Which is Better for Under Eye Wrinkles and Hollows: Restylane or Fat Grafting?

I am personally against the injecting of any filler (fat or off the shelf filler) around the eye. I do not like the risk of blindness with these procedures. Despite that many doctors do inject fillers in these areas with good results and happy patients. There are inherent differences between restylane and fat. The restylane for one is guaranteed to go away so there would be a need for repeat injections for ever. Fat if it survives the transfer process on the other hand will be there... more

In the correction of the Tear Trough / Under Eye Hollows / Nasojugal line BOTH fat and Restylane do a great job. But each has is plusses and shortcomings. Restylane is easier to obtain and inject and is associated with much less swelling. It fills everywhere it is placed but is a temporary filler. If you do not like the appearance, it can be readily dissolved with a simple injection.  Fat, on the other hand, needs to be removed from elsewhere in YOUR body. It needs to be... more

This is not an either/or question. In my experience, I highly adivse patients to consider restylane as a "lunchtime lift" to "try out" the appearance of a corrected tear trough. If they like this and desire longer term correction and are willing to tolerate the surgical recovery, I suggest fat grafting as a longer term solution,