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Restylane or Juvederm for Under Eye Line/indentation?

asked 2 years ago by mrsonnimd in Maryland, USA
Latest answer by Ronald Shelton, MD
Question viewed 2,529 times
Tags: under eyes

im only 27 and have very deep under eye line/indentation stemming from my eye way down to my cheek. it makes my face appear to sag. for my case, would restylane or juvederm work? or wld i need a cheek lift to correct it? it doesnt have to be completely gone, but i'd like it to be much less noticeable.

18 answers to Restylane or Juvederm for Under Eye Line/indentation?

+2

This is not a tear trough hollow!

The line in your cheek is not the tear trough hollow.  It is called a midcheek groove.  Honestly, I would not recommend surgery on this.  I personally feel fillers are the way to go.  This can be addressed with Restylane or Perlane.  Juevederm could be used here but I am concerned about its ability to hold in this area.   When the marketing people say it is smooth, they are describing a property of the Juevederm to spread out in the tissue.  This is not... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+2

Best fillers for cheeks

It is a little bit hard to tell from the photo since it isn't a close-up, but what I see is a groove starting at the "tear trough" at the inner corner of the eye and descending obliquely across the cheek. This can be either  a feature you are born with or something that develops with aging. Any of the hyaluronic acid injectable fillers (Restylane, Juvederm, Perlane) will give a nice result there, as would Radiesse. A more permanent solution would be fat grafting. more
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Fillers for tear trough

Fillers commonly are used to lift tear troughs. There may be different techniques that doctors use but I find that Restlane or Juvederm injected underneath the muscle causes less bruising and less chance of lumps.
Ronald Shelton, MD

Manhattan Dermatologist

www.thenyac.com

+1

Inject with Restylane for tear trough lines

It can do wonders if injected by an experienced injector.  From the picture you submitted I suspect that you will need 3 or 4 syringes however ( it can get expensive).   I don't see the grey/blue blebs described below when the filler is injected correctly into  the deep dermal area.
Vic J. Khanna, MD

Chicago Dermatologist
+1

HA injections of the periorbita

Although a midface lift is an option for this area in general, I would not recommend it for you.  Too much surgery, not enough gain, and fillers are a much better option.  As you can see from other comments, you can use either restylane or juvederm (hyaluronic acids or HA's)  for a 6-12 month solution.  The two are very close, but have enough differences that I would suggest restylane here.  First, juvederm does swell more when used around the eyes, so... more
Kevin Robertson, MD

Madison Facial Plastic Surgeon
+1

Both Restylane and Juvederm can work there

You can inject both Restylane or Juvederm in your cheeks.  They are both very safe when injected by someone with experience.  There are some differences in both of them.  Restylane has been approved for 6 month duration and juvederm for 9 months.  I think they are about the same in terms of length of duration in my experience ranging from 6 months to a year.  One thing to realize is the Restylane comes in 1.1 milliliters or cc's and Juvederm comes in about 0... more
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Restylane or juvederm for tear trough

The tear trough are is a tough area to treat.  I prefer restylane mixed with a local anesthetic to soften the injection process, to allow ease of molding , and to minimize bruising.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Restylane / Juvederm both good for Tear Trough but Sculptra is the best

The descent of the cheek soft tissues with age really exacerbates the tear trough. You can get instantaneous improvement with either Restylane or Juvederm. However to really build up the cheek you can use Sculptra which lasts 2 to 3 years. Regards
Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon
+1

Tear Trough Deformity

A filler such as Restylane or Juvederm can fill that area and give you a result that may last a year or a bit longer. I would recommend you seek out a board certified plastic surgeon to help you achieve what you are seeking. Good luck.
Farbod Esmailian, MD

Orange County Plastic Surgeon
+1

Be careful - filler injections under the eye can create visible grey lumps

While many physicians inject Juvederm, Restylane and other fillers beneth the lower eyelid to plump depressions that cause dark circles under the eye, I do not. I do not because I have seen many patients who come to me after filler injections in this region with visible grey lumps caused by the filler showing through the thin eyelid skin. Other patients have had irregular lumps that protrude and are visible. Some have had injections of hyaluronidase to dissolve the filler and... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+1

Filler choices for the lower lids

I have used both HA products for this area (Restylane and Juvederm) and found that the Restylane works better because for some reason, many Juvederm patients develop excess swelling as compared to the Restylane patients.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Both Restylane and Juvederm great for under eyes.

Hi. 1)  Both Restylane and Juvederm work very well to smooth out this groove, and they both last over one year.  But this is a very tricky area, and you need a plastic surgeon with skill and experience.  The filler has to be injected in very small amounts and it has to be injected deep, under the muscle, not under the skin. 2)  Don't think cheek lift would work well for you, and this procedure can have complications.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Improvement of the lower lid/upper cheek area

The area you are wishing to improve is commonly called a tear trough depression or deformity.  We see this condition in many patients and most commonly in older patients who are starting to see an indentation in that area as the cheek starts to sag or a loss of fat due to the aging process or even a significant weight loss.  As you are only 27 undergoing a surgical procedure would be very aggressive at this stage and I would suggest having Restylane or Juvederm... more
Arnold Zweig, MD

Atlanta Facial Plastic Surgeon
+1

Juvederm

if you are refering to the tear trough, then Hyaluronic acid filler is ideal to start as a filler. You will need to choose your surgeon who is an expert in fillers in the tear trough because it often causes lumpiness if not done right. If you like the results then consider fat transfer as more permanent solution.
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Injectable fillers to restore volume from cheek sagging: Restylane, Juvederm, Radiesse, Sculptra

The use of injectable fillers for malar enhancement to restore volume loss from sagging cheek fat pads is a wonderful procedure to consider.  The in office procedure can be done in 15 to 30 minutes without anesthesia and with a low incidence of bruising. I would avoid dermal injections in the lower eyelid as the risk of lumpiness is unsatisfactory.  If the fillers don't provide adequate contours, then you may want to consider a cheek implant, but at your age, a mid-face... more
Randy Wong, MD

Honolulu Plastic Surgeon
+1

Restylane for cheeks and under eyes

Do you have a lot of swelling under your eyes in the morning?  Do your eyes itch?  If so you probably have ocular allergies.  If that is the case, he allergies should be brought under control before any under eye treatments, especially fillers. Assuming that allergies are not a problem (ie you do not swell a lot in the morning) then I would recommend Restylane, which should give you a beautiful result.   Juvederm is a great product, however it is... more
Marc Cohen, MD

Philadelphia Oculoplastic Surgeon
+1

Correcting the Under the Eye Indentation (Tear Trough)

The indentaton you are referring to is referred to as the Teat Trough and becomes evident as the cheek begins to descend and reveals the valley between it and the lower lid. The base of the vally is the lower ledge of the orbit.  The cosmetic options are 1. a cheel lift which is a surgical procedure or 2. a much simpler camouflage procedure which involves placing a hyaluronic clear filler deep in the tear trough valley. Restylane is superior to juvederm in this location. Juvederm is a... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Fillers for under eye

Yes, I would recommend either filler to try to alleviate your issue. They only last a few months than you must repeat the process. Surgery can be more permanent but you must consult with a boarded plastic surgeon to see if you are a true candidate. From MIAMI Dr. B
Darryl J. Blinski, MD

Miami Plastic Surgeon

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