Is Perlane a good choice filler for under eye (hollow) treatment? Is it better than Juvederm?

Doctor Answers 15

Perlane is a little thick to use in the eyelids.

You would be better off using Restylane or Belotero.  Juvederm can swell quite a bit and you may look overcorrected.    

Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 28 reviews

Filler under the eye treatment

Although Perlane is a great filler and I have seen great results injected in that particular area. I personally recommend Teosyal Redensity II for the tear trough area. This helps address fine lines, dark circles and deep hollows under the eyes. My patients have loved the results achieved with Teosyal Redensity II injections and we find it extremely popular for those not yet ready for blepharoplasty (corrective eye surgery).

I hope this help!

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 150 reviews

Perlane Treatment for underye area

Injecting the undereye hollow area is an advanced technique and should only be undertaken by an expert board-certified dermatologist or plastic surgeon. As such, most experts agree that Restylane® or Belotero® are the best fillers for that area, because they have the lowest viscosity and are therefore least likely to block the delicate lymphatic drainage of the eyelids.

Manjula Jegasothy, MD
Miami Dermatologist
5.0 out of 5 stars 9 reviews

Filler for Under Eye Treatment

Filler under the eye must be used with extreme caution. All hyaluronic acid fillers attract water and can cause under eye puffiness. Neither product is ideal for under eye correction. In my opinion, Juvederm should be avoided in the tear trough area because it is softer and can move. Although Perlane is less likely to migrate, it is too heavy and thick to be used in this area. Restylane or Belotero might be better options. 

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Restylane for under eye hollows

Juvederm causes too much puffiness under the eyes so Restylane will give a better result.  Perlane is usually too thick a product for most people in this area.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Undereye Treatment

Undereye hollows are a very common concern for many people of all ages. This is one of the most popular procedures in my office. I like to inject Restylane into the hollows of my patients; I find that it causes less swelling than Juverderm for a more natural look. Though Perlane is in the same family as Restylane Perlane is a thicker filler and would not be appropriate for the under eye area. Improving the hollows will also improve dark under eye circles because once the hollows are filled the light will be able to reflect off your skin improving the look of the dark circles. Consult with a Board Certified Dermatologist to see if this procedure will improve your concerns.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 21 reviews

Choices for under eye filler

Juvederm can have what is called the tyndall effect that can cast a bluish tint, so it's not usually the best choice for that area (but great in many other locations).

Restylane is a good choice for most anyone because it does not have that potential for the blue show through.

Restylane and Perlane are the same basic product except Perlane is a little denser. This makes it a viable option for some people who have thicker skin, but if the skin under your eyes is fairly thin, Restylane would likely be a better choice.

Rebecca Fitzgerald, MD
Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 22 reviews

Filler under the eyelid

Any filler can leave a bump but some fillers may be better than others. Fillers that tend to show can be injected a little deeper. Of all the areas that tend to show bumps, the lower lids stands out as being the worst offender. The bumps of filler in this area tend to last a long time. Ideally you don't get a bump.

Boletero may be the best in this area but in all honesty, I think all HA can be used with discretion in this area.

Best wishes

George C. Peck, Jr, MD
West Orange Plastic Surgeon
4.8 out of 5 stars 22 reviews

Is Perlane a good choice filler for under eye (hollow) treatment? Is it better than Juvederm?

I personally use Restylane or Belotero in the under eye hollow (tear trough). Juvederm is a hydrophilic  filler and may cause edema in the area. Perlane has larger molecular size in may be visible in that area since the skin is so thin.

Good Luck

Best Filler for Under Eye Hollow

Hi Snow White,

The best filler to use for the under eye hollows is Restylane.  All other fillers may cause too much swelling and edema.  Perlane should not be used under the eyes.  Most importantly, choose your injecting filler most carefully.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 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.