Restylane in Palpebro Malar Groove?

I have asked this before but I only used the expression lateral lower eyelid..I have had some restylane SubQ which has improved things, but I still have considerable hollowing in this area...how close to lower eyelashes can filler be put?

The subq was put right on my orbital bone, when I smile I still have horizontal wrinkles (folds) on my orbital bone. I have a "shelf look" when I smile. I do not want surgery as I already have a failed MFL and now have bilateral HPG insitu.

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hollows wrinkles non surgical orbital wall

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4 Doctor Answers | Asked by ernurse in Australia

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Restylane in the skin right under the eyelashes of the lower eyelid

Restylane injections in this area, of the superficial skin below the eyelashes, could cause more obvious lumps and swelling. It is an off-label use.

Using Restylane around the eyes is an off-label application

Using Restylane around the eyes is an off-label application. In the right hands, it can be done. I use it all the way up to the eyelashes, but it’s a technically difficult procedure and most doctors don’t do that. Nor do I recommend that they do if they are not oculoplastic surgeons highly trained in Restylane injections. Most doctors will use it under the skin at the level of the orbital rim (the edge of the eye bone). Using it in the eyelid for... more

Wrinkles With Smiling

Ernurse, Wrinkles that form with muscle activity should not be treated with Restylane. Instead, talk to your injector about having BOTOX injected into the orbicularis muscle.

Michael McCracken, MD

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Boulder Oculoplastic Surgeon

Hollowing around the orbit and loose skin of the eyelids are two different problems

Hollowing around the orbit and loose skin of the eyelids are two different problems. The first can be treated with fillers and the second with peels or lasers.