Restylane, Other Fillers or Canthopexy for Dynamic Eye Wrinkles?

asked 2 years ago by Beachbabydarragh in Florida
Latest answer by Rafael C. Cabrera, MD
Question viewed 1,165 times
Tags: under eyes, wrinkles, female, dynamic

I have wrinkles under eyes and got some helpful answers from three doctors here on RealSelf. Thanks for the replies! I am going to research a good doctor in my area for a canthopexy surgery and a Sciton Erbium ProFractional... But I saw on RealSelf that some patients did fine with Restylane under their eyes. Would I be a candidate for that? Or would I be a better candidate for other types of fillers? I have included a photo of my wrinkles relaxed and not smiling for review. Thanks.

10 answers to Restylane, Other Fillers or Canthopexy for Dynamic Eye Wrinkles?

Yes, Restylane will be fantastic for dynamic eye wrinkles

Dear Beach I am in complete agreement with Dr. Waldman concerning the phenol 89% peel. Conservatively done, this is far better than any laser procedure for helping the lower eyelid. In particular you have an extra line that is called a malar festoon. Lower eyelid surgery is not going to help the festoon. The factional laser procedures will also not get the job done. However, my expereince is that many patients are not quite ready for the surgical procedures and are very happy to get a... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower Eyelid Enhancement - Restylane, ProFractional and Restylane

Restylane WILL nicely fill the Tear Trough and rejuvenate the lower lid - cheek junction. But - it will do nothing to the thin, crinkled skin. That is where the ProFractional (fractionated Erbium by Sciton) would do a fantastic job of rejuvenating and tightening this skin. (As a Floridian you may want to check Dr. Jason Pozner in Boca Raton). You MUST have it done by an experienced plastic surgeon who would make sure the lower lid is not lax (in which case, without a prior lid tightening,... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Watch out for canthopexy: read below.

Darragh, I agree with the multi-faceted approach the doctors are recommending here. I do agree that a small amount of filler well placed in the orbital rim area (near the bony edge) can help fill in a bit of a hollow, but I caution you against getting canthopexy surgery if your lids have normal tightness and are healthy. Some people do it anyway, but be aware it can change the natural shape of your eye and give you a lifted, cat-eye look that you may later regret because you will look... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Solutions for dynamic eye wrinkles

We do not recommend fillers around the eyes for dynamic eye wrinkles. Excess wrinkles on the lower lids can be addressed through a pinch technique where excess skin on the lower lids is removed at the lash line. A canthopexy is only used to bring up a lax lower lid such as a retracted lid from a hound dog look. Crows feet are best treated with Botox.

William Portuese, MD
Seattle Facial Plastic Surgeon

Fillers do work for some types of lower eyelid wrinkling

Aging of the face involves loss and or shifting of facial fat as well as changes in the skin. All of these processes can contribute to changes in the appearance of the lower eyelid and that area where the lid joins the cheek. As such, soft tissue fillers may be very useful in rejuvenating this area. Make sure that the surgeon you are seeing has the ability to treat skin, and soft tissue with both a variety of surgical and injectable options. That way, you will know you are getting the... more

Elizabeth Lee, MD
Bay Area Plastic Surgeon

Fillers for lower eyelids

ON your photograph, the right lower eyelid shows either a fluid swelling or a fatty prominence. If the later is bulging forward a blepharoplasty would be beneficial to reposition this fat. I think you will get a better result by seeing a plastic surgeon to have this evaluated. Many patients undergo laser resurfacing after eyelid surgery. FIllers don't work very well, at least in my hands, on the skn of the lower eyelid within a half inch below the lashes. Here the filler can't be placed... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Options for lower eyelid tightening

I am glad to hear that you are planning to schedule a consultation with someone who can examine you personally since that is the only way to get definitive advice. Fillers such as Restylane will not improve the fine lines if that is an issue, but the shadow where the eyelid meets the cheek can be helped a lot. For tightening with peels, there are many options out there and no clear winners; they will all do the job. Fractional lasers have a slightly faster healing time but don't do as much... more

Richard Baxter, MD
Seattle Plastic Surgeon

Preference of Phenol Peels under the eyes

Personally I use both traditional and fractional CO2 laser resurfacing for full face treatements. But my preference under the eyes continues to be 88% Phenol applied in a very conservative fashion. In fact it is the rare Lower Lid Belpharoplasty that I do that is not followed 2-3 months later by a Phenol Peel. Having stated this dynamic lines are always minimized with BOTOX injections as well so we prefer combining procedures as needed.

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon

Restylane for tear trough

I would agree with Dr. Aldea's statements. Although I do not have personal experience with the Sciton, I believe you would alos benefit from some sort of resurfacing procedure for management of the very fine wrinkles.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Are you kidding me?

Restylane, lasers, Fillers or Canthopexy for Dynamic Eye Wrinkles? first of all that is one crappy picture. lasers promise much and deliver little. peels may work but I wouldn't use 1980's technology in my car or phone and I'm surely not doing it in my plastic surgery. the only helpful answer based on this photo is: see a doctor and get a professional opinion. so, see a good surgeon and see what they think after examining you.