Restylane Lyft for "deep" tear-trough filler - good or bad idea?

Typically you would use different fillers for these two areas. The skin under your eyes tends to be very thin, so for most patients the less dense Restylane (not Restylane Lyft) works best.Filler density matters, which is why you see more fillers coming on the market. Some are specific to highly mobile areas, such as Restylane Silk or Juvederm Volbella which work really well around the mouth. These fillers are thinner, move more easily and inject easily.Fillers with higher densities hold their shape more, so a product like Juvederm Voluma or Restylane Lyft produce volume and are most often used in areas where they can be injected to create skin support and volume.

Hi @LauraBass! I would not recommend Restylane Lyft for the tear trough area. The tear trough are is very sensitive and delicate. A better product choice would be regular Restylane or Belotero. Best of luck, Dr. Nima!

There is no single filler which is best for an area.  Restylane lift can be used in this area but due to its thicker nature may be best served in another area.  Thinner fillers due better around the eyes.  Best Dr. Shah

Thank you for your question.  It is important that you seek out care from advanced practices preferably associated with board certified plastic surgery providers for your injections.  This is essential when treating areas such as the tear trough where you want to have the local or regional with the most experience possible perform these specialty injections. Technique and experience of the injector impacts outcome particularly in these areas.  We do NOT suggest Restylane Lyft in the tear trough region as this filler is a bit too thick and cohesive.  A softer product is needed for this delicate region and injection using a blunt tip canula to ensure safety is recommended.  Refyne is a better Galderma product for this area although again is an off-label, albiet safe, application of HA fillers. All My Best ~ Dr. Bengtson

Lyft can be used in the tear trough, but it is not very popular in this location in the hands of most surgeons. The most popular filler for the tear trough continues to be Restylane. It's a decision that needs to be based on the goals and physical examination, but it would not be inappropriate to suggest lyft to some patients.
Best wishes, Dr. ALDO 

Great Question! 
Each patient is different and presents unique issues. I don't use lyft in the troughs and here's why: the eyelid skin (in the trough area) is the thinnest skin in the whole body. We know that if we place thick or "harsh" fillers in these places that it shows... big time. 
We also know that there can be several issues resulting in hollows under the eyes.. Soft tissue changes is the main issue. I don't think that placing material on the bone is the best way to treat this problem. Yes, some patients get bony resorption, but most patients have problems with the soft tissue- thus in my hands, I use a filler that is able to be placed in the soft tissue. This gives my patients an excellent outcome. 
Be careful with your face- not saying their way is wrong.. just do your homework (as you're doing!) 
hope this helps and God Bless!
Dr. Robb

Hello there Laura,Thank you for your question.  No one in our office uses Restylane Lyft for tear troughs because Lyft is meant to lift!  It is not meant to fill in a thin-skinned area.  Depending on how much volume loss you have, I would recommend either Refyne or Restylane-L (we will also use Juvederm Ultra or Volbella once in a while on a case by case basis) because it's a much softer product but still holds the shape.  We have had extreme success with tear trough treatment with these fillers.  I would recommend maybe getting a second opinion. Hope this helps.All the best,Carlos Mata, MD, MBA, FACSBoard-Certified Plastic Surgeon 

Each Doctor will have their preferred filler for this area. I use Restylane Silk, Volbella or Belotero for this area. I recommend a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. See an expert. Best, Dr. Emer

Lift is a great product. I do use it in the cheek and the chin. However, it is very difficult to shape which is absolutely essential. Even regular Restylane is challenging to shape. I routinely use Restylane for the tear trough area. It needs to be shaped and adjusted. Often it requires adjustment after it is placed. The advantage of the Restylane is that is stays precisely where you place it. The Lyft is just too much. You will regret having this placed in your tear trough even deep.

Really great question! If injecting Restylane Lyft superficially in the tear trough area, this would not be the product of choice. If however, your physician has suggested a deeper injection to resolve your issues, then certainly this would be a very good choice. The tear trough area is a complicated issue that has taken a few years for even the most experienced physicians to master. The consensus is now that one starts out with a deeper injection and this alone might obtain the desired results. Sometimes a follow up injection with Restylane using a more superficial technique might be required to obtain the optimum result. This is a very difficult question to answer without seeing pictures as to the degree of volume loss in your face. I would ask your physician to see previous patients before and after photos. Great results can be accomplished with Restylane Lyft injections in the way your physician has recommended.Best Regards, S.R. Waldman, M.D.