Am I a Good Candidate for Restylane Under the Eyes? (photo)

I am 35 years old and have suffered from under eye circles for many years (10-15 yrs). My under eye skin is getting thinner and lots of blue and reddish veins show through the almost transparent area. The area has also become very hollow which makes concealing very difficult. I am wondering if I am a good candidate for under eye Restylane due to the extreme thinning of skin and veins? Wondering how much Restylane would be recommended for each eye? Any recommended Doctors in London, Ontario?

Doctor Answers 13

You are a marginal candidate for under eye restylane.

Here is the issue:  For you, treatment will be fussy.  You have very thin lower eyelid skin.  Can you be filled beautifully?  The answer is absolutely yes but you need a highly experienced under eye injector who is not afraid to work with hyaluronidase enzyme in case you need an adjustment.  It is not unusually to need to perform one or two adjustments to get a result that looks serene and calm.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Pseudoherniation of fat lower eye

You provide very nice pictures that are very telling and based on those you have psudoherniation of fat in the lower eye and also loss of volume in the upper cheek and tear troughs which can be augmented with restulane or autologous fat transplantation by an experienced injector.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Restylane for under eye circles

From your photos, you would be a good candidate for Restylane under your eyes.  There is typically some bruising and swelling for several days after your treatment, so plan your appointment accordingly.  There are some medications that your provider may want you to stop before your treatment to help minimize bruising.  I would encourage you to talk to your provider about this before your treatment.  On another note, try to get plenty of sleep each night.  Lack of sleep tends to make these circles more prominent as well.  Best of luck to you.

Cheryl A. Hull, MD
Rogers Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Restylane and under-eye treatment

From the photo's you've provided, you are a great candidate for treatment. Without seeing you in person, it's difficult to determine how much product you'd need or what will be best for those areas. Be sure to visit a reputable and well-trained injector for best results.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Restylane under eyes

Based on your photos, it looks like you would be a good candidate for Restylane injections under your eyes. Most patients with fair skin and a lot of hollowing have a fair amount of bruising afterward, so plan ahead and take time off of work if needed. Good luck!

Mitesh Kapadia, MD, PhD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 167 reviews

Restylane is an excellent choice

Your photos indicate that you are a good candidate for this procedure. I would also add great skin care regimen to work on the elasticity and the thickness of the eyelid skin or start with a fractional laser to stimulate collagen production and give you some tightening and eliminate the dark circles. Best of luck! 

Gergana Gallacher, MD
Danville Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Restylane under the eyes

From your pictures I believe you would do great with Restylane injections under the eyes. I see a lot of patients with similar volume loss changes under the eyes who do not neccessarily want surgery. Fillers offer a quick instant change that most patients are really happy with. Restylane lasts up to a year so you will need to keep up with it to maintain the results. I think you would be a great candidate.

Tracy Katz, MD
Houston Dermatologic Surgeon
1.0 out of 5 stars 1 review

Restylane Under the Eyes?

In some circumstances, Restylane injected under the eyes is beneficial.  Unfortunately, this procedure carries a relatively high incidence of the Tyndall effect, whereby the infraorbital area carries a bluish hue.  Some may state that this is injector dependent, but I have seen many examples in patients who have had the procedure done by very experienced Doctors.  The real aesthetic problem in the series of photos is orbital fat pseudoherniation and insufficient volume in the upper cheek region.  I would be more inclined to suggest a transconjunctival lower lid Blepharoplasty and incremental cheek volume addition with Sculptra or fat.  Good luck!

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 95 reviews

Am I a Good Candidate for Restylane Under the Eyes?

From what I can see in your photos it looks like you would benefit from lower lid blepharoplasty via an incision on the inner surface of the eyelid (trans-conjunctival approach) to re-distribute the fat more evenly in the area.  Restylane or Juvederm can camouflage the bags by filling in below, but has to be repeated at intervals, whereas the surgery usually is done only once.  In the long run surgery can be more economical.  If not injected deeply enough fillers can give a bluish color through the thin skin of the eyelid.

Mark D. Ball, MD
Redding Plastic Surgeon
5.0 out of 5 stars 3 reviews

Restylane Under the Eyes

Great question.  Your photos show that you are likely a good candidate for this procedure.  When done correctly, it is a very powerful procedure with wonderful results.  Make sure to vet your doctor closely and make sure this is a procedure that they have a lot of experience and skill at.  Best wishes.

Brian Howard, MD (retired)
Alpharetta Plastic Surgeon
4.3 out of 5 stars 19 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.