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Restylane for Under eyes

What to Expect with Under Eye Fillers

In the world of cosmetic procedures and skincare, it’s hard to know exactly which treatment will best serve different areas of the face, and this is particularly difficult with tired-looking eyes. Many patients deal with dark circles, age-related volume loss, and fine lines and wrinkles in the eye area, and they can struggle with treating these issues through eye creams and concealers alone. As we age, we lose collagen in the skin, particularly in the under eye area. It is this volume loss in the tear trough area which makes us look particularly tired.

Thankfully, hyaluronic acid dermal fillers have become a popular method in the world of dermatology to revitalize the under eye area without the need for cosmetic surgeries that a plastic surgeon offers. Hyaluronic acid fillers are injectables that use hyaluronic acid gel to stimulate collagen production in the skin, boosting volume in order to improve the appearance of under eye hollows, dark eye circles, and fine lines in the eye area. The most popular lines of hyaluronic acid dermal fillers are Restylane, Juvederm, and Belotero, and each offers a slightly different formulation. Dr. Green successfully uses these hyaluronic acid fillers to restore lost volume in the under eye area and rejuvenate your eyes.

Injecting dermal fillers in the under eye area is an advanced injector technique. Dr. Green is an expert cosmetic injector, with over 25 years of experience in cosmetic procedures, including Botox injections, Restylane and Juvederm injections, and replacing volume loss in every areas of the face.  She was one of the first NYC dermatologists to incorporate Botox, and dermal fillers into her boutique NYC practice.  If you are looking for one of New York’s best doctors to improve the look of your tired eyes, dark circles, or under eye hollows, board-certified cosmetic dermatologist Dr. Michele Green is here to help.

Before and after 1 syringe of Restylane in Tear Troughs (under eyes) and nasolabial folds

Restylane for under-eye hollows

The Restylane family of hyaluronic acid fillers, each has a distinctive formulation to treat different areas of the face. Hyaluronic acid fillers rely on a naturally occurring substance in the body, hyaluronic acid, to boost collagen production in the skin. Hyaluronic acid fillers restore volume loss and help the skin appear healthy and hydrated. Restylane and Restylane Lyft are two specific formulations within the Restylane family that are commonly used to correct age related volume loss, particularly to improve the look of fine lines and wrinkles on the skin, such as nasolabial folds and under eye hollows. Restylane Silk is a thinner version of Restylane, which is mainly used to correct fine lines around the mouth and lips.

Can Restylane be used under eyes?

Restylane can be used under the eyes to restore volume, which can help to reduce the appearance of under eye hollows. Oftentimes, our “tired-looking” eyes or dark circles are caused by age-related volume loss in the tear trough area, which can create shadows beneath the eyes. Restylane is able to create fullness at and around the injection site, which in turns can reduce the appearance of hollowing or darkness in the under-eye area. In order to create full eye area rejuvenation, many patients combine under eye rejuvenation with volume restoration for the cheeks or mid face with Restylane Lyft, which helps create natural results.

Is Restylane good for under eyes?

Restylane is the perfect option for treating under eye hollows without the need for invasive procedures and with virtually no downtime. It’s an excellent alternative to more traditional plastic surgeries such as a lower eyelid blepharoplasty, which involves greater health risks and requires substantial recovery time. Additionally, Restylane can be used to restore volume to other areas of the face for pan-facial rejuvenation, and can be combined with other dermal fillers and rejuvenating treatments, such as Botox for crow’s feet and forehead wrinkles, laser skin resurfacing, microneedling, or chemical peels.

When it comes to injectables for tear trough rejuvenation, hyaluronic acid fillers are an extremely safe non-invasive treatment. However, this delicate under eye area is an advanced injector technique, and only an expert cosmetic injector, like Dr. Green, should treat this area. Hyaluronic acid fillers have the ability to be dissolved if one is unhappy with the results, or if they are over injected. Other dermal fillers, such as Sculptra or Radiesse, are contraindicated in this delicate under eye area.

SG 27 4 weeks Before and After Belotero 1 syringe Under Eyes MGWatermark 1

Can Restylane improve under eye bags?

Restylane is a an effective way to improve the look of under eye hollows, and can also be useful in treating under eye bags. If your under eye bags are caused by age-related volume loss, or are due to the presence of small pockets of fat in the tear trough area, Restylane will be able to reduce their appearance.

Is Restylane safe for under eyes?

Though Restylane filler injections for under eye treatment are still currently off-label (not yet approved by the FDA), this treatment is safe and effective when provided by an expert board-certified medical professional. Certain medical spas may offer hyaluronic acid fillers for under eye or tear trough treatment, but unfortunately these environments do not require a medical professional to oversee all aspects of treatment, which can lead to dangerous side effects. For this reason, working with a board-certified dermatologist as your injector is essential. Dr. Green is an expert in anti-aging and injectable treatments, and the safety and satisfaction of her patients is her top priority.

JA 33 restylane under eyes 2s MGWatermark

1 Syringe of Restylane under eyes 

Which Restylane for under eye filler treatment is best?

The original Restylane formulation is a great option for treatment in the under eye area, as it can help to improve the appearance of fine lines and wrinkles as well as restore volume loss with an incredibly natural result. Restylane Lyft is too thick a product for the delicate under eye area.

Who is a good candidate for Restylane dermal filler injections under eyes?

The best candidate for injectable fillers in the tear trough is a heathy individual who has noted volume loss in the under eye area. The skin under the eyes should be taught. Excessive skin laxity or fat deposits under the eyes would preclude a good cosmetic results. If there is excessive wrinkling or skin under the eyes with fat deposition, a conventional blepharoplasty would be the best course of treatment.

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Tear trough correction with under eye filler

The process of tear trough correction with under eye fillers is simple and easy. First, you’ll meet with Dr. Green for either an in-person or virtual consultation to discuss your current eye area condition, as well as talk about your aesthetic goals and your medical history. Dr. Green will then customize a treatment plan that will best meet your needs.

For your under eye filler treatment, Dr. Green will apply a topical numbing cream to the injection site in order to limit any potential discomfort. Restylane’s formulation also includes a small amount of anesthetic (lidocaine) to numb the treatment area from the inside. Your treatment can be applied via a fine-tipped needle, but the most common approach is through the use of a blunt-tipped cannula to avoid any potential bruising and to help with even distribution of the hyaluronic acid gel into the injection site. The treatment typically takes around a half hour, and you can resume your normal daily activities once you leave the office.

How long does it take for Restylane to settle under eyes?

Most patients are able to see immediate improvement in the look of their under eye area. Some patients may experience side effects such as puffiness, swelling, tenderness, redness or bruising, but these side effects typically dissipate within a few days to two weeks, at which point your optimal results will be fully apparent. Usually, patients will return to the office after two weeks for a follow-up appointment with Dr. Green to see if any additional treatment is desired.

How long do under eye fillers with Restylane last?

After your full treatment results with Restylane are complete, you will be be able to enjoy them for six to nine months. Results can last longer depending on how quickly your body absorbs and breaks down the hyaluronic acid, as well as on the natural shape of your under eye area.

Juvederm for under eye hollows

Juvederm is a line of hyaluronic acid fillers from the pharmaceutical company Allergan, which is also known for products like Botox and Kybella. Juvederm hyaluronic acid fillers can also be used in the under eye area as a way to reduce the appearance of eye hollows and create smoother, younger-looking skin. Juvederm, like Restylane, has a variety of excellent hyaluronic acid filler formulations in order to rejuvenate different areas of the face. When it comes to under eye fillers, the best formulation depends on the goals and needs of each patient, which is why Dr. Green works with many different under eye fillers, including Restylane, Juvederm, and Belotero, to rejuvenate the under eye area.

LN restylane under eyes 1m

What happens if I am unhappy with the results of my Restylane under eye injections?

If you are at all unhappy with your results, hyaluronic acid fillers, such as Restylane, are completely dissolvable, by using an injection of hyaluronidase into the treatment area. Hyaluronidase is an enzyme that naturally breaks down hyaluronic acid in the body, and can be injected into the area of filler injection and completely dissolve the hyaluronic acid fillers.

How much is Restylane for under eyes?

The answer to how much Restylane costs for under eyes varies depending on how many syringes of Restylane for under eyes is needed. The cost of a syringe of Restylane hyaluronic acid filler can vary, depending on which type of Restylane is used, and if more than one syringe of Restylane is needed. It also varies depending on the desired outcome and size of the facial rejuvenation treatment. The cost for an experienced board certified dermatologist may be more than a nurse injector or spa/clinic.

How much Restylane do I need for the under eyes?

The answer to how many syringes of Restylane for under eyes is required is entirely dependent on the individual needs and goals of each patient. However, in general, how many syringes of restylane for under eyes is limited to 1-2 syringes to treat both eyes. In terms of how many mL of Restylane for under eyes is required, that amounts to around 1-2 mL. Dr. Green usually begins with placing just one syringe for the delicate under eye area and will review these results during your two week follow-up to ascertain the full cosmetic results and see if more product is needed.

Can tear trough filler be combined with other treatments?

Tear trough filler can absolutely be combined with other treatments for full rejuvenation of the under eye area. These treatments include Thermage skin tightening treatment or Fraxel laser treatment to reduce the appearance of dark circles under the eyes. Thermage treatment is able to ignite collagen production in the skin to eliminate wrinkles and tighten any loose skin. The Fraxel laser uses fractional laser technique to penetrate deep into the dermis, engaging the natural wound healing processes of the body to create new collagen and elastin within the layers of the skin. Mesopeel periocular peels can be used to lighten the pigmentation around the under eye area and remove dark circles above and below the eye area.

Botox with under eye filler treatment

Botox is a common injectable to use around the eyes, particularly for the treatment of crow’s feet. Botox is a neuromodulator that is able to “freeze” nerve signals to overused muscle groups, such as those we use when we smile. By halting the signals to these muscles, Botox is able to eliminate the appearance of the fine lines and dynamic wrinkles in the treatment area.

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Eye creams with under eye filler treatment

With any rejuvenating treatment in the eye area, an eye cream can help to keep the skin feeling youthful and healthy. Dr. Green’s MGSKINLABs Intensive Eye Repair (as featured in InStyle Magazine) and Eye Cream can help to rejuvenate the skin around the eye area, reducing the appearance of fine lines and wrinkles.

What causes dark circles under eyes?

Dark circles under eyes can be caused by a variety of reasons, from genetics to sun damage to unhealthy habits such as smoking or drinking. However, most patients find that their dark circles are caused by natural, age-related volume loss under the eyes that can in turn cast a shadow underneath the eye.

In some cases, patients may have dark circles under their eyes due to the development of darker pigmentation underneath the surface of the skin. In this case, dermal fillers may not be the best treatment option. Dr. Green often recommends Fraxel Dual laser treatment for those dealing with sun damage or darker pigmentation under the eyes. In addition, Mesopeel for the periocular area are excellent at removing dark circles around the eyes with no down time.

Is Juvederm or Restylane better for under eyes?

Dr. Green recommends different hyaluronic acid fillers for under eye treatment depending on the individual needs of each patient. Restylane, Juvederm, and Belotero Balance can all be effective dermal fillers for the tear trough area. Both Restylane and Belotero Balance can offer volume restoration in delicate skin locations like the tear trough, and both Juvederm Voluma and Restylane Lyft can be used to balance out the cheek area during an under eye treatment. When it comes to your treatment plan, Dr. Green will carefully work with you to evaluate all potential treatments and determine which is the best fit for you.

How do I get started with under eye fillers?

If you are looking to have the best under eye fillers in NYC, and to treat dark circles and tired looking eyes, it’s time to consult with Dr. Michele Green. Dr. Green is an expert in cosmetic dermatologic injections, with over 25 years of injecting Botox, Restylane, Juvederm and other dermal fillers in her private Upper East side boutique office. To schedule a consultation please call 212-535-3088 or contact us online today to learn if under eye fillers with Restylane may be best for you.

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