How Many Vials of Juvederm Are Typically Used for Both Eyes (lower Eye Bags)?

A filling agent can be used to fill in the depression sometimes seen between the lower lid and the cheek.  This is an attempt to blend the lid/cheek junction.  If one is going to use a filling agent in this area, one needs to be very careful and go to an experienced person.  Usually the filler is placed under both eyes using one syringe.  We can always come back an do a little more...

lower eyelid bags are either swelling of fluid or herniation of fat, neither of which are treated well with fillers. The fillers can absorb your water to puff it out and may make it look worse.  The groove between eyelid skin and the cheek, the line that goes diagonally from the corner of the eye/nose to the mid cheek, can be filled in with filler. I prefer Restylane for this area and usually not more than a half of a full syringe is needed per side but it does vary considerably for some patients.  A consultation would be needed for a physician to examine you and determine your needs. There are risks so make sure you see an experienced injector / physician to have filler injected in this off-label procedure.

I will often use one or two syringes of filler to fill in the lower eyelid cheek junction for most patients. Best of luck!

Thank you for the question. Most of the time one syringe of Juvederm will result in a satisfactory improvement in eye bags. Very rarely we use two. Good luck.

Lake Oswego Vein and Aesthetic-LOVA

Juvederm is not used for lower eye bags -- rather it is injected into the tear trough (the hollow groove below the bagts) to try to camaflauge the bags a bit so that you have an overall smoother contour below the eyes.  Approximately 1 syringe of Juvederm is needed -- in the most severe cases, maybe up to 2 syringes will be needed to improve the problem.

Dermal fillers, such as Juvederm™, are priced per syringe. The number of syringes required to achieve a smoother surface beneath the eyes depends on each individual.  Generally, however, physicians accomplish the desired result with 1 syringe (used for both the right and left eye).   The use of 2 syringes  (1 per eye) is necessary if the problem extends into the cheek.    

I will often use one or two syringes of filler to fill in the lower eyelid cheek junction for most patients.

It's impossible to determine how much dermal filler a patient will need without an examination. Sometimes even after an adequate exam, due to the density of the patient's dermis, some patients require more dermal filler than a physician might expect. Personally, I am often surprised that everybody's skin responds to dermal filler in a unique way. Some people who require a large area of correction may sometimes require less volume than a patient that initially appears to need less.

Fillers can be used to improve under eye hollows.  Restylane is an excellent filler for that.  It is deposited in very small amounts deep in the hollow, close to the bone, to lift the hollow and decrease the under eye circle.

If there is an outpouching of fat, which causes bags, fillers are not quite as helpful.  That may need to be evaluated by an oculoplastic surgeon for correction.

To fill the under eye hollows, I would start with a 0.4 ml syringe of Restylane.  If too much filler is injected under the eyes, there may be some bulging out due to both filler and the water that the filler attracts there.  In this case less is better, as more can be added later if needed.

We rarely use more than one syringe, using a tiny needle (smaller than that provided with syringe) to prevent large amount of coming out. This area is the most challenging to fill, therefore, you are better off doing less and coming back for adjustments than ending up with too much filler.