I have wrinkles around the eyes and would like to try some filler. Is Juvederm the best one?
Best Filler for Eye Wrinkles
Doctor Answers 14
Juvederm , Elevess and Cosmoderm are all very good for superficial or medium creases.
If you have superficial or medium depth creases then Juvederm, Elevess or Cosmoderm are good choices. If the lines are dynamic creases which means that they show up mainly only when you smile then Botox is a good choice. There are no allergies to any of these materials and can be injected at your initial consultation very easily. Juvederm and Elevess are similar to Restylane but last alittle longer. (approx 6-9 months) Cosmoderm lasts approx 3-4 months which lasts about the same as Botox. Bruising and alittle swelling or redness is normal and goes away in a day or two. Some patients need both a filler and botox together which can be done on the same day.
Fillers may not be the answer
Wrinkles around the eye can be a difficult problem. Place your finger on the bone around your eye. If the wrinkles are on the skin between the bone and your eye, fillers should not be used in that area. For wrinkles along the outside of the eye (near the temple - often called the crows feet area), often Botox is the best solution. For other wrinkles or depressions around the eye, several products have been used off label. I would agree that the injector is more important than the injectible. The area around the eye is a difficult area to get a good result and requires a different injection technique than other areas.
Hope this helps.
The injector is most important for filler around the eye, but don't use Juvederm
When you get filler around the eyes, you mainly help the sunken areas around the eye and tear trough area. The fine lines are only slighly corrected. Restylane seems to stay in place better than Juvederm and Juvederm can lead to prolonged edema around the eye. More important than the filler is the injector and placement. This is probably the most difficult area to inject well. The injection needs to be deep to the muscle and sometimes, just superficial to the bone. If the filler is placed too superficial, bumps and blue tint to the skin (Tindel effect) are seen. These injections are more prone to bruising than other areas. Also, conservative amounts is better than overfilling the area. Surprisingly, the injections are relatively painless. Most people will get about a year duration with Restylane.
Steve Weiner, MD
Facial Plastic Surgeon
UPDATE: I ONLY USE BLUNT CANNULAS AROUND THE EYES NOT. LESS BRUISING, LESS PAIN, LESS SWELLING, AND SAFER.
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To fill or not to fill
Fillers are not always the answer. It matters exactly what the pathology is. So if these are fine wrinkles of the lower eyelid then a resurfacing technique such as a chemical peel or a fractional laser is best. If they are wrinkles laterally around the sides of the eyes then these are typically from overactive orbicularis muscle and Botox or Xeomen toxin can be used to paralyze the muscle which will decrease the appearance of wrinkles.
Fillers are better for "filling" hallowness, shadows and divots. They do have a roll in larger defined wrinkles but they are really most beneficial to augment adjacent areas that enhance and decrease the wrinkle in that way.
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Botox is a fantastic treatment for wrinkles around the eye, particularly the crows feet which lie to the sides of the eye. I would reserve dermal fillers for filling in of the tear trough areas, with Teosyal Redensity II my preferred filler here. Best wishes.
Botox for eye wrinkles, Redensity II for under eye filler
In terms of treating hollows under the eyes, Redensity II is my top brand of choice for under eye filler. This specialty dermal filler was created in Europe and has since won many awards and much accolades for it's excellent formulation that specifically targets correction of the delicate areas around the eyes.
Try Botox first
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