What filler to choose - Hi my question is, what's the difference between Restylane and Restylane Silk?

 I saw a doctor today for a consultation regarding hollows under my eyes and she said she will use restyle silk ,but its awfully expensive! !! Can she use just the regular restyle is itva big difference between those two ?

Doctor Answers 19

Restylane versus Restylane Silk

Restylane Silk is a much thinner product compared to Restylane. This makes it idea to place in areas that have thin skin because it does not get lumpy or bumpy. Regarding the under eye region, my preference is Restylane Silk because it gets incorporated into the tissues much more easily with less of a chance of that lumpy appearance. 

Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Restylane or Restylane Silk?

Galderma has 3 major filler products. Restylane, Restylane Lyft, and Restylane Silk. 

The Restylane product will be better for your facial wrinkles and folds such as the lines from your nose to the corners of your mouth. 

While the lyft product will be better if you are looking for volume in the cheek and mid face area.

Restylane silk is the BEST for lips and and lines around them.

All products are great! Just target your areas of concern- I hope this helps you on your journey!:)

Chaitali Nangrani, MD
The Woodlands Family Physician
4.3 out of 5 stars 21 reviews

Hollow under eyes

Restylane is a great product to use under the eyes. This is an area of the face that requires a lot of experience and skill on the part of the injector, however, so I would be cautious of pricing that seems overly discounted. I would also consider treatment with Juvederm Voluma. It is a little pricier but can create a beautiful result that lasts 24 months. 

Best of luck!

Justin Harper, MD
Columbus Physician
5.0 out of 5 stars 14 reviews


Regular Restylane is thicker and more likely to cause bumps or nodules when used in thin skin areas like the lower lids vs #restylane silk which is thinner and less likely to cause these problems.

Restylane® Silk has recently been approved by the FDA for release in the United States. It’s the first and only approved product specifically designed for smoothing wrinkles and lines around the mouth, as well as replacing lost volume. 

Restylane Versus Restylane Silk

Both are safe FDA approved hyaluronic acid fillers. Restylane Silk can be injected in a more superficial dermal position. Restylane is a soft tissue filler injected below the dermis for fine upper lip wrinkles. I would consider using a hyaluronic acid filler like Restylane for the tear trough correction, which will not cause
significant swelling and can last for over a year. This should be done in the hands of a Board Certified Plastic Surgeon or Dermatologist.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 50 reviews

Restylane and Restylane Silk

Restylane and Restylane Silk are both formulations of hyaluronic acid, but have different particle size and filling properties. Restylane Silk is fantastic for use around the mouth, and a small amount goes a long way when it comes to peri-oral lines (fine lines seen when you pucker lips) and marionette lines. While Restylane Silk is approved for peri-oral rejuvenation, it is also used in other areas such as tear troughs. Restylane is also used for the tear trough area  and does an excellent job. In some patients who have very thin undereye skin or minimal subcutaneous tissue, Restylane Silk may be a better option.
The best way to assess and give true advice based on your individual needs, would be an in-person exam.

Steven Gabel, MD, FACS
Portland Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Restylane vs Restylane Silk for the tear troughs

Restylane has been a very popular filler for the tear toughs for many years. It is a very good choice and gives great results. Now that Restylane silk is available (FDA approved in Jan 2015), many physicians are starting to prefer to use it instead of Restylane for that area because it is very soft with tiny particles and can be injected very superfically with a natural result.  Both are good choices. The more important choice is who you will trust to inject the product.  Make sure you chose an expert; typically a board certified Dermatologist, Derm Surgeon or Plastic Surgeon.

Restylane vs Restylane Silk

I appreciate your question.
Restylane silk is an excellent choice for your tear troughs. Restylane silk is a brand new product. It is the next generation of Restylane. It consists of Smaller particle size and is finer than Restylane so it is very smooth.  Perfect for delicate under eye area.

The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Both are good options for the tear troughs

Both Restylane and Restylane Silk are suitable for use in the tear troughs.  In my clinic, Restylane is used frequently for this purpose.  Both of these fillers are made from hyaluronic acid, and the cosmetic benefit can last as long as 12 months in this area (6-9 months is usually a safe bet here).

Whether you opt for Restylane or Restylane Silk, I recommend you find a Dermatologist who uses filler in this area frequently.  An experienced Dermatologist will give you the greatest cosmetic result with the fewest side effects and least downtime.  You may want to inquire about using a microcannula for the procedure, which can further minimize post-procedural bruising.

Jill C. Fichtel, MD
Columbus Dermatologic Surgeon
5.0 out of 5 stars 16 reviews

Restylane VS. Restylane Silk

Restylane silk consists of smaller molecules of Hyaluronic acid and would be less likely to create a ridge under the eye. It would create a more natural, smoother look.

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