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Restylane Vs. Livefill for Severe Under Eye Hollows

I have had bad eye hollows since I was a kid. I am now older and I am tired of looking half-dead. I believe most of my dark circles come from the shadowing caused by these hollows. I've look at several options, & am contemplating Livefill (I'd love a more permanent solution than regular fillers) or Restylane. However, I've heard horror stories about Restylane - permanent bags or discolorations or even more extreme indentations. I am not sure what to do. Also, if anyone knows any good plastic surgeons knowledgeable with this kind of treatment, let me know. Thank you.

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11 Doctor Answers | Asked by sots in Los Angeles

Doctor Answers (11)
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Restylane works great for under eyes, but is off-label

Restylane works nicely off-label for under eye hollows. You should stay away from any long term fillers or implants in this area because of the delicacy of the eye structures. I would look for an oculofacial plastic surgeon to inject these areas as we are specialists that have the most training and experience with this part of the anatomy.

LiveFill can only be used in subtle fashion or it will appear lumpy. Usually this is best with a short incision cheeklift. For patients with minor changes of aging, hyaluronic acid fillers with gradually increasing amounts and filler thickness is a better strategy.

Fillers under the eyes

Placing fillers such as restylane or juvaderm under the eyes is a very delicate procedure. It can be frought with lumps and bumps. I would not recommend fat grafting in this area, because lumps from this material are extremely difficult to remove.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Restylane Versus Livefil for Lower Eyelid Hollows

Hi Sots, Restylane is a great product to use in the lower lid eye hollow area. The lower eyelid area is very delicate and unforgiving, so it is essential that you choose an experienced and skilled physician for these injections. The main adverse side effect that occurs in my hands is occaisional bruising. You should be off all medications that thin your blood for at least 10 days prior to your treatment, and leave yourself at least one week before any major event just in case there is a... more

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Fillers for under eyes

It's always safer to try a temporary filler first to see the result and find out if you like it before you have a permanent filler. There can be risks of lumpiness. I have not seen permanent color changes from temporary fillers.

Livefill is a proprietary tissue grafting method

LivefillTM is a fat grating method so it requires surgery. Like other fat grafting methods, approximately 70% of the material ultimately survives. This means that after many months, you will feel like you lost some of the effect of surgery and may feel motivated to have additional treatment to address this loss. Regrading complications of this method, I will speak generally about fat grafting to the lower eyelid area rather than specifically about LivefillTM. The under eye area is a very... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Permanent Fillers Could Mean Permanent Problems

I like Restylane for the periorbital area because it dissolves with hyaluronidase if needed. Anything permanent that is injected could cause problems down the road and there is no easy antidote. Surgery may be required to fix a permanent filler problem.

Hollow eyes

Your pictures show hollowness in the lower lid area. MICRO FAT GRAFTING. Small amounts and small fat cells, injected through a blunt very fine needle is superior. Resylane also has to be done expertly. Start with restylane if you do not like it, then it can be disolved. If you like it and have confidence in the expertise of the doctor then proceed with fat injection

Treatment of under eye hollows

Your photographs clearly demonstrate an area of soft tissue deficiency in the infra orbital region. I have used filler injections into this area with excellent results. I believe the down side is lack of permanency from this procedure. The other option would be fat injections or dermal-fat grafts (Livefill). Both of these treatments are likely to give you good results. One option would be to get a filler injection to be sure you like the results before having something more permanent... more

Fillers for under eye hollows

I have used restylane under the eyes for over four years now and have yet to have a problem or complication with it. It has proven itself as the safest filler under the eyes. I have, however, seen patients who have had too much injected. I have also are patients with long term swelling from Juvederm or Radiesse in this area. In general, I recommend restylane if you need volumes in the range of 1 to 2 cc. In those who need more volume, or when a more permanent result is desired, fat... more