Restylane for Filling Tear Trough and Lessening Bags?

I seem to have a depression in the tear trough area and would like to fill it instead of undergoing surgery, which scares me. Will Restylane really work for these problems?

Doctor Answers 17

Under eye Restylane is currently the most effective approach for improving the under eye hollow.

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I pioneer the Deepfill method of placing Restylane along the orbital rim for filling the tear trough. There are also two other prominent methods of filling the under eye holow. Dr. Kane in New York developed a method where he places small volumes of HA filler between the skin and the underlying muscle and Dr. Goldberg in Los Angeles developed and orbicularis threading method.

All of these methods can be used in the right hands to get a significant improvement in the under eye hollow area. It is my belief that using Restylane to fill this area is more powerful than any surgery. Treatment typically lasts a year or more.

The key to the procedure is to find someone with significant experience in treating the lower eyelid area with Restylane. Most practioners combine the various method I just decribed to get the desired results.

Just a couple of additional issues. First, it is important to get enough volume. If your are treated with too small a volume you are going to spend a lot of money and be disappointed with the results. Better to pay a little more but be satified with the treatment.

Second, you should discontinue herbal products that thin your blood and medicine like advil or aspirin for two to three weeks prior to treatment to minimize bruising. If you have been precribed a medication to thin your blood by a physician for medical reasons, do not stop this medication without first consulting your physician.

Finally, I recommend looking at the web site to help identify expereinced injectors in your area.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Hyaluronic Acids provide an aesthetically pleasing result

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When injected underneath the muscle the hyaluronic acids, Restylane and Juvederm, both provide aesthetically-pleasing results. This should be done only by an experienced physician. There are risks with all procedures and the physician should discuss them with you. The results are not permanent, but it is a quick procedure with minimal down time and can be redone six months to a year or more later when the filler dissolves.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Tear Trough Correction with Fat Grafting - View Photos for Evidence

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In patients who have developed deep 'tear troughs' at the junction of the lower lid and cheek, adjacent to the side of the nose, the meticulous grafting of fat harvested from the patient's abdomen, hips or thighs can build this area back up and nicely restore a more youthful contour. In some blepharoplasty patients this depression or 'hollow' extends horizontally across the entire junction of the lower lid and cheek, and this must be corrected to obtain the ideal postoperative result.
In select patients, lower lid rejuvenation may consist of conservative reduction (not removal) of the lower lid fat pads or 'bags', in combination with structural fat grafting of the 'tear trough' hollow immediately below. As with all aesthetic surgical procedures, it is absolutely essential to customize the surgical plan to the specific needs of every patien

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Restylane for Tear Trough deformityand "dark circles"

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Hyaluronic acid fillers such as Restylane and Juvederm work quite well to correct the tear trough hollw that occurs due to aging reabsorption of the maxillary bone and enlargement of the orbit of the eye. Small amounts (usally 0.1 to 0.2cc) on each side will result in lifting of the nasolabial fold, smoothing of wrinkles and filling of the hollow in that region. Bruising is the most common but temporary problem, but overcorrection can result in lumps which can take 6 months to resolve. This is a technique best performed by experienced Board Certified injectors.

Stephen Mandy, MD
Miami Dermatologic Surgeon
4.3 out of 5 stars 6 reviews

Restylane Effective For Tear Troughs

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 Restylane can be very effective for correcting this problem. One piece of advice is to be happy with decent results. A pitfall of this treatment ( and you merely need to wander around on this site) is over-injecection with consequent swelling and lumpiness.

     Good luck.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Restylane for tear troughs

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We do a great deal of midface surgery, enough to respect the treacherous nature of fat injections, grafts and semipermanent fillers in the tear trough areas.

For the right patient, Restylane is the safest and most effective way, in my opinion, to reduce this problem. There are of course subtleties in injection techniques in this area, the most risk-prone of the injectable areas, so experience in the injector is a must.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 188 reviews

Restylane for Lower Eye Lid Bags

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Hi NYC Droop,

Yes, Restylane really works to fill the hollowness of the lower eye trough.  It is a very delicate area and requires expertise to avoid adverse events so choose your injecting physician carefully. 

Good luck and be well.

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Restylane can improve the appearance of hollowing and bags under the eyes

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Restylane injected into the correct areas can help to fill the undereye hollows and camouflage the appearance of bags in the right patient.  Usually these patients are younger and have good skin elasticity.  People that have a tendency to accumulate fluid under the eyes or have festoons should avoid this treatment.  Please consult in person with an Oculoplastic Surgeon or other experienced injector who knows the complex anatomy under the eyes.

Restylane for tear troughs

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Restylane can be placed in the hollow ridge under the eyes (tear trough) to improve the appearance of the eyes. It is not a good option for everyone because it can worsen the appearance of bags. 

Meg Cherry, MD
Birmingham Dermatologic Surgeon

Restylane will work well

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It will – quite nicely. Medial (inner) tear troughs are very correctible with hyaluronic acid, giving smoothed, less hollow appearance.

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.