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

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.  

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