Fortunately I found Dr. Yang through RealSelf (he had answered a question about upper eye lid fillers using restalyne) and I booked a consultation with him to discuss my case. After a very lengthy consult (about one hour) discussing my concerns and viewing before/after photos of his patients who had upper eyelid filler, I decided to go ahead with the procedure. It's an interesting procedure in that there are basically two "levels" of the eye that need to be filled: 1) right at the crease and 2) in the brow--sides and top. The doctor explained that the age-ing process reduces fat all around the eye, but the orbital rim reduction of fat is what produces the true "hollow" look in the eye (A frame deformity) that can add years .
For my procedure the pocket in the orbital rim was filled first. No numbing cream or anything was used and it was done with a needed---it was not painful at all--I did not feel a thing. The needle is not pointed in your eye--rather the skin is lifted off of the eye and the needle pierces the "pocket" and the filler is injected. The second "brow" filling was done with a cannula and some lidocaine and ephinephrine was used to numb the area before-hand. Again it was painless.
The Restalyne is quite smooth to the touch and I do not see any blue shadows (filler showing through). I did need to go back twice more--once to remove a small lump of filler that was not sitting right and the second to add a bit more filler over the next week.
The result was immediate--both eyes have the fullness I had when I was in my mid 20's (I'm now almost 42)! It is natural and the procedure was painless . Overall the entire procedure for the upper eyelid (only) took about 20 min (both eyes)--although I did need to go back for touch ups over a two week period to get the eyelids as even and perfect as possible.
In my opinion this procedure, if done correctly, truly addresses one of the foundational signs of age-ing in a manner that makes theoretical (and common) sense. Now--we are faced with so many anti-aging options without the benefit of having comprehensive education on what is happening as we mature--this is the reason why I wanted to post this review.