Restylane vs Belotero for under eye filler to prevent Tyndall?

Fat grafting is generally a terrible idea for the lower eyelid. Every week I see 3 or 4 new consultations related to complications from lower eyelid fat grafting. When I do recommend lower eyelid filler, which is an immensely popular service, it is Restylane that I advise for the lower eyelid. It is a fussy filler that has to be shaped and molded into location to avoid irregularities. The advantage of Restylane is that it holds where it is placed. In stark contrast, Belotero behaves more like a liquid when it is injected into tissue. It is so runny that it does not collect anywhere sufficiently to cause Tyndall. Tyndall is a non-specific term that describes any skin color change that occurs when hyaluronic acid filler is injected closed to the skin. Because Belotero immediately diffuses on injection. That is not really a good thing because it is not available to made a specific volume difference where it is injected. Mediocre injectors like runny fillers because lumps and bumps they make when injecting disappear after the injection but so does the filling effect.

Thank you for your question. I typically only inject Restylane in the tear trough area. I find it to be the best product with the least complications. I would suggest speaking with an experienced Board Certified Injector to help direct you. Best of luck to you.

Hi there,

Restylane is still the better product as long as the product is placed deep on the orbital bone you should be ok! Belotero attracts a lot of water an appears puffy.

Best of luck!