Hereditary Hollow Lower Lids and Thin Skin. Is Restylane the Best Treatment?

Restylane can help augment this area but I find less risk of lumpiness when it injected below the muscle rather than immediately under the skin. Many of the patients who are dissatisfied with their results and complain of lumpiness appear to have had Restylane, or Juvederm, injected superficially above the muscle. The thin skin here shows the lumpiness.

For a more permanent correction you might want to consider micro-fat transfer to your cheek/lower lid junction. Fat transfer procedures are performed using a local anesthetic, with or without IV sedation or general anesthesia, depending on the extent of the procedure and recommendations of your surgeon. This is highly technique specific so pick someone with extensive experience in this technique.#FatTransferLowerLids#LowerLidfatTransfer

The problem with thin skin and a hollow area under the eyes is that the color of any filler might shown through. Any of the HA fillers such as Restyane or Juvederm can present a bluish color called the Tyndall effect, whereas Radiesse does not, so it may not have been a terrible choice. In my view the best answer is often fat injections, which can be permanent and look very natural if done skillfully.

I have personal stopped using Radiesse.  Some docs like it because it is less expensive than fillers like Perlane.  However, the ability to adjust the service either shortly after placement or long after the treatment is only possible with the hyaluronic acid fillers like Restylane, Perlane, and Juevederm.  For the under eye hollow, Restylane has proven to be an idea filler.  However, this service is an art form.  Not every injector can handle treatment in this area.  Check with the liquidfacelift.com website for a qualified injector who does a lot of these services in your area.

The Radiesse should have lasted longer!    Having said that, Restylane is the best nonsurgical option for lower eyelid hollows for many reasons.  The lower eyelid skin is thin and so need to put something there that won't show.  Moreover, Restylane is reversible if there are any problems.  You are also young to have surgery.  Good luck.

Dr T