Best Filler to Freshen the Peri-Orbital Area? Under Eye Lateral, Eyelid, Brow Lift

Question

I want to find an experienced dermatologist, esthetician or ps who can take a global approach to the peri-orbital area. It is not so much the tear trough that is a problem but the area kind of lateral to that, going toward my cheek/temple, if that makes sense. Also looking for one who can do the approach of putting filler in the upper lid and shift it toward the inner lid by hand, to fill in eye hollows. I've seen this in a video and it was delicate work, beautiful outcome.

Sam Naficy, MD, FACS · Answer

It is difficult to answer your question without seeing your pictures &ndash; based on the level of volume loss you have either fat or HA fillers (Juvederm/Restylane) could work.

Lawrence Kass, MD · Answer

I agree that HA fillers may be best for this delicate area.  That said, I think Restylane is superior to JUvederm in this area.  I used to think these fillers were quite alike but I have seen cases of prolonged edema after PROPER injection of these areas with JUvederm.

Eric M. Joseph, MD · Answer

I read your concerns. In my practice, Silikon-1000, a permanent off-label filler, is preferred for facial volume replacement. You can have your hollow temples filled along with any hollowing of your lower eyelids. You can also have upper eyelid hollowness carefully filled with Silikon-1000.

	You must be sure your physician is trained in the serial-puncture, microdroplet technique of silicone administration. Your eyelid area is unforgiving, so the expertise of your physician is critical when considering volume replacement in this area.

	I hope this is helpful for you.

	Regards from NJ.

Catherine Winslow, MD · Answer

Hi! I only use hyaluronic acid fillers for this delicate area- the thinnest skin on the body tends to show lumps with any fillers that are not gels. Also HA can be removed with hyaluronidase if you do not like it. Restylane is a great filler for this region and causes slightly less bruising in my experience than Juvederm, although Juve lasts longer. Nothing is FDA approved for this area- it is all "off-label" use. However, we routinely inject HAs with beautiful results. Do make sure you find an injector with experience as I have seen many patients with poor results from inexperienced injectors. Good luck!

Mark A. Schusterman, MD, FACS · Answer

Most doctors agree that restylane seems to work better in the periorbital area versus juvederm. Juvederm will more likely result in bluish discoloration known as the Tyndall effect.

Best Filler to Freshen the Peri-Orbital Area? Under Eye Lateral, Eyelid, Brow Lift

Answers (7)

Answer: Hyaluronic acids only for this delicate area!

Answer: Hyaluronic acids only for this delicate area!

Answer: Best filler for the Eye (periorbital) area

Answer: Best filler for the Eye (periorbital) area

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Best Filler to Freshen the Peri-Orbital Area? Under Eye Lateral, Eyelid, Brow Lift

Answers (7)

Answer: Hyaluronic acids only for this delicate area!

Answer: Hyaluronic acids only for this delicate area!

Answer: Best filler for the Eye (periorbital) area

Answer: Best filler for the Eye (periorbital) area

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.