Is there one filler better than another for filling hollows near the eyes?

Is there one filler better than another for filling hollows near the eyes? Thank you Amy G.

Hi Amy, yes and that’s because even among the hyaluronic acid fillers, which are a little like comparing apples to apples, there are some differences. But first, fillers like Radiesse, Artefill and silicone should never, ever be used near that area. As for Sculptra, the company does not recommend it’s use around the eye area.  


Usually Juvederm Ultra, Restylane, or Belotero (new in the U.S. from Merck) are used to fill in this area. In my opinion, Restylane is better because it doesn’t go up and down as much during a 24 hour period because it is less hydrophilic (means holds onto water less). Juvederm tends more to puffiness and Belotero is newer but is a thinner product which is a good quality around the eye area.


Many expert injectors use Restylane around the eye area but thin it with sterile saline to make it flow and layer better and to reduce the risks of bumps. The whole syringe is still used. A blunt tipped canula is safer to use around the eye area than a needle. Both may cause bruising though so be prepared for a week or two of that, just in case.


Hope this helps, 


Dr. B I


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Dr. Brandith Irwin, MD

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