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

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

  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.

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.

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!

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.

There are many option to give volume like HA . fat not only adds volume,but rejuvenates the tissue too. Fat can be injected to any area of the body and face.

  I have used fillers for over 20 years and without photos, of your face, it's difficult to make an accurate evaluation.  In general however, the thinner HA fillers like Restylane and Juvederm would be used in the thin lower eyelid/upper cheek zone.  

  IMHO, you should seek an MD with the proper aesthetic judgement of facial aesthetics so you don't fill something that winds up making the face appear broad or odd.