Is Juvederm or Restylane better for under eye bags/tear troughs?

Question

I'm a 35 year old female. These under-eye bags and tear troughs seem to be a family thing because even my 20 year old sister has them. Is Juvederm better than Restylane? Also, how can I find a practice where the MD performs these injections, instead of a "nurse injector"? Is this something I can ask when setting up an appointment? To the MD it may be a "routine" procedure but this is my face and I want a qualified person working on it, not a nurse from a "med spa".

Jonathan Kulbersh, MD · Answer

A dermal filler such as Restylane is a good choice and would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
An alternative would be another surgery which would require a fat-repositioning lower lid blepharoplasty. 
I hope this helps!

Janet Allenby, DO · Answer

Hello,Thank you for your question. Restylane is much better under the eyes. The Juvederm has a slight blue tint that can sometimes be seen under the eyes. It is completely okay to ask if the MD performs the procedure. You can use RealSelf and NewBeauty to find doctors and see Before and After photos. You should also consider meeting with doctors and having a consultation before proceeding  with a treatment. Good luck!

Avron Lipschitz, MD · Answer

Thank you for your question.
I prefer to use restylane or belotero for under eye filler and i can avoid nodularity and tindel effect 100% of the time. Juvederm is notorious for tindel effect and i never use it.

Harold J. Kaplan, MD · Answer

Hi CDiaz.  Good question.  The choice of product is largely a function of injector preference.  We prefer Restylane as it is slightly smoother under the eyes than other products like Juvederm.  But it's likely that you will find your injector first and then go with the recommended product as these two products are very similar.  Re: which practitioner for injections...in the Southern California area, especially with plastic surgeons, it is very common for nurses to do all the injections while surgeons do all the surgery.  A good question to ask is how often the procedure is performed by your injector and can you see before and after photos.  There is no formal training for injection procedures in medical or nursing school, it's all on the job learning.  So skill is not always a function of title, experience plays a big part.  Good luck and to view nurse administered under eye injection before and after photos, click on the link below.

Jason Emer, MD · Answer

These fillers (belotero, volbella, restylane silk) are good for under the eye, but keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with a cosmetic dermatologist to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

John J. Martin, Jr., MD · Answer

Restylane and Belotero are the 2 best fillers for the lower lid and tear trough as they do not create significant edema  Juvederm ultra and ultra plus are well known to cause edema in the lower lids which can last for many months or years.   The newer Juvederm products which are not as hydrophilic (don't attract as much water) may be ok there.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and for performing your research prior to treatment.  Both dermal fillers can be successfully used in the under eye region to help camouflage lower eyelid bags.  I would recommend either Restylane or Juvederm Volbella/Vollure as the risk of swelling is less and all are thin, soft gels.  You can certainly ask who performs the injections in the practice when calling to schedule a consultation.  Hope this helps.

Monika Soni, MD · Answer

Thank you for your question! Restylane and Belotero are the 2 best fillers for the lower lid and tear trough as they do not create significant edema  Juvederm ultra and ultra plus are well known to cause edema in the lower lids which can last for many months or years.   The newer Juvederm products which are not as hydrophilic (don't attract as much water) may be ok there. Best of luck!

Manjula Jegasothy, MD · Answer

Low-viscosity fillers which attract less water to the injected area, such as Juvederm Volbella® and Restylane® Silk are best for the tear troughs. Since this is an advanced procedure, please ask who will be doing the injections, and you can cross list this name with a board-certified dermatologist from the American Board of Dermatology website.

Paul Denton, MD, FRCSC · Answer

Under eye volume loss is best treated by Belotero, Restylane, and in 2018, Redensity II by Teosyl will become available in the US. Juvederm products are more likely to create a tindall effect or cause intermittent swelling of the lower eyelids. Surface issues like hyperpigmentation or fine lines, are better treated by lasers or PRP. Sometimes a combination of these is the best approach. Look for a physician who has significant experience treating patients with under-eye fillers.

Is Juvederm or Restylane better for under eye bags/tear troughs?

Answers (14)

More Juvederm Questions

Are lips suppose to be this swollen after lip injections? I feel the entire area around my mouth is inflamed (Photo)

Can Juvederm make an old hypertrophic scar worse?

Will 0.5ml of Juvederm in my lips be enough? (Photo)

1 mo post Juvederm on top lip, one side is visibly bigger than other. Dissolve one side or get a little more injected? (photo)

2 days post-Juvederm ultra plus: I've developed brown spots near the injection site; what can I do? (Photos)

Can filler in the cheeks/side cheeks moved or completely dispersed by massage?

WE SEND PRETTY
EMAILS