Why Don't Doctors Inject Restylane Above the Eyes?

Upper eyelid hollowness is a dramatically underappreciated, yet incredibly important component of aging in the eyelids. With normal aging, our upper eyelid fat pads tend to retract and expose this upper lid hollowness, those with “deep set eyes“ are especially prone, and unfortunately old-school upper eyelid surgery that is overly subtractive can artificially create this hollowness early, actually looking worse than it did before surgery - the before and after photo in the link below resulted from overly subtractive upper eyelid surgery with another surgeon, and you can see the results after revolumization of the upper lids. Correcting this hollowness can happen with fat or filler injections into very specific planes of the upper eyelid, or transposing and rearranging the upper eyelid fat pads to provide fullness, as you see in this surgeon’s view video, borrowing the excess fat to move into the areas lacking fullness!
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

Post- blepharoplasty hollownss is difficult to treat.  Fillers like fat or hyaluronic acids can be injected above the upper eyelid to give a bit more fullness.

Options to exist to improve hollow upper eyelids after upper lid blepharoplasty. Improving the area around the eye can make it look significantly more youthful without eyelid surgery. In fact, I rarely if ever remove fat from the upper or lower eyelids when performing blepharoplasty for the first time. We never gain fat in the eyelid, so why remove it? For this reason I perform a very conservative upper eyelid surgery and a fat transposition of the lower lid.

Hi,
Restylane, Juvederm, and other products can successfully be injected into the brow above the upper eyelid, to reduce the hollowed appearance there. Of course, you need to know that using these products in that manner would be considered "off-label" use by the FDA. That said, I would advocate the use of fat transfer, as is my preference for most injectable procedures.

The family of hyaluronic acid products (Restylane, Juvederm, Captique, Hylaform, etc.) are used in an "off label" fashion (i.e.: not FDA approved) in many facial contouring areas. The one area which is FDA approved are the lines which run inferiorly and obliquely from the base of the nose to the outer corner of the mouth (nasolabial lines or folds).
An expert injector who is familiar with facial anatomy may be able to restore the fullness of the area below the outer part of your eyebrow by injecting minute quantities of filler. It is a tricky zone to ensure smooth distribution and not exacerbate your hollowness because, in my experience, no filler belongs in the eyelids themselves. I have had good success with this technique in providing a subtle eyebrow lift, as well as masquerading the roof of the eyesocket, which gets bony, as we age. Good luck.