Best Filler for Eye Wrinkles

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

If you are referring to crows feet, botox would be the first go to treatment. If the wrinkles and skin excess is severe many surgeons would recommend a blepharoplasty. Filler is used to treat under eye tear troughs. This is general information, please discuss with your surgeon

Thank you for your question. The right treatment will depend on precisely where the lines are located. Lines around the outer corner of the eyes (crow's feet) are known as dynamic wrinkles because they form as a result of repeated facial movements. These lines are most effectively treated with a neuromodulator like Botox, which targets the muscle that forms the line to smooth it away. If your concern involves the tear trough area, injections of small amounts of filler in this area can create a smoother appearance. I typically inject this area using a blunt-tipped cannula rather than a needle, creating a safer procedure, fewer side effects, and a superior result. Other fine lines under the eye might respond best to a laser resurfacing treatment that stimulates collagen production in the area to create a more youthful appearance. I encourage you to schedule a consultation with an experienced, board-certified facial plastic surgeon for further evaluation and a customized treatment plan.

Thank you for your question!  Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells.  I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

Depending on where the wrinkles are located around the eyes would depend on what filler or neurotoxin would be used.  For crow's feet I like to use Dysport (a neurotoxin) for glabella and crow's feet dynamic wrinkles (occur when you use your muscles to make expressions).  For depressions below the eye (static wrinkles that are there when not using facial muscles), I like to use Restylane to the tear troughs.  I use a blunt cannula to inject the area to make it safer.  I may also use Restylane to the crow's feet if static wrinkles are present.  You should visit a local physician that has experience with injecting around the eyes to see what treatment is best to reach your goals.

Filler may or may not be the best answer to your concern, wrinkles are usually caused by muscle movement of the face, in which case a neuromodulator would be the best line of treatment. The area to the side of the eyes (lateral, also known as Crow's feet) is best treated by a neuromodulator (Dysport) to address either static lines (wrinkles at rest) or dynamic lines (wrinkles that only present with expression). Lines presenting below the eyes, can be treated with dermal filler (hyaluronic acid) as high as the orbital bone that surrounds the eye can be palpated. This treatment is usually referred to as "tear trough filler" and when done by an experienced practitioner, can yield some amazing and natural results. The two treatments can also be done together. If the skin in the area is still lax, eye creams can help, or a more dramatic result can be achieved with a surgical blepharoplasty. Good luck!