Best Filler for Eye Wrinkles

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

Doctor Answers 11

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 the same as Botox. Bruising and alittle swelling or redness is normal and goes away in a day or two. Some patients need both a filler and botox together which can be done on the same day.

David Hansen,MD


Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 30 reviews

Best Treatment for Wrinkles Around the Eyes

Fillers are not the best choice for eye wrinkles. Those periocular lines are treated easily with Botox, which relaxes the muscles around the eyes. After Botox injections, my patients usually see diminished dynamic wrinkles (created by smiling). For the lines under the eyes that still persist after Botox injections, I recommend using Erbium Laser Skin Resurfacing - this helps to remove the remaining wrinkles and gives a youthful glow. I hope you find this helpful.

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 important than the injectible. The area around the eye is a difficult area to get a good result and requires a different injection technique than other areas.

Hope this helps.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

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The injector is most important for filler around the eye, but don't use Juvederm

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 Juvederm can lead to prolonged edema around the eye. 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, bumps and blue tint to the skin (Tindel effect) are seen. These injections are more prone to bruising than other areas. Also, conservative amounts is better than overfilling the area. Surprisingly, the injections are relatively painless. Most people will get about a year duration with Restylane.

Steve Weiner, MD

Facial Plastic Surgeon

Destin, Florida.

UPDATE:  I ONLY USE BLUNT CANNULAS AROUND THE EYES NOT.  LESS BRUISING, LESS PAIN, LESS SWELLING, AND SAFER.

Steven F. Weiner, MD
Panama City Otolaryngologist
4.5 out of 5 stars 9 reviews

Consult with a surgeon, you may have multiple options.

The best treatment for periorbital wrinkles is entirely dependent upon the cause of these wrinkles.Periorbital wrinkles can be caused by a variety of factors.In some cases, wrinkles may be caused by muscle hyperactivity.An example of this would be the development of crow’s feet.Under these circumstances Botox injections would be appropriate.
When eyelid wrinkles are related to textural skin changes associated with normal aging, injectable fillers are usually the best treatment option.When this situation arises, hyaluronic acid fillers are usually utilized.These include Perlane, Restylane, and Juvederm.
These materials are highly effective and very safe.In most cases, they last up to 6 to 9 months and may last up to a year following treatment.They are currently the gold standard for treating lower eyelid deformities.
If you’re considering lower eyelid injections it’s important to consult a board certified plastic surgeon.This surgeon should be able to formulate a treatment plan that addresses your concerns.

Try Botox first

If it is wrinkles around your eyes that are caused by smiling or winking, then Botox is the best solution to try first. There are some fillers that can be used around the eyes, but it is mainly for filling in the tear troughs. The practitioner can evaluate your skin and determine what is the best course of action. Best of luck!

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

Wrinkles around the Eyes

Wrinkles around the eyes or crow's feet can best be treated with Botox injections.  If there are fine hollows under the eyes, that tear trough area can best be treated with Restylane or Belotero.  Products like Juvederm or Perlane are too thick for this area and Sculptra can cause nodules when injected under the eyes.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with cosmetic facial injections.

Filler's and wrinkles around the eyes

A combination of filler and neurotoxin such as Botox will give you the best result.  Belotera Balance and Restylane are the 2 fillers that I use most around the eye. 

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 16 reviews

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 for either types of these wrinkles around the eye.

Vishal Kapoor, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 8 reviews

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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.