Restylane Lift vs Juvederm Vollure for my under eye tear troughs? (photos)

Restylane Lyft is nothing like Juvederm Vollure.  If you are confused by the hyaluronic acid filler products, that is the intention of the filler manufacturers. Allergan, in my opinion, is engaged in what is called channel stuffing.  This is a marketing practice of sell an array of very similar products into the market to maximize products.  Honestly they have to make up money on expensive dogs like Kybella.  Again, yes, that is my opinion.  Restylane is a high G prime, low tan delta filler. It is actually too difficult to manage for thin coverage areas like the tear trough-so I don't recommend it in this location. Voluma is the highest G prime filler of the Allergan Juvederm product line.  Vollure is suppose to be intermediate between Voluma and the runny Juvederms.  However, Voluma is still runny compared to Restylane.  So no Lyft is not right for this location because it is prone to lumps.  However, the Allergan products are not right because they are runny and do not hold in location.  Restylane continues to be the ideal under eye filler product but it is a fussy service.  Done correctly, you will love the treatment.  Don't talk yourself into the wrong product.

You have puffiness of your lower lids. The best treatment is to remove the excess fat from your lids. Fillers will not be of any benefit.

Tear troughs can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

Thank you for sharing your question and posting your photographs. There are many noninvasive procedure and well as surgical options available. See an experienced Oculoplastic Surgeon for comprehensive evaluation and discussion of treatment solutions. Both fillers you mentioned do not appear best for you. Good luck,

Restylane refyne, belotero, restylane silk, or juvederm volbella do best under the eyes.  There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will be the best long term.  However, non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels and stem cells can all help give some improvement. I suggest. You get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

The type of filler is only one factor in getting  best results. The amount of filler and technique are also important. It is good to be conservative with filler injection under eyes. Another more permanent option is transconjunctival lower blepharoplasty with repositioning of the eye fat bags to the hollow area. Consultation will determine what's best for you.

If you have had several consults and those are the only 2 filler recommendations you have received then I would seriously question the quality of the consultations. Were they done by experienced physicians? Restylane Lyft is too bulky a filler to use directly under the eyes. Vollure is ok when used properly, but there are other better options for under the eyes. Based on your pictures, I would recommend either Belotero, Restylane Silk, or Restylane Refyne. Though choice of proper filler is important, more important is the skill and experience of the injector. I often use microcannulas in this area to minimize swelling and bruising. I would recommend an in-person consultation and evaluation to determine which filler and approach would be most appropriate for you. Best wishes.

In order to reach a perfectly smooth effect and closer to the lash line, I think you should avoid both Lyft and Vollure. Both these products have higher lift ability and carry a higher risk of creating that fluffy bag look in the thin area of the eyelid. You would be better served with a thinner gel like Restylane refyne or silk. Hope this helps!Johnson C. Lee, MD
Board-Certified Plastic Surgeon
IG: @drjohnsonlee