Is Restylane a Good Choice to Fill Hollowness in the Upper Lids?

asked 1 year ago by iSore in Midland Park, NJ
Latest answer by Joseph A. Eviatar, MD
Question viewed 328 times
Tags: age 55-64, upper eyelids, male, ankles, hollowness

I'm 57 years old and have upper lid hollowness. I've read that Restylane is effective and safe for filling in the upper lids. Since this is so close to the eyes, I would like to find someone with experience filling the upper lids with Restylane. The one oculoplastic surgeon I consulted does not use fillers for either the upper or lower lids. Is Restylane a good choice and how can I find someone experienced in injecting the upper lids?

9 answers to Is Restylane a Good Choice to Fill Hollowness in the Upper Lids?

Restylane and eyelids

Hello iSore - great question and I agree with most of the physicians who have responded - the only product that I would use in the eyelid area is hyaluronic acid marketed as either Restylane or Juviderm - it is injected in my practice in very conservative amounts in the eye area and it can take 2-3 weeks for definitive correction. I tend to inject a small amount, let the product set up shop and then add if necessary 10-14 days later for best correction. It is reversible... more

Paul E. Kelly, MD
Hamptons Facial Plastic Surgeon

Hollowness of the upper eyelid

Deep upper eyelid creases and hollowness may be treated very cautiously by injections of restylane but in the upper eyelid it is not possible to inject in the septal crease deep to muscle over bone. The injected material might be seen as lumpiness or excessive swelling. Bruising is expected for a couple of weeks possibly after the treatment. There can be very serious complications and fortunately these are very rare but your physician should discuss these with you in length... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Restylane for Upper Eyelids?

Hi isore. We commonly use Restylane for the lower lid, but do not use it for the upper lid. Especially if you have sagging or loose skin on the upper lid, we would recommend Blepharoplasty eye surgery to remove some of the skin.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

I would not use a filler in the upper lids

Hyaluronic acid fillers, like Restylane, attract water to themselves. What you may get as a result of injecting filler there is chronic swelling and sagging from the weight of the filler. Eyelids are best treated with fractional laser resurfacing or blepharoplasty. What can be done to improve the upper eyelid somewhat is to lift the brow with a combination of Botox and filler. A photo would definitely be helpful for a better evaluation.

Emily Altman, MD
Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

Restylane is good for hollowness in the upper lids

You really need to see a well-trained specialist. Restylane is good for hollowness in the upper lids, but ideally you need to see an oculofacial plastic surgeon who is well experienced in injecting Restylane in the thin eyelid skin. You can find someone experienced by looking up oculofacial plastic surgeons in the area or you can check the website of the makers of Restylane, Medicis Aesthetics. This site may tell you who the large injectors are in your area. Then you can look at their... more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Fillers Can Work Well For Upper Eyelid Hollows

Upper Eyelid hollowness can be a very troublesome problem. Sometimes seen after aggressive blepharoplasty procedurres, and not uncommon in some very thin individuals, it may contribute to an unwanted "skeletal" sunken look to the region. I prefer the use of monophasic Juvederm XC, slightly diluted, to treat this area. I find Restylane, a biphasic product, to be a somewhat better bulking agent useful for a giving a more robust lift. Juvederm, a monophasic product,... more

Nelson L. Novick, MD
New York Dermatologic Surgeon

www.youngerlookingwithoutsurgery.com

Restylane

Restylane is a great filler for the hollowness of upper or lower eyelids. It is safe, effective, and reversible. Dr Taban

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

Restylane best filler for upper and lower lids.

Hi. Of course it depends on your exact anatomy, but this often works very well, and is very long lasting (two years). Technique is critical. Small amounts of Restylane are injected deeply, under the muscle and close to the bone.

George J. Beraka, MD
Manhattan Plastic Surgeon

Restylane

Yes, restylane is ok for the hollowness eyelid hollowness. However because the skin in the area of the eyelid is very thin, there may be an increased risk of tyndall effect from the use of Restylane and other hyaluronic acid fillers in the eyelid area. Tydall effect imparts a dark/bluish hue to the area which some could confuse with bruising. A better choice of a filler for that area would be Radiesse which is a calcium hydroxyapatite product which does not exhibit the tyndall effect. You... more