollowing of the lower eyelids very nicely. The eyelid skin is some of the thinnest skin in the body so you want to make sure the injector is... more

A: I use Juvederm

Anne Marie McNeill, MD

I never use a dermal filler in the upper eye.  Under the eye, I use Juvederm in the so-called 'tear troughs.'  No dermal filler is FDA-approved for the tear troughs, but this is commonly done as an off-label usage.  It is generally safe as long as it is done only in the inner half of the eye... more

Comments

Michael Sinclair MD
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  

jniu
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.

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