Restylane Vs. Fat Grafting for Under Eye Hollows?

Restylane will last about 6-9 months but can improve this area. Fat injections can last 8-10 or more years. You are one the right track though. You need volume in this area and that's the best way to improve this area. One thing to realize is that restylane will go away and can also be taken out earlier if you wish through enzyme injections. This can be reassuring. Fat injections are more permanent and is a little harder to get rid of if you don't like the volume but can be done through... more

Fat injection, even in the best of hands, has the chance for lumpiness. This lumpiness can be difficult to correct. Especially in young patients we prefer Prevelle or Restylane.

Restylane or Juvederm, both hyaluronic acids, are commonly used, off-label (not FDA approved for this use, but doctors may legally perform the procedure) for this purpose. Fat injections may give you a good result but, there are different ways that both of these fillers are done by different doctors. Some inject over the muscle, and there may be larger chance of visible bumps. The nice thing about Restylane or Juvederm is that if there is too much filler injected, it can be dissolved by... more

Restylane is temporary but is more forgiving in that it can be molded.  Fat is permanent but may cause more lumps that are more difficult to deal with thatn restylane.

Although you may have heard scary things about both procedures the incidence of them happening is quite low. That being said the potential bad things that can happen from fillers are generally less severe and usually reversible when compared to fat transfer. You are young and your lower lid contour is relatively good. I would recommend beginning with filler. You don't burn any bridges and I beleive you will be pleased with your result.