Difference Between Fillers for Hollowed Eyes?

There is so much information out there on eye fillers. I've read literature on Restylane, Juvederm, Sculptra.

For someone like me, dealing with really bad hollow eyes, what is the first line treatment option? What is the difference between using Sculptra vs. Juvederm or Restylane?

Price is definitely a factor in deciding.

Doctor Answers 1

Best fillers for treatment of under eye hollows

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Hi Eye_filler,

You ask a very good question. The skin under the eye is very delicate and thin. For this reason it is very important to choose the right filler. Juvederm and Restylane are both excellent options because they are both hyaluronic acid based and relatively soft. They could also be removed by a dissolving enzyme if they are placed too superficially. These products typically last around 6 months. These products typically cost on average $650-$750 per syringe depending on the practice. usually only one syringe is needed for both hollows

Sculptra is a stimulatory filler that helps induce collagen production. The risk of placing Sculptra under the eyes is the potential for developing nodules. This product needs to be placed very deeply and since the eyelid area is very thin, visible and palpable bumps can form. This product lasts for up to two years depending on the number of treatments. Because it is stimulatory, several treatments are required. The other issue with Sculptra is that it cannot be removed if bumps form or if you are unhappy with the results. Sculptra is priced by the vial and typically runs from $800 to as much as $1500 per vial. You would not use the whole vial under the eyes but would be able to use the remainder in areas in which you wanted to contour and build volume, such as the cheeks.

Hope this helps!

New York Dermatologic Surgeon

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