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

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.

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

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.

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

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

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

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

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