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

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.

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

I do not recommend Perlane for treatment of under eye hollows. It is far too bulky for use in this area. I find that Juvederm Ultra XC and Belotero give the best results when used underneath they eye as they are smooth, lightweight fillers. Hope this helps.

Hi SW.  Generally speaking, advanced injectors will reach for a smoother and softer gel than Perlane when injecting under the eyes.  Restylane is probably the most common and Juvederm works fairly well also.  Perlane and Radiesse or other thicker fillers are generally reserved for the cheeks and lower face.  You can see photos at the link below of patients that have been injected with Restylane under the eyes.

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.

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. 

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.

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.

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

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