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Restylane Under Eyes vs. Lower Eyelid Surgery

I am a male in my late 40's considering Restayne under the eyes to address the puffiness under my eyes before it gets too bad. I have an appointment scheduled with Dr. Brackup in PA but I am now considering cancelling after reading all the negative experiences on this site. Is it better to just have lower eye lid surgery and not risk the poor potential outcomes associated with Restalyne? Thanks in advance for responses.

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12 Doctor Answers | Asked by Ambler in Ambler PA

Doctor Answers (12)
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Restylane versus lower lid blepharoplasty for eye bags

Restylane can be a great option for improving the appearance of the periocular area for some individuals. Posting photographs would help determine if you are a good candidate for this versus lower lid blepharoplasty. I would suggest getting a second opinion - since you are interested in improving the appearance of your eyelid area you may want to consider seeing an oculoplastic surgeon.

Heavy bags under the eyes: Filler vs Surgery

As we continue to age, the fat in our lower lids will continue to become more prominent creating the appearance of "bags" under our eyes and causing a depression, hollow, or shaded area below them. This can give the appearance of tired eyes despite getting adequate sleep. One option which is minimally invasive, is to inject Restylane, a facial filler just under this fat and efface this hollow between the eyelid fat and the cheek to give a smoother transition.... more

Fillers and Lower Eyelids

My patients have had great success with fillers. Upon examination an experienced well trained surgeon will be able to recommend the treatment options which would best address your individual concerns. If you are not confident with your choice of surgeon seek a second opinion.

It takes a lot of skill to determine if filler is the way to go for eyelid bags

The issue of treating under eye bags with filler or surgery is complicated. Some people really have excess lower eyelid fat. In those patients surgery is the way to go. Other people just loose some fat in their cheeks, so the eyelid fat becomes more apparent. In those situations, Restylane is a better treatment. It takes a skilled cosmetic surgeon to decide which treatment is right for you, and then to perform the treatment well. Dr Brackup is a very... more

Lower Eyelid Puffiness Better Treated With Fat Removal Blepharoplasty Rather Than Injectable Fillers

Without photos it is impossible to say for sure what the best treatment is, but you did utter one word which is very revealing...puffiness. That is quite different than the term...hollowing. Puffiness indicates that there is lower orbital fat herniation as the cause. That is best treated by fat removal rather than trying to mask the problem by putting injectable fillers around it. By doing so you run the risk of making the whole lower eyelid look even more puffy. At your age, you may do well more

Filler versus blepharoplasty for lower lids

Hi Ambler, Making recommendations on specific concerns without being able to evaluate you is difficult; however, it sounds like your concern is due to bags under the eyes. This can be disguised with filler or with a blepharoplasty. Of course, the downside with fillers is that they go away; whereas, with some blepharoplasty techniques, the result for many years or decades. I would carefully consider both options before proceeding, but would lean toward blepharoplasty... more

P. Daniel Ward, MD

6 reviews

Salt Lake City Facial Plastic Surgeon

Fillers more often than lower bleph

The only person who must do lower bleph is one with bulgy fat bags. Those with tear troughs can have Restylane to fill them is. Restylane is safer than surgery.

In most people, a well-performed Injectable Filler procedure is a better option than lower blepharoplasty.

I read your concern. You could get better information if you post a photo along with your concern. In most people, lower eyelid fat should be preserved. Removal of lower eyelid fat "bags" may lead to a hollow, operated appearance and wrinkling of lower eyelid skin. The appearance of bags is likely due to the formation of lower eyelid grooves (tear troughs) from age-related loss of fat in the area where the lid bag meets your cheek. In my practice, filling the groove may... more

Eric M. Joseph, MD

197 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Restalyne or Juviderm can be used for fill out the eyelid crease.

The question is difficult to answer without seeing a photo. If you have excess skin and/or fat, then a blepharoplasty is needed. If you have hollowing, then fillers are best.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Restylane vs Lower Lid surgery

Restylane or Juvederm can work very well for some lower lid bagginess (not all). Lower lid surgery can have poor results too. The key factors are what you are a good candidate for and the skill of the surgeon. Without photos I cannot make specific comments.

Restylane vs lower bleph

Dear Ambler, both Restylane and a bleph can be great options for improving the lower eyelid region. In either case, make sure you are going to an experienced doctor. The nice thing about Restylane is that it is fully reversible and less invasive than surgery. However, if you have significant excess skin or fat, surgery may be more reasonable. It really depends on hour anatomy and your desired end result. Have a frank discussion with your doctor regarding pros and cons for both! Good luck!... more

Restylane injection to the lower lid is safe when given by the right provider

Ambler, Restylane injection, when performed by experienced hands, is every bit as safe as eyelid surgery. A physician experienced in eyelid surgery and Restylane injecitons would need to examine you to determine which route best fits your anatomy and your goals. The doctor you saw in consultation is qualified to make this decision with you.