Is Sculptra Recommended for Hollow Eyes?

Sculptra is usually used for areas of atrophy or thinness, usually in the cheeks. It is not recommended to be placed in the hollow regions around the eyes. This may lead to bumps and palpability of the product.

Avoid sculptra (Poly-L-Lactic Acid) toward correction of infraorbital hollowing or volume correction. The product was originally intended for significant fat loss in the nasolabial fold region in patients who were immunocompromised. Extended applications have included malar or cheek augmentation. However, it's unpredictability, possibility of granuloma formation, and multiple injection requirements should preclude it's use in areas of excessively thin tissues, such as beneath the eye. The... more

As we age, we lose volume in certain parts of our face while we gain volume in other parts. Generally speaking, the region around our eyes and cheeks begins to lose fat, while the jowls and neck begins to gain fat. When we lose the fat layer along the lower eyelid region and upper cheek, the eyes begin to look hollow. This gives the impression that we're fatigued and older. In my practice, this is an important and highly emphasized sign of aging that we treat on a regular basis. ... more

Sculptra is a great product to replace lost volume in areas such as the cheeks, temporal region, nasolabial crease and along the jaw line.  I would use caution in using any filler in the eyelids as the skin in this area is very thin and there is a great risk of having visible lumps or contour deformities.  

'Hollow eyes' may an eventual transition that all of us may experience as the collagen within the orbital rim, i.e. eye sockets may slowly deplete with sun exposure and aging process. While hyaluronic acid fillers such as Restylane or Juvederm are most popular and advised for the so-called tear trough areas, Sculptra can be used by advanced physician injectors who can inject up to but not beyond orbital rim and massage with vigor and precision to fill in tear trough areas....

I assume you are talking about hollowness under the eyes as opposed to above. If you have hollowness, you need a filler to fill this in. Skin treatments alone will not suffice. Sculptra is good for this and I also like Prevelle a lot for under the eye. The skin creams are good to improve the quality of the lower eyelid skin and this will help but is not enough by itself because it will not restore the volume. For lower eyelid skin, I like to use a retinol like Biomedic Retinol (start with... more

This is a very tricky area for Sculptra because of the risk of nodules that can form under the eyes.  There are safer alternatives such as fillers, fat grafting and surgery.  Sculptra can help by volumizing the cheeks which will have a good secondary effect on hollowed eyelids.  However, to directly address the hollows, I would use one of the other options I mentioned above.

Sculptra is a great filler.  The undereye area is tricky.  You can inject most of the soft tissue fillers the into the tear trough area.  For most patients filling this area will make the lower eyelid look shorter and fuller, giving it a more youthful appearance.  You need to be careful though.  There are technical issues with the injection to avoid lumpiness.  These involve good knowledge of the anatomy.  I do think plastic surgeons (or eye surgeons,... more

I think sculptra around the eyes is a little risky. I have multiple patients who I have had to remove granulomas around the eyes after sculptra from other doctors. I would avoid it to be honest. A reversible filler such as Juvederm or Restylane would be a better option.