Restylane or Restylane plus Voluma for under eyes? (Photo)
Doctor Answers 12
Filler for under eye 'bags'
Because use of filler for tear troughs (the hollow between the fat pad under the eye and the fat pad of the lower cheek that causes the eyes to look like they have bags or dark circles) is 'off label' you won't find anything about it on any of the pharma companies sites. However I and other top injectors include it in our lectures at meetings around the global be. Five years ago the thought was to fill the tear trough directly. However, some patients looked puffy. Now the standard of care is to start from the side and work our way in. By lifting the skin below and to the side, we lift the hollow. This can be accomplished with voluma, restylane or Perlane/restylane lift. If more superficial filling is needed we use belotero.
Your photo is also limited to your eyes. If your face overall is starting to be depleted or you are naturally very thin, Sculptra may be the best option used in the temples, cheeks, jawline etc.
Another question is why you need two different fillers? Does that increase your price? A 1 cc syringe of one filler is generally most cost effective unless your physician is splitting up syringes in a sterile manner.
This is all to say there is no one way...
I hope this answer was helpful.
Under eye fillers
Bags under eyes
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Restylane and Voluma for under eyes
1) Restylane can be used to directly soften shadows under the eye by filling in the tear trough depression
2) Voluma can indirectly soften the shadows by subtly recruiting some of the laxity under the eyes in an outward and upward direction using advanced injection techniques.
Using both the direct and indirect approach usually provides an even softer look and transition. Hope this helps.
Which Filler for under they eye concerns?
Thanks for sharing your photos. They do help but are not optimal so my reply depends on the findings at a in-person consultation.
Pigmentation or dark circles under the eyelid may come from any combination of the following.
1. Eyelid bags and laxity with shadowing
2. Cheek laxity and shadowing
3. Thin eyelid skin with a reflection of the underlying muscle
4. A separation of the eyelid structures from the sagging cheek structures
5. Pigmentation, laxity and fine lines of the skin
Many options are available depending on the problem above and how long you wish the problem resolved.
1. Eyelid lift
2. Cheek lift
3. Injection of fillers, either into the skin or deep under the fat for volumizing using Restylane, Juvederm or fat
Injectables like any other procedure takes experience, talent and skill. Today, there are many techniques to achieve the improvements you desire depending on which problem exists: bone, deep fat, separation of tissues, superficial fat, skin creases. 4. Mid-face lift, a lift of all the structures of the cheek with a eyelid lift
5. ZO Obagi Skin therapeutics and Peel or Laser to rejuvenate and tighten eyelid and facial skin.
You are best served with a well experienced, Board Certified Plastic Surgeon or ENT Face surgeon who understands the anatomy, the nuances of the different fillers and has the skills to achieve what you want.
I wish you the best!
Under eye bags and dark circles may be improved with one filler
I probably would use Juvaderm or Restylane for your tear trough
benefit from Voluma for your infraorbital rim. i really like Voluma for augmenting
the infraorbital rim and that will often help with the tear troughs but it has to be
in the correct clinical setting.
david berman md