Best Filler for Eye Wrinkles

I have wrinkles around the eyes and would like to try some filler. Is Juvederm the best one?

Doctor Answers 16

Juvederm , Elevess and Cosmoderm are all very good for superficial or medium creases.

Dear Rosane,

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.

David Hansen,MD

Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 42 reviews

Fillers may not be the answer

Greetings Rosane,

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.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
3.9 out of 5 stars 14 reviews

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

Destin, Florida.


Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

Best Treatment for Wrinkles Around the Eyes

Fillers are not the best choice for eye wrinkles. Those periocular lines are treated easily with Botox, which relaxes the muscles around the eyes. After Botox injections, my patients usually see diminished dynamic wrinkles (created by smiling). For the lines under the eyes that still persist after Botox injections, I recommend using Erbium Laser Skin Resurfacing - this helps to remove the remaining wrinkles and gives a youthful glow. I hope you find this helpful.

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 139 reviews


around the eyes such a crows feet, I prefer neuromodulators. If you could post some pics of what your wrinkles look like it would be helpful.

Kristin J. Tarbet MD, FACS
Bellevue Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Most Effective Treatments for Eye Wrinkles

Fillers are generally used for the lower part of the face. Botox would be your ideal injectable for line and wrinkles around the eye. With that said, filler for mid-face volume loss such as Voluma can great enhance the area of your indirectly. Putting volume in the lateral cheeks gently pulls the cheek skin towards the ear.  This often results in a subtle reshaping/softening of the under-eye area.  

Pooja Malik, MD
Cherry Hill Family Physician
5.0 out of 5 stars 4 reviews

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.


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Treatment Of Around The Eye Wrinkles

Dear Rosane:

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.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 7 reviews

Botox for eye wrinkles, Redensity II for under eye filler

Botox is the best treatment on the market today to target the crow's feet wrinkles that appear at the corners of the ears. Botox is not a dermal filler, but rather a neuromodulator that relaxes the muscles that cause the fine lines and wrinkles.

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.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 147 reviews

Try Botox first

If it is wrinkles around your eyes that are caused by smiling or winking, then Botox is the best solution to try first. There are some fillers that can be used around the eyes, but it is mainly for filling in the tear troughs. The practitioner can evaluate your skin and determine what is the best course of action. Best of luck!

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 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.