Best Filler for Eye Wrinkles

I have wrinkles around the eyes and would like to try some filler. Is Juvederm the best one?

Asked 41 months ago by Rosane in Richmond,VA,USA

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eyes

Juvederm , Elevess and Cosmoderm are all very good for superficial or medium creases.

Dear Rosane, If you have superficial or medium depth creases then Juvederm, Elevess or Cosmoderm are good choices. If the lines are dynamic creases which means that they show up mainly only when you smile then Botox is a good choice. There are no allergies to any of these materials and can be injected at your initial consultation very easily. Juvederm and Elevess are similar to Restylane but last alittle longer. (approx 6-9 months) Cosmoderm lasts approx 3-4 months which lasts about... more

Doctor's Website

David Hansen, MD

Beverly Hills Dermatologic Surgeon

Fillers may not be the answer

Greetings Rosane, Wrinkles around the eye can be a difficult problem. Place your finger on the bone around your eye. If the wrinkles are on the skin between the bone and your eye, fillers should not be used in that area. For wrinkles along the outside of the eye (near the temple - often called the crows feet area), often Botox is the best solution. For other wrinkles or depressions around the eye, several products have been used off label. I would agree that the injector is more... more

D.J. Verret, MD

Dallas Facial Plastic Surgeon

I Prefer Restylane for the Lower Eyelids

While I use Juvederm to add volume to many areas of the face, I think that Restylane works the best for the lower eyelid tear troughs or wrinkles. The reason is that, at least in my experience, it tends to produce a little less swelling, which is really important in the lower eyelids. This procedure takes a fair amount of experience to perform, so pick your surgeon carefully for this type of work. Make sure they have the proper qualifications and even ask to see some Before and After... more

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

The injector is most important

When you get filler around the eyes, you mainly help the sunken areas around the eye and tear trough area. The fine lines are only slighly corrected. Restylane seems to stay in place better than Juvederm and has a longer track record.. More important than the filler is the injector and placement. This is probably the most difficult area to inject well. The injection needs to be deep to the muscle and sometimes, just superficial to the bone. If the filler is placed too superficial,... more

Steven F. Weiner, MD

Pensacola Facial Plastic Surgeon

Depends on the type of wrinkles

It really depends on which wrinkles you are referring to - if it is the crow's feet area (just to the sides of the eyes, which become more apparent when you squint), then Botox is the best way to soften these, althought it is unlikely that you will get rid of them completely. Now if you have many fine lines and wrinkles at rest (from sun exposure, smoking, etc), some type of resurfacing (fractional CO2 or Chemical peel) would probably be the way to go. A filler would not be the recommended... more

Vishal Kapoor, MD

Beverly Hills Plastic Surgeon

Botox is still the best treatment

Botox is still the best treatment for these lines, unless they are below the eye. Juvederm and Restylane are hyaluronic acids and may cause a visible lump in the very thin skin of the lower eyelid but can work well in the Crow’s feet lines at the sides of the eyelids. Sometimes the little lumps can look blue in color. Human collagen, Cosmoderm, is still used for this area. Resurfacing with lasers and Portrait plasma devices can give great results in this region.