Injectable Fillers: Q&A
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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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8 Doctor Answers |
Asked by
Nani
in atlanta
+7
Restylane
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 both fillers. I have found that Restylane is most dependable in that what I put in won't go "crazy" with puffiness and swelling. I have not had any problems at all with...
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+5
I use Juvederm
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 (medial to the mid-pupillary line). Very small amounts are used, less than a full vial of Juvederm, so the rest can be used elsewhere. It is a subtle result that makes one look much less tired, but...
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+4
Fat Grafting to correct hollows of Upper or Lower Eyelids
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 Grafting requires specialized training and specialized surgical instruments, as well as patience and attention to detail on the part of the surgeon. When performed properly, permanent...
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+4
Best dermal filler for under eye hollows
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 the filler is the technique of injection. Physician instructors describe a variety of approaches to this anatomy. Materials injected include: Radiesse, Perlane, Restylane, Juvederm,...
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+3
Dermal fillers
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 comfortable with the eyelids so as not to cause too much lumpiness or stranding. I usually recommend to my patients that they try a non-permanent filler always before a permanent filler to make...
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Tampa Ophthalmologist
+2
Restylane is the best for the lower lids
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 patient with thin fragile skin.
+1
Silikon-1000 may be safely used by experienced physicians for natural-looking, permanent lower eyelid rejuvenation.
In my practice, Silikon-1000 works well for improving the appearance of lower eyelid grooves or hollowing. A very small amount of silicone is required, and your results are permanent. In my view, lower eyelid injections must be performed by a specialist familiar with non-surgical rejuvenation of this delicate area, so you should see many photos before proceeding.
Hyaluronic acid products may lead to a bluish discoloration (Tyndall Effect) that could last a year or longer, so choose...
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+1
Hyaluronic acids are excellent fillers around the eyes
The hyaluronic acids are excellent fillers for use around the eyes. They are clear , so they will not have the cloudiness of collagen. A Tyndall effect can occur, resulting in a blueish discoloration. Injection of the lower eyelids is straight forward. The ideal patient to have the upper eyelid injected has little to no excess upper eyelid skin. If they have a fair amount of excess skin, adding volume will just make them look like they need a blepharoplasty.
Hyaluronidase is an...
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