Perlane for Under Eye Hollows?

My personal preference is to use Restylane  under the eyes. The skin in this area is very thin on most patients and Restylane is the least likely product to be visible through the skin. Perlane is preferable for areas of the face with thicker skin, as the product is more cross-linked. The under eye injections are quite comfortable and typically patients do not require even topical numbing cream for this procedure. 

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Any dermal filler will help provide volume to a "hollow" under eye area. I would recommend having a thorough assessment with a reputable provider for further education and information, and be sure you understand what is being presented and that your expectations are in line with theirs.

Hi Pepper,
We agree with some of the other practitioners that Perlane may not be the easiest product to work with for the under eye area. Our preference is Restylane.
As for the "block", you may be speaking about a "dental block" which is a term used to numb the face. We do not find that this is necessary and use a "triple numbing" cream. We are a bit concerned that the choice of product and the suggestion of a dental block indicates that your practitioner is not that experienced with this area. You may want to ask around for someone more experienced.

There are several approaches to treating under eye hollows often referred to as tear troughs.
The first and most simplest approach is to inject a filler like restylane or juvederm. I prefer restylane there since it is slightly less visible in that area than juvederm. I will not bore you with the science here. Also, I would not recommend perlane since it is a much thicker molecule and significant pain and bruising may result as well as lumpiness due to the larger size of the molecule.
Other options include fat injections and sometimes they can be permanent so I would start with the filler mentioned above.
There are also surgical options which include transposing the fat that you already have under your eyes into that area and that procedure is permanent and can give a natural and smooth contour.

Perlane which is now called Restylane Lyft is much too thick for the under eye area.  Restylane and Belotero are much better products for this area which can be easily over-injected and swollen. Please consult a board certified dermatologist who is an expert in under eye fillers for the best cosmetic result.  Best, Dr. Green

Restylane and Perlane are common fillers used under the eyes, and Lidocaine is often used topically or possibly injected to numb the area first. It can look very good if done properly.

as others have said, I also prefer Restylane under the eyes.  All Hyaluronic Acid filler (Restylane, Perlane, Juvaderm) absorb water, but it seems that Restylane does so much more predictably than the others.  Juvaderm or Perlane under the eyes can theoretically give you intermittent puffiness that can be a bit unpredictable.  

As an aside, filler under the eyes can do wonders for patients who have a "hill, valley, hill" problem under the eye- a true tear trough that is a hollowed ridge.  It won't help patients with darkened, pigmented areas under the eyes, or eye puffiness alone (in fact, it can make puffiness look worse).  

I would also recommend scheduling your injections when you can take a few days off.  Injections in this area can cause you some puffiness and bruising for a few days. 

Perlane and Restyane can be used to reduce the hallows under the eyes. They can be used to reduce the appearance of ages under the eyes. 

Topical aesthetic can be used, although the procedure is well tolerated especially when the -L product is used, which contains lidocaine.

 

Greetings~

It is difficult to recommend for or against treatment without seeing you but generally speaking I prefer Restylane for the under eye hollows...though very similar, Perlane is thicker and consists of larger particles which can be more difficult to work with in the thin, delicate under eye area.  Most patients are surprised how tolerable the injections in this area are.  The majority of patients are fine with only topical anesthetic but injectable anesthetic (Lidocaine) can also be used in small amounts at the needle insertion site.

Good luck~

Dr. Grant Stevens