Perlane for Under Eye Hollows?

I am only 19, however, the area under my eyes is very hollow and the doctor said she would inject along the bone to fill the area. I am not too confident if perlane is the best option. Also, she said it would hurt so to avoid this she would inject adrenaline prior which would 'block' the area??? Could someone please tell me if this is the right way to go? Not too sure ...

Doctor Answers 19

Injection of filler under the eyes

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. 

Bay Area Facial Plastic Surgeon
4.8 out of 5 stars 43 reviews

Perlane under the eyes

I prefer not to use perlane under the eyes in the hollow because it is a fairly thick product. My preference is restylane for this area.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Teosyal Redensity II is great for under-eye hollows

Although Perlane is a great filler, I personally recommend Teosyal Redensity II for the tear trough area. This helps address fine lines, dark circles, and deep hollows under the eyes. My patients have loved the results achieved with Teosyal Redensity II injections, and we find it extremely popular for those not yet ready for blepharoplasty (corrective eye surgery). Normally patients are fine with just a topical anaesthetic at most. I would recommend seeking a second opinion from a certified facial plastic surgeon.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 105 reviews

Under eye hollows

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.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

Under the eyes, Resty is Besty

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. 

Dara Liotta, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 29 reviews

Perlane under the eyes

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.


Robert S. Bader, MD
Boca Raton Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Perlane to under eye area

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.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 209 reviews

Filling under eye hollows


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

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 121 reviews

Perlane, Juvederm, Fill NLF's, Face Fillers, Restylane

Perlane is too thick to be placed just below the eyes and at 19, I can't imagine what you'd be treating.  It is possible for teens to have pre-mature lower eyelid bags but these more often appear during the early 20's.  You might consider seeing a facial plastic surgeon, plastic and cosmetic surgeon or a dermatologist for a consultation before proceeding.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Perlane for the hollowing of the lower eyelid

I prefer using juvederm in this area - to me it's smoothness is unsurpassed and the ease of injection makes for a relatively painless procedure using just topical anesthesia.  I do not find blocks necessary.  Also, if the substance is injected deep to the thin circular orbicularis muscle, I have not had any instances of it being visible. 

Douglas M. Stevens, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.