Restylane Eyelight candidate? (Photo)

Question

Am I a good candidate for Restylane Eyelight in the tear trough area to soften my under eye area? I am open to having a lower blepharoplasty in the future but not right now. I'm looking for a less invasive and less expensive fix for the present time.

Nelson Lee Novick, MD · Answer

There are in fact a number of HA fillers, in addition to Restylane Eyelight, (such as Juvederm Volbella and Belotero Balance) that have been safely and effectively been used to treat tear troughs, hollows, and dark circles. However, from the photos provided there appears to be considerable facial volume deficit in the cheeks, and since the upper cheek region is a major support for the under-eyes, very often simply volumizing the cheeks with a robust HA volumizing filler can not only contour a more feminine, heart-shaped, oval face, but secondarily lead to significant under-eye aesthetic improvement. You would be wise to consult  with a board certified cosmetic dermatologist filler expert and best of luck.

Anna Chacon, MD, FAAD · Answer

Based on your photo and your goals, I do think Restylane Eyelight could be a reasonable option, provided you have realistic expectations about what it can and cannot accomplish.

Restylane Eyelight is specifically designed for the tear trough area and works best for patients whose under-eye appearance is caused primarily by volume loss. By replacing that lost volume, it can soften the hollow between the lower eyelid and the upper cheek, making the under-eye area appear smoother and less tired.

From what I can appreciate, you appear to have some tear trough hollowing. If that is the main concern, a conservative amount of filler could provide a noticeable improvement without surgery.

However, filler has limitations. It will not:

Remove excess lower eyelid skin.
Eliminate prominent fat pads ("eye bags").
Correct significant skin laxity or crepey skin.

If your under-eye appearance is due to a combination of hollowness and lower eyelid fat prolapse, filler may improve the transition between the eyelid and cheek but won't completely erase the bags. In those cases, a lower blepharoplasty generally provides the most definitive and long-lasting correction.

One thing I always emphasize is that less is more in the tear trough. This area has delicate anatomy, and overfilling can create puffiness, an unnatural appearance, or a bluish discoloration known as the Tyndall effect. An experienced injector will often start with a small amount and reassess after the filler has settled.

Since you've mentioned that you're considering lower blepharoplasty in the future but are looking for a more affordable and less invasive option right now, Restylane Eyelight can serve as an excellent bridge. Many patients enjoy the improvement while taking time to decide whether surgery is the right long-term solution.

Overall, I think you're asking exactly the right question. If your goal is to soften the hollowness rather than completely transform the lower eyelids, Restylane Eyelight is a very reasonable temporary option. If, over time, excess skin or fat becomes your primary concern, then lower blepharoplasty would likely provide a more comprehensive result.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. It appears that fillers placed in the tear troughs would improve the appearance of your lower eyelids. Make sure an experienced oculoplastic surgeon performs a detailed evaluation.
Good luck!

Donald B. Yoo, MD, FACS · Answer

You have fairly prominent lower eyelid fat pseudoherniation that is contributing to the appearance of your undereyes as the prominence of the fat creates a hollowness below it. The challenge with filling the hollow and creating a smoother appearance is that the lower eyelid fat is a moving, dynamic contour that will change in size based on where you look. A lower blepharoplasty with fat repositioning will certainly be the best and most effective solution, as you mentioned. With Restylane Eyelight, or another appropriate filler, you could expect some mild improvement as the volume deficit would be improved, but the fat protrusion would remain.

Camille Cash, MD · Answer

Under eye filler can help you bridge the gap until you are ready for a lower blepharoplasty.  There are a number of products that can be used to help improve the contours of this area.  I've included a video that I hope you find helpful.

Darryl J. Blinski, MD · Answer

Based on your nicely to posted photos, you have a moderate to severe tear trough deformity with fat pads of lower eyelids. You are a better candidate for trans conjunctival or skin lower lid blepharoplasty. In the meantime, either the Restulane product or the Jevederm  products for tear troughs or appropriate treatments. But you may need 2 to 3 separate sessions to obtain an acceptable result. Expect cost per syringe to arrange from $700-$1200. Best of virtual consult with.

Restylane Eyelight candidate? (Photo)

Answers (6)

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