Can You Put Filler in Entire Under Eye Lid or Just the Tear Trough?

Yesterday I had .5 Restylane injected into each of my tear troughs. The injector placed it from the corner of my eye and would only fill to the mid eye area. She said you cannot place it further out toward the corner of the eye because it never works and would look lumpy. I am afraid the filler in the trough will emphasis the hollow on the rest of my under eye going out towards the corner of the eye. I wanted the entire under eye lid filled. Is this possible?

Doctor Answers 9

Where Can Restylane be Placed Under the Eye?

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Hi Silky.  Restylane can be placed in the area you want it even if this injector is not able to do it.  An experienced injector will be able to place the product at the outer corners of the eye if he/she is injecting "under the muscle".  Some injectors place small amounts of the product superficially "above the muscle" and this technique limits the amount of product that can be placed and the location.  

Find someone more advanced and you will be happy you did.  Good luck.

Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Can You Put Filler in Entire Under Eye Lid or Just the Tear Trough?

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In the hands of an experienced injector, Yes.Your provider may have not been comfortable injecting this area, I suggest you seek an experienced Board certified physician who is comfortable in their technique to ensure a result you wish to achieve

Filler Under Eyes

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You don’t want to create an “eye bag” look so the best area for correction in the lower eyelid area is the tear trough area.  This is a specialty area so find a provider with A LOT of experience.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 20 reviews

Restylane Under the Eye

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Hi and thanks for the very good question.  There are two very good points and a cautionary consideration here.

First, with experience and the correct technique, you may be able to inject that area of concern over the outer eye.  In cases with minor volume depletion, using a cannula for safety and injecting under the eye muscle (orbicularis oculi) is very helpful.  If you need quite a bit of volume, sometimes moving on for surgical fat transposition makes more sense.

Second, it is very reassuring that we have an enzyme to dissolve hyaluronic acids available just in case.  Certainly this is a last resort, but is awfully nice to have as a back door in case of some minor irregularities exist after your treatment.

Caution- this is all off label, and the surgeon really must have a thorough knowledge of the anatomy as well as quite a bit of experience for this to be a very comfortable and beautiful outcome.

Free advice: Under correct by 20% and you will be perfect in the end!

Best regards, 

Todd Hobgood, MD

Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Restylane in eye area

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I have had positive results when Restylane is placed properly (deep). Every physician has their own comfort level. If they are not comfortable, I would advise you to go to someone who is. If you are in the LA area, I or any of my colleagues would be happy to help. Best of luck!

George T. Boris, MD, FRCS - Account Suspended
Los Angeles Facial Plastic Surgeon

Fillers possible around the eyes

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The answer is yes but only the hyaluronic acid gel filler types such as restylane and belotero  See a physician with experience in injecting around the eyes.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

Pretty much if you can think of it, it can be done there.

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What this person was telling you is that they can't place the product successfully in this location.  Generally, to not make an injector put product in a place in which they are not comfortable.  You need to find a more experienced injector.  We are out there.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Tear trough injections

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Filler can be placed along the tear trough by experienced injectors. This is done quite commonly with dilute restylane.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Restylane can be placed artfully in the hollow tear trough and also in the lateral hollows.

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Restylane can be artfully placed in the tear troughs and in the lateral hollows. An experienced injector can fill all of the hollowness around the eyes.  If you have excess lower eye bags that accent the tear trough, I recommend doing a lower eyelid blepharoplasty before injecting the hollow tear troughs.  The hollowness is often gone once the lower eyelid fat pads have been removed or repositioned. 

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 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.