Which Filler is Best for Under Eyes (Tear Trough)?

asked 4 years ago by anon
Latest answer by Philip Young, MD
Question viewed 108,125 times
Tags: tear trough, under eyes, hollow

i had restylane under my eyes and mid section of face to give volume i love it but after reading all the posts i am afraid its not going to last as long. can anyone make a suggestion on other fillers for those areas.

11 answers to Which Filler is Best for Under Eyes (Tear Trough)?

Best under eye filler

I am now convinced that Restylane is the best dermal filler for treating tear troughs and periocular depressions. It has a long track record of safety around the eye and does not spread around like juvederm does (which is good). It needs to be injected deep (onto the bone). Bruising is now a lot less with a newer technique I have just started but it is the one area that bruising is fairly common.

Steven F. Weiner, MD
Pensacola Facial Plastic Surgeon

I would recommend only non permanent fillers. i only use...

I would recommend only non permanent fillers. i only use juvederm in this area. the skin is paper thin and you will likely bruise.try icing 5 minutes before injection to shrink the blood vessels. some physicians will inject an anesthetic with epinephrine before injecting this area. these injections are the trickiest injections on the face. make sure you feel confident with your injector for this area in particular. it is a very unforgiving area

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon

Fat injections are an option, but restylane lasts longer in the eye area

Fat injections are an option, but restylane lasts longer in the eye area. More recently practitioners are finding that restylane in the eye area can last more than one year. We have patients that have results for over 2-3 years. For longer results you can think of fat injections. Restylane is the best in the eye area from a filler standpoint. Restylane usually lasts around 6 months to a year. But in the eye region again the results can be longer.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Restylane for tear troughs

Restylane fine line is my preferred product for tear troughs. In cases where someone has deep set eyes resylane product is a good choice. The fine line product which has been available in Canada for a number of years is very smooth forgiving and does not leave lumps. I inject the majority of the product just superficial to bone. .

Philip Solomon, MD
Toronto Facial Plastic Surgeon

Least problematic under eye filler thus far overall is Restylane

There are no FDA approved fillers for under the eye. Most fillers only have FDA approval for Naso Labial Folds. At this date there is only one FDA approved filler for lips (Restylane). Risking long term or permanent fillers under the eye is not worth the potential negative results. Restylane injected properly under the eye typically lasts longer than it does in other areas, so you'll likely see the volume you are enjoying longer than you might think. Fillers have... more

Rebecca Fitzgerald, MD
Los Angeles Dermatologist

Restylane for Tear Troughs

In our practice, Restylane is the only injectable filler that we use in the tear trough area. It has the most natural and consistant result of all the fillers - it is also has a very good safety profile. You want to be sure to go to someone very experieced before getting injections in this region. Restylane can often last 6-12 months in the tear trough region. Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon

Filler for under eyes

Structural fat grafting can be performed on upper eyelid hollows, to smooth hollows under the eyes, to fill sunken cheeks, for filling sunken hollows under eyes eyes and is often used for blepharoplasty correction when too much skin and or fat has been removed in an eyelid surgical procedure. Fat Grafting requires specialized training and specialized surgical instruments, as well as patience and attention to detail on the part of the surgeon. When performed properly, permanent... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

Silikon-1000 may be safely used by experienced physicians for natural-looking, permanent lower eyelid rejuvenation.

In my practice, Silikon-1000 works well for improving the appearance of lower eyelid grooves or hollowing. A very small amount of silicone is required, and your results are permanent. In my view, lower eyelid injections must be performed by a specialist familiar with non-surgical rejuvenation of this delicate area, so you should see many photos before proceeding. Hyaluronic acid products like Restylane and Juvederm may lead to a bluish discoloration (Tyndall Effect) that could last a... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Best cosmetic dermal filler for tear troughs

As most of the panel members agreed, Restylane is the product of choice in our practice for the tear trough area. We like the fact that it does not migrate as easily as Juvederm, that it may be resolved with hyaluronidase if needed, comes in 1/2 syringe for those that require less product in this area (which is not uncommon), and is much, much safer than a semi-permanenent or permanent filler. We recommend that you don't trade safety for longevity as the tear trough area is very... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Fillers around the eyes can cause visible lumps

You are very fortunate that you have had good results with Restylane around the eyes into the tear trough. Since you have had good luck with Restylane, stick with it and the doctor who gave you a good result. Longer lasting fillers are more likely to result in lumps and of course take longer to go away. I have seen many, many patients who complain of visible lumps especially when fillers are injected into the dark cirlce under the lower eyelid, which is above the tear trough. actaul tear... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

Tear Troughs

I assume you had the so-called "tear troughs" injected. Your choice of Restylane is fine. Juvederm also works well. It is questionable whether or not it lasts longer. In this area, both tend to last longer than when injected in other areas of the face. I use Restylane and my patients come in only once or twice a year for tear trough treatments.