Non surgical options for lower lid retraction with hyaluronic acid gel (Restylane)? (Photo)

Filler injection will NOT provide adequate correction and it is short-term. See my page on eyelid retraction surgery which also includes a video testimonial from a patient who tried fillers many times prior to finally correcting it with surgery. 

This requires a surgical reconstruction to make a long term difference here.  The infracillary incision injures the motor nerves to the muscle that helps hold the eyelid in place against the eye.  This does not recover.  Simply tightening the lower eyelid can actually make the situation worse by further pulling the lower eyelid under the curvature of the eye.  Think about tightening a belt on a full belly.  The belt ends up under the curvature of the belly.  To deal with this issue, a number of specialized strategies are used including rim implants to support the cheek soft tissue, hard palate graft to control the shape of the lower eyelid and, yes, canthoplasty.

Restylane is not indicated for this under FDA guidelines, so it would be off label use. Restylane might be too lumpy in the eyelid itself. Have a formal consultation with an experienced injector and consider a uniform small particle filler like Restylane Silk or Belotero. You should expect only temporary improvements.Best wishes, Dr. Aldo