Radiesse for Under Eye Bags?

A good exam by a Board Certified Plastic Surgeon would be the best place to start. The question is what exactly is the anatomic issue that is causing the aged or "tired" look of your lower eyelids: is it too much skin, bulging fat, a deep tear trough, or a combination of these factors? Once the problem is properly identified, then you will have some options.
If indeed it is simply the tear troughs being too deep, I would personally recommend Restylane for this area, not Radiesse, Perlane, or Juvederm. Radiesse and Perlane are both simply too thick in my opinion for injection into such a delicate area, and the risk of both significant swelling, bruising or obivous bumps after the procedure can be high.
Juvederm, while similar to Restylane, is more hydrophilic (attracts more water) which makes it a great options in areas that you want to be more plump (like lips) but not as good under the eyes, as it can cause significant swelling that can take months to settle.
Some other surgeons may have a different experience with these products, and so I think it is important to have a good exam and consultation first before deciding on the course of action that would work best for you.
Dr. S

Radiesse is actually an excellent choice for the under eye area, provided that it is being used skillfully by an experienced practitioner. The reason is that it is a white colored substance that offers the appropriate level of support to help reshape or reposition mild to moderate bags so that they don’t protrude. Also the coloration of Radiesse helps it to camouflage darkness beneath the eyes as well. The risk with hyaluronic acid fillers is that it is a clear gel which is subject to a light bending phenomenon known as the Tyndall effect, resulting in bluish hue.You can see a patient example of Radiesse used in the under eye area by clicking the link below.

It is not recommended to place Radiesse at the under eye area. This is a thick product and is white in color, so it can cause visible and palpable lumpiness and is much more visible due to the thinness of the skin underneath the eye. There are other products such as Juvederm or Restylane that work well for the under eye area, but must be injected by a skilled practitioner as this is considered an off-label treatment.

I never use Radiesse under the eyes. You should stick with a Hyaluronic acid based product which will have a smoother more natural finish, and is reversible. Make sure you are seeing a Board Certified Dermatologist or Plastic surgeon for best results.

Radiesse is best used in the deeper tissues of the cheeks and to fill the temples, jawline and back of the hands.  It should not be used under the eyelids or in the mouth.  

Thank you for the great question. Radiesse is a thicker filler and should be used a bit differently. For the area under the eyes (sometimes called the tear trough region), I use a hyaluronic acid filler (HA) -- specifically Restylane. Radiesse is calcium hydroxyapatite, which is very useful for deeper volumization. I use this product for the cheek area, chin, and temples. Best of luck!

Radiesse is unforgiving around the eyes. It can be used successfully deep on the bone to fill in grooves but the injector has to be very experienced. I would favor Restylane. But you have to understand that all fillers could be problematic around the eyes and you have to choose your doctor very carefully.

Radiesse is not a good choice around the eyes for it can create palpable and visible lumps.  Fat and HA derivatives such as Juvederm are better alternatives.  Be aware that injection around the eyes takes a highly experienced injector to avoid bruising, unnecessary swelling, and create a natural transition from eye to cheek.

Hi Kayla,
Radiesse should not be used to fill the "tear trough" bag hollow under eyes. I would recommend Restylane for that area. This is a very delicate area that should only be injected by an expert, experienced physician only to minimize your chances of complications. Radiesse can be used to add volume to the mid-face and malar cheek area. At 27 you don't want to start having major complications from having the wrong filler placed in the wrong area. Good luck and be well.
Dr. P

Radiesse is a filler agent that has Calcium microspheres that stimulate collagen growth on a temporary basis. The problem with this product is that it forms a semisolid implant once injected. This can be felt by patients in most cases when used to fill nasolabial folds. If used too superficially near the skin, it can also be seen.
Because of the anatomy of the lower eyelid, there is not enough soft tissue cover to hide the product once injected. The only place it can be used in the lower eyelid is deep down on the bone. Some physicians use this to increase the effect of other more superficially placed fillers. However, in isolation, you will probably not be pleased with the results. Look into using the hyaluronic acid based fillers (Restylane, Perlane, Juvederm Ultra, and Juvederm Ultra Plus). You will be happier with these products.