What is the best filler that lasts the longest for under eyes?

Question

what is the best filler that last the longest for under eyes? Also, I am having a C02 laser treatment. It was suggested that I have the fillers done at the same time.

Raffy Karamanoukian, MD, FACS · Answer

Sculptra works well to stimulate collagen around the eyes.  As a stimulatory filler, it is ideal as a volumetric filler for the cheek, eyelid-cheek junction, and lower eyelid skin. Care should be taken during injection to achieve maximum results. Best, Dr. Karamanoukian

Jason Emer, MD · Answer

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer​​​​

Harold J. Kaplan, MD · Answer

Hi lb2me.  There is a big difference between the longest lasting and best filler under the eyes.  You will find that most experienced injectors want a soft filler like Restylane, Belotero or Juvederm under the eyes.  These products do not last as long as Radiesse, but they are much safer and look better under the eyes. For examples of Restylane injections under the eyes for our Los Angeles patients, check the link below.

Michael H. Gold, MD · Answer

As noted by the
other doctors here, the most appropriate filler for the eye area may not be the
one that lasts the longest, but does look the best.  Under the eyes we usually recommend
Restylane, Belotero, or Juvederm, as these are the softest of the fillers that
we have.  Make sure that the injector is
skilled in these kinds of injections and preferably is or works with a board
certified dermatologist or plastic surgeon. 
If you are having a CO2 laser procedure there is no hard and fast rule
here.  Many would consider doing them at
the same time, but others would recommend that they work best if done 2 weeks
before and some even 2 weeks after. 
Again, the skill level of the provider is most important.

Manjula Jegasothy, MD · Answer

In general, all fillers last longer under eyes since it is a less dynamic movement-oriented area than the lips or smile lines. Restylane® and Belotero® are the currently-favored fillers for this area, since their lower viscosity (thickness) causes less puffiness/swelling of delicate under eye skin.

Vicki J. Levine, MD · Answer

I agree that in this are, longevity is not issue. The softness of the filler is the most important thing to consider, not the longevity.

F. Victor Rueckl, MD (in memoriam) · Answer

When many people want filler "under the eyes" what they are actually referring to is the upper cheeks. If this is the case for you, then Voluma is an excellent filler. It is thick, soft, malleable, and in studies has been proven to last up to two years."This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."

What is the best filler that lasts the longest for under eyes?

Answers (7)

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