Why Didn't The Filler for Under Eye Hollows Do the Job? Doctor Answers, Tips
Restylane: Q&A
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Why Didn't The Filler for Under Eye Hollows Do the Job?

I have dark and recessed under eye hallows and went to get restylane to correct the problem. After two weeks of major swelling, I was left with little pools of the product under each eye and still had hollowed out under eye circles! I went to see a plastic surgeon who injected said it may not have been injector error, maybe my anatomy just doesn't support a "filled in" under eye area. The rest of my face looks good for my age (42) but my eyes look old, do I just have to live with it?

14 Doctor Answers | Asked by toluca2323
+2

Tear troughs with Restylane

I have found tear troughs to respond well to Restylane, but I always inject deep under the muscle and above the bone. If the product is placed to superficially, pools of product may form without correcting the hollow. If this occurs, the superficial product can be dissolved with hyaluronidase. You don't have to live with it! While I have not had patients who can't "support" filler in the tear trough, some patients need surgical procedures to correct the problem (blepharoplasty) if their... more
+2

Restylane for Under Eyes

Hi Toluca. We'd be happy to give our opinion, but you would need to post photos before and after the procedure to give you a better idea. The "pools" of product you mention does not sound right. If your injector were to inject under the muscle, which is the most widely accepted way to inject for this procedure, you should not wind up with pools of product. That's not to say that you wouldn't be disappointed with your results, but pools of product sounds like a... more
+2

Filler can be great for dark circles under the eyes but not always

Filler under the eyes doesn't always work. It depends on your anatomy and the cause for the dark circles. The best candidates are people with small bags, then a dent called a tear trough then a cheek mound. Hll-valley-hill. The valley between the two hills is filler with filler such as Restylane. If you just have hollow eyes, filler may not always do the trick. You can't always treat certain shapes of facial anatomy by adding injection of a gel. Sometimes it may just be a matter of using... more

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+1

Filler for the tear trough

Photos would really be necessary to provide you with the best advice. In general, there are numerous causes for dark circles under the eyes which may include the following: pigmentation irregularities, sun exposure, visible blood vessels, stress, allergies, atopic dermatitis, pseudoherniation (outpouching) of fat from the eyelid, and heredity, to name a few. Fat can cause the appearance of dark circles, which can be corrected by fat repositioning blepharoplasty. As... more
+1

Restyane in the hollows under the eyes

Pictures before and after would have helped but the technique for injecting these products is also key to achieving a cosmetically appealing outcome and they must be injected under the muscle to minimize lumpiness bumps or discoloration.
+1

Hollow eyes and Restylane

Restylane works great in mild hollowness of lower eyelids only in the 'Tear Trough' areas. If you have large fat bulges or have hollowness more on the sides away from the nose, then the result is not as great. In those cases Blepharoplasty is the only good solution. Regards Dr J Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I... more
+1

Dark circles under eyes

Dark circles are often related to the thin skin. Many times the dark circles are related to the underlying muscle.
+1

Filler under the eyes

If you would post pictures, we would all be able to provide you better thoughts. However, generally speaking, facial fillers, particularly under the eyes!, is an art. If the patient doesn't have the right facial anatomy, the filler won't look good. Additionally, if the filler is placed too high or too low, it will also not look good.
+1

Restylane and under eye treatment

Without first viewing photo's or seeing you in person, it is very difficult to answer your question. You should consider posting photo's and providing more info for better review.
+1

Tear trough fillers

I would have to see your pictures to know why you aren't satisfied with your tear troughs. Restylane or Juvederm are both nice fillers for these hollows, but it may be a matter of injection technique or perhaps insufficient filler, or sometimes the patient wasn't a good candidate for the filler to begin with. Make sure you are only being seen by a dermatologist or plastic surgeon to ensure optimal results and safety. Dr. Benjamin Barankin, Toronto Dermatology Centre. more
+1

Restylane for under eye hollows.

It is very difficult to answer this question without photos. That being said, a lot of patients with hollowing in the under eye area also have hollowing in their upper cheeks. The goal of the Restylane injections is to create a smooth transition between the lower eyelids and cheeks. This sometimes necessitates adding filler to the cheeks as well as the lower eyelids. I am not sure whether or not this pertains to you, but it might be part of the problem. You can always seek out another... more
+1

Restylane for hollow eyes

Thanks for posting your question. However, it would be a lot easier to answer it with a photo. Most tear toughs are correctable to some extent with Restylane. It is possible that the correction was not complete enough to get the results that you want ed or if lumpy , just not done well. YOu need to go see someone who has experience with this and see what they think or send us a photo.
+1

We have a little saying...

When you tell someone something ahead of time it is an explanation, when you say it after the fact, it sounds like an excuse. It very much sounds like you were treated with an inexperienced restylane injector. You need to find someone who can adjust your service. These procedures can be fantastic. Some people are truly more difficult to treat than others. Consider posting your photos. The beauty of Restylane is that it can be adjusted after the fact. Good... more
+1

Restylane in wrong place?

I have not seen your photos. Firstly, you should NOT get major swelling from Restylane into the tear troughs. Then left with little pools of product seems likely to be an unfortunate event or the Restylane placed in the wrong manner and place. Or you have a cheek ptosis and / or maxillary hypoplasia (this means small volume and projection upper cheeks area) and the actual problem was not addressed. Tear troughs are very delicate and can be approached via a canula from the cheek and... more
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Comments (1)

toluca2323 16 Mar 2013
sorry, the plastic surgeon who made the comment wasn't the injector, he was just commenting on the job....

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