Restylane - Gone in 5 Months?

    If you are going to have a facelift in two years, you can just stick with the Restylane in the tear trough area.  You should consider fat grafting to the all of those areas at the time of facelift.

Combining Belotero Balance With A Little Radiesse Works Well For tear troughs, hollows, and dark circles under the eyes. It has been my experience that Radiesse, owing to its whitish color and more robust nature, can help to lighten dark circles and enhance the durability of the response--i.e. duration of the clinical results. While I routinely tell patients that the benefits may last about a year, I have had quite a few patients that have gone for several years before requiring a touch up, particularly when I combined a small amount of Radiesse with Perlane. 

Tear troughs, hollows, and dark circles are common problems of the lower lids. It has become standard practice to treat this region with lighter fillers, like Juvederm or Restylane, to lift, straighten, and contour this region. These relative "light weights" tend not to last as long as their counterparts, Juvederm Ultra Plus and Perlane, respectively, or Radiesse, which is calcium based.

Occasionally, if hyaluronic acid fillers are inadvertently placed too superficially, a bluish discoloration related to light scattering (a phenomenon known as the Tyndall effect) can occur, which can actually make the dark circles more prominent. Belotero, a new hyaluronic acid product, has been manufactured to avoid this.  As has been pointed out, Sculptra is not a permanent filler, and I would not recommend permanent fillers, such as silicone or Artefill, be used in this very delicate, visibly prominent, and cosmetically unforgiving region. Only an experienced, board certified aesthetic dermatologic or plastic surgeon injector should be sought to treat this region.

You could try additional HA filler, like Restylane - alternatively, when you haveyour facelift done in a couple f years, consider fat grafting to the mid facial regions for a more permanant solution. I don't advocate the use of Sculptra in the midface because of prolonged edema/swelling issues I've witnessed in that region.

I'm not sure exactly what your question is, but I would say that it is unusual that the Restylane would be gone under your eyes after five months.  Normally, it lasts longer in that location.  It would not be so unusual for the Restylane to be gone in the nasolabial folds after five months.  You mentioned your injector was conservative and it is possible that using more next time could help your results last longer.  In regards to Sculptra, it is not a permanent filler.  Normally the results can last two to four years.  I would not recommend using Sculptra under the eyes, as due to the thin skin there, problems can arise.  Having fillers injected into your face should not affect your ability to have a facelift in the future.  

If you're asking about issues based on fillers and having a face lift in the next two years, unless you're having fat transfer additionally I don't think there is anything to be concerned about. It's all really dependent on what you want and what you're willing to pay and/or live with while you prepare for the lift.