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Who Should Give Restylane Injections? Plastic Surgeon vs. Nurse vs. Derm

asked 2 years ago by 101
Latest answer by Jon M. Grazer, MD, MPH
Question viewed 1,947 times
Tags: age 18-24, under eyes, female, hollow

I am a 22-year-old and I want Restylane to fix my under eye hollows. I have contacted several doctors and found out this procedure can be done by a plastic surgeon, a dermatologist or a nurse. Now I am stuck since I do not know where to go! Since I am a college student I cannot afford consultations with several doctors. Furthermore, I know of nobody who can refer to a good doctor since none of my acquaintances have had such procedures. I would like input to know which type of doctor (or nurse) I should choose. 

15 answers to Who Should Give Restylane Injections? Plastic Surgeon vs. Nurse vs. Derm

+1

Under Eye Restylane Injections

There are many people performing injections with varied qualifications and skills. When considering any medical procedure you should always seek the most experienced practitioner. When considering fillers around the eyes you should limit  yourself to the core specialties that have surgical experience in that area. That would include Plastic Surgeons, Facial Plastic Surgeons, and Ophthalmologist. Even though the physician maybe one of these specialties, injection techniques and... more
Jon M. Grazer, MD, MPH

Newport Beach Plastic Surgeon

www.drgrazer.com

+1

Qualified Restylane injector

I really can not speak for every medical practice however I personally feel that a qualified physician is the best person to do any injecting of fillers of any sort. In my opinion the eye area takes a very skilled injector with an aesthetic eye and years of experience. I have a saying that I treat my patients the same as a family member and I would not allow my wife or daughter to be injected by a nurse. An experienced physician is a much better alternative.
Michael Elam, MD

Orange County Facial Plastic Surgeon
+1

Experience in Restylane injections for tear-trough or under-eye area

Chikiki55: It is wise that you are doing research to find the most experienced person to provide HA filler (Restylane, Juvederm) injections in your under-eye area. Recent advances in this technique have provided an alternative to lower eyelid blepharoplasty surgery for many patients. Unfortunately, RealSelf and my colleagues here cannot know who is the most qualified source in your area. After doing your on-line and telephone inquiries, you may have to schedule several consultations to get... more
Sutton Graham II, MD

Greenville Plastic Surgeon
+1

Under eye Restylane should only be done by a doctor - preferrably a plastic surgeon

This is a potentially dangerous area and under eye Restylane should not be done by a nurse or an aesthetician in my opinion. So, only a doctor should do this and a plastic surgeon is better than a dermatologist in this anatomically sensitive area because they see the anatomy often during surgery and they know better exactly where to put the material and can see the internal anatomy in their mind's eye.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Restylane under the eyes

Restylane is a great product however under eye injections are very tricky. In my opinion it would be better to consult with a facial plastic surgeon to decide first if injections would be better than a surgical or laser approach. If at that point the surgeon still recommends filler, go with whomever that surgeon recommends. Sometimes it is the doctor, a physicians assistant or a nurse. The key however is the experience and expertise of the injector and knowing whether or not it is in your... more
Lee Robinson, MD

Portland Facial Plastic Surgeon
+1

Board Certified Dermatologists or Plastic Surgeons always safest for fillers

As my colleagues have already answered, you safest bet for quality care is going to be with a board certified dermatologist or plastic surgeon who received training in aesthetic medicine as part of their residency for their specialty. I hope you find my answer helpful. 
Steven E. Rasmussen, MD

Austin Dermatologist
+1

Injections to the face

If you desire injections of fillers to fill out the depressions around your eyes, then I would recommend a plastic surgeon, facial plastic surgeon, oculoplastic surgeon, or dermatologist to perform this.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Who Should You Have Perform Your Restylane Injections? Not

Hi Chikiki, Whoa, hold on Chikiki! Great question, you had better be waiting for our answers before you have anything injected! The lower eye lid is a most delicate and unforgiving area. Injecting the face is a medical procedure. You should only have a very well trained, Board Certified physician in one of the core cosmetic specialities (Opthalmo-plastic surgery, Facial plastic surgery, General plastic surgery, ENT, or cosmetic dermatology) perform your injections. Even then, you are... more
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Fillers for under eye hollows

I would recommend you see a board certirfied plastic surgeon or dermatologist. When you contact the office for an appointment, make sure the doctor does inject this area. Not all injectors do. It is beneficial to have a physician treat you who is very experienced in filling this area below the eyes. The plane of injection, teh product chosen and the knowledge of anatomy is important. Good luck.
Ronald Shelton, MD

Manhattan Dermatologist

www.thenyac.com

+1

Board certified plastic surgeon or dermatologist for Restylane injector

Under the eye is the hardest area to get good result and has risk. I would trust a board certified plastic surgeon or dermatologist who has done this before, but not a nurse injector. There is a very small risk of injecting into blood vessels and the injector should be familiar with the anatomy of the eye.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Qualified Restylane injector

I am not sure what the regulations are in Quebec, but in the states any doctor or a nurse under a doctor's supervision can do it, though this varies from state to state. The under-eye area is somewhat of an advanced technique so you do want to be sure that whoever does it is experienced. Whether a plastic surgeon or dermatologist, they should have aesthetic procedures as a primary part of their practice. don't be afraid to ask about this before you see them in consultation....
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Ocular Plastic Physicians know the eyelid anatomy intimately

I agree with Dr. Aldea that you need an experienced injector. While all of the types of doctors he mentioned may have experience in this realm, Ocular Plastic and Reconstructive Surgeons study and work on this area more than most any other type of physician. ASOPRS.org will lead you to this exclusive group. Discuss with any doctor their personal experience injecting this very delicate area. I have been successfully using fillers in the tear trough for years and my patients have been very... more
Mark Berkowitz, MD

Sterling Heights Oculoplastic Surgeon
+1

An experienced under eye injector is essential

Hi Chikiki, Core specialties include general plastic surgeons (aka board certified general plastic surgeons) facial plastic surgeons, dermatologists, and fellowship trained eye plastic surgeons. However, this is not enough to ensure a good treatment for what you need which under eye filling. No question, this is the most difficult and demanding type of under eye treatment. You need at least 1.5 ml of Restylane under each eye. Most core specialitists are not going to be comfortable with this... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Restylane injectors

Dr. Aldea is absolutely correct. You must find an expert injector in your area. Visit first to see if you like the doctor than make a re appointment for the injections.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Expert Tear Trough Correction with Restylane

EITHER an ABPS certified - ASPS member Plastic surgeon/ or boarded ENT or Dermatologist who is experienced with this procedure would be my choice before entrusting that area to an "injector" The area having many blood vessels, being close to the eye and the injector knowing where to place the Restylane I think an experienced doctor would be a safer alternative. Dr. P. Aldea
Peter A. Aldea, MD

Memphis Plastic Surgeon

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