{"id":25371,"date":"2023-08-08T13:02:30","date_gmt":"2023-08-08T20:02:30","guid":{"rendered":"https://www.realself.com\/news\/?p=25371"},"modified":"2023-10-12T16:48:21","modified_gmt":"2023-10-12T23:48:21","slug":"under-eye-filler-options","status":"publish","type":"post","link":"https://www.realself.com\/news\/under-eye-filler-options","title":{"rendered":"Which Under-Eye Filler Is Right For You? Doctors Explain the Differences Between the Most Commonly Used Options"},"content":{"rendered":"

While we can all appreciate the eye-opening effects of double-shot lattes and brightening highlighters, they can only go so far. If you’ve got deep under-eye hollows (aka tear troughs) that make you look perpetually exhausted, you may be a candidate for treatment with injectable filler. “Under-eye filler has become our top in-office procedure over the past several years, with an increasingly eager patient population looking to correct tired eyes and dark circles,” says Dr. Tanya Khan<\/a>, a board-certified oculoplastic surgeon in Plano, Texas.<\/p>

If you’ve started to do your research into under-eye filler, you might have noticed that there are multiple filler brands used for this treatment, which may lead you to believe that they’re all basically the same. Not so—they all feature significantly different benefits and drawbacks. “Patients should care about the products used for their under-eye filler treatment,” says Dr. Robert Schwarcz<\/a>, a board-certified oculoplastic surgeon in New York City. “The different properties of various fillers can have different effects.” (For example, if you’re treated with a filler that’s too thick, it may be very noticeable.) <\/p>

While you can absolutely leave the choice of product up to your injector, you should also feel confident in asking questions and giving your opinion. A good provider will want<\/em> you to be informed about the filler they’re using for your under-eye treatment. “My role is to support a patient’s decision-making with product data, experience, and anatomical knowledge,” explains Dr. Darren Smith<\/a>, a board-certified plastic surgeon in New York City. “The patient is empowered to use this information to make decisions most aligned with their desired results.”<\/p>

When it comes to feeling empowered at the doctor’s office, a little pre-reading never hurts. To help guide you ahead of your under-eye filler consultation, we’re breaking down each of the commonly used fillers, potential risks, and other things you should know before pulling the trigger on this treatment—or rather, before your provider pushes the plunger on the syringe.<\/p>

Restylane-L and Restylane Eyelight<\/strong><\/h3>

Like the majority of the products on this list, Restylane<\/a> fillers are made out of hyaluronic acid (HA), which is naturally present in the human body; HA molecules can be stabilized into a gel to be used as filler by “crosslinking” them, which gives them a 3D structure. That doesn’t mean all HA fillers are identical: Some are denser than others—very thick fillers, such as those used to augment cheekbones or the jawline, will not be well suited to the under-eye because of how thin the skin is there and how shallowly the filler must be placed. Further, while all HA attracts water, some fillers are especially hydrophilic, meaning they can more powerfully draw in water.<\/p>

While Restylane-L and Restylane Eyelight are marketed differently (the former features FDA approval for facial folds; the latter, for under-eye treatment), they’re actually the same product. “Eyelight is simply repackaged Restylane-L in 0.5cc syringes instead of the full 1cc syringe,” says Dr. Khan. Adds Dr. Schwarcz, who served as an investigator in the clinical trials for Restylane Eyelight, “the smaller volume syringes remind the injector that less is more.” This product does not attract too much water, and it’s reasonably thin but dense enough to provide good lift and structure to deeper hollows without being noticeable. <\/p>

This is Dr. Smith’s and Dr. Schwarcz’s favorite product to use for under-eye filler; the former refers to it as his first choice and the latter has been using it in his patients for 20 years. However, not all patients are the same, and you may do better with one of the other fillers on this list, depending on your goals and your provider’s recommendations. <\/p>

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A post shared by Robert Schwarcz, MD, FACS (@drrobertschwarcz)<\/a><\/p><\/div><\/blockquote>