Undereye hollows and the tear trough area.

Tear Trough - Unanswered piece. But you didn't answer what YOU personally have used in the Tear Trough area. While doctors use fillers that they are most comfortable with, it would also be helpful to know what YOU personally have used. We all have a great deal of respect for you and value your insight, as such it is most helpful for you to include what YOU have used in the past that you find most effective for this area. I aleady know you have more than 5 yrs experience in this area! :) I'm a HUGE fan of yours, and value your expertise & opinions very much Feel free to "edit" my answer. Thank you. The very best regards to you always, Amy

Thank you for pointing this out – I sometimes miss part of the question!   I just have to say again that injecting around the eye area – especially above the eye – is for experts only.   Injecting in this area is an off-label FDA use and it is difficult to do safely and well!  Please, please don’t just go to a medi-spa or inexperienced doctor to do this.  If you’re not sure, just wait and do more research.  More on how to fix problems around the eye area.

Having said that, here’s my opinion:

  • Restylane – the best option in the U.S. – it can also be thinned slightly to layer it more effectively in certain areas
  • Belotero –  next best choice but doesn’t have any added anesthetic so it’s more painful and sometimes gets lumpier with time which is odd.
  • Perlane –  too thick and tends to be too full
  • Juvederm Ultra and Juvederm Ultra Plus –   too hydrophilic – meaning they absorb water from the surrounding tissue more and in this area it causes too much puffiness and fluctuation of the volume.
  • Voluma –   too full and too early to know if a thinned version will be useful.

Hope this helps!  Dr. I


Dr. Brandith Irwin, MD

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