Perlane for Under Eye Hollows?

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.