What filler is good for improving the area under the eyes or the tear troughs?
Different fillers can be used under the eyes and in the tear trough areas. These would include Restylane, Juvederm, Radiesse and even Sculptra. Sculptra however should be used with significant caution in the thin skin around the eyes. Additionally, Radiesse can be massaged into the tear trough area, but direct injection may cause visible lumpiness. Both Juvederm and Restylane are great alternatives for the lower eyelid however Juvederm attracts greater quantities of water and so therefore may cause puffiness in a greater percentage of individuals. We prefer to use Restylane in the lower eyelids as we feel that it provides the softest results without the disadvantages Juvederm presents. For the same reasons we prefer Juvederm as the hyaluronic acid in the perioral area. The other advantage of hyaluronic acid is that they may be reversed by an injection of an enzyme. This adds an additional level of safety for their use of the periocular area.
Posted by Dr. Buckingham