Options for fillers in the tear trough

Richard Baxter, MD answers: Restylane or Juvederm for genetic tear trough deformity or hollowness?

I’m 24 years old and always have had deep hollowness under my eyes (safe to assume it’s genetic). I’m seeking fillers and have found an ophthalmic surgeon in Los Angeles, but want more options. He asking for $1,500 for 1 syringe, is this average? I’m curious whether it will help with my situation or will it make it bumpy and wrinkly when I smile. Also, should I get Restylane or Juvederm? I had Juvederm in my lips roughly 2 years ago and it went well. I’m extremely scared. Any suggestions/advice will be appreciated.


Richard Baxter, MD
1 month ago

I would assume you are looking for a long-term solution. The HA fillers Restylane and Juvederm are both good choices for that area, but there is one thing to be careful of: if you have thin skin, you may see some bluish coloration even with the filler deep as it should be, especially toward the inner corner of the eye. I like Evolence for this area because it doesn't have the color issue, though I do use both Restylane and Juvederm there frequently. ($1500 for one syringe sounds a little on the high side.) Another option you may want to look into is fat transfer, which can be a permanent correction.

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