Also try: cosmetic injection, dermal filler, facial plastic surgery, fillers, fillers and plumpers, hollow areas under eyes, hollow under eye, Juvederm, plumpers, Restylane, sunken eyes, tear trough, wrinkle filler
i had restylane under my eyes and mid section of face to give volume i love it but after reading all the posts i am afraid its not going to last as long.
can anyone make a suggestion on other fillers for those areas.
JENNY
Submitted by JENNY on August 27, 2007 - 5:25am. Viewed 6854 times
Juvederm works and lasts longer, BUT ... I had it done under my eyes and i had bruises for over 8 weeks. I won't have it done again.
Kevin
Jenny,
Fat injections. The doctor will lipo a small amount of your own fat from your hip or abdomen and inject it into the areas that need filling. Your fat is safer, cheaper and will last longer.
I had Restyline under my eyes; it was OK but not perfect. My PS told me that I need to "mold it". You can move product around to position it better. However, I never succeeded in doing so. I clearly see where the product is. I find that Restyline is a bit lumpy for the under eye area, perhaps fat injection will look more natural??
Since I had some success with Sculptra in my mid and lower face - looks very natural and subtle. I am thinking about Sculptra for the eyes though.
If someone had experience with Sculptra or other products that look natural for the eyes though please let me know.
I recommend that one never uses sculptra under the eyes. This product has a high incidence of delayed granuloma formation after injection. Sometimes they appear 1-2 years after the initial injection. I recently had a patient in my office who hada plastic surgeon inject it and she has had bumps that have not gone away for 1 year now. Be very weary of this product!!
View answers from Shawn Allen, MDDr. Allen,
I would appreciate your comments on the following. Should Juvederm be injected deeply or just under the surface for the tear trough area/hollows under eyes. I've had both done by two different doctors. The first used a numbing cream and injected just under the surface. It was absolutely painless but created bags. Only .6 was used for both eyes. I ended up massaging it ALOT over the following months trying to create a better look. It's been 8 months and i still have some left. Last week I had a different doctor inject deeply and even after using numbing injections, I felt everything and literally almost fainted from the pain. If you can recommend anyone in Orange County, CA. I really appreciate your thoughts. Thank You.
Dear Juliet,
View answers from Lori Haney, R.N.Although your comments and question were directed to Dr. Allen, I'd like to take an opportunity to address this. It sounds as if you had two very poor experiences with the tear trough technique.
This should confirm that it isn't title so much as training that makes all of the difference when finding the right practitioner. In your first treatment, it would appear that the product was placed too superficially (not below the muscle)which then creates the appearance of small bags under the eyes. This usually is less desirable than what one started with. It's unfortunate that your physician did not also explain that the product could be dissolved quite effortlessly with hyaluronidase. In fact, one of our patients who had the same experience at another facility, came to us for reversal of the treatment followed by a more beneficial tear trough procedure. We believe that research will support that the proper way to place fillers for the tear trough area is usually under the muscle to allow for a smoother, more natural appearance. There is some discomfort with this procedure but usually patients tolerate this much more than injecting other areas on the face. A gentle, skilled touch may be the key.
And...we have two offices with one being in the city of Orange.
Regardless of what you choose, do your research and ask questions. Good Luck.
L. Haney, RN
www.celibre.com
Dear Lori,
Thanks for your response. Are numbing injections usually used first or a topical anesthetic cream when injecting under the muscle? Does the patient still feel a significant amount even though they have been numbed?
Hi Juliet,
View answers from Lori Haney, R.N.We do not use numbing injections for tear trough procedures, and I believe that most practitioners do not. Any time a needle is placed in this area, it increases the possibility of bruising. Numbing cream works very well. We use a triple numbing compound topical product along with ice packs. This area is far less uncomfortable than most other areas. I've had this procedure myself as well as multiple areas on the face. I can speak from personal experience that with simple comfort measures, it is only slightly uncomfortable.
Be sure to ask as you do your research what comfort measures are used, what is the technique, and methods to minimize the risk of bruising.
Lori Haney, RN
http://www.celibre.com/Celibreblog/post/2008/07/What-treatments-are-available-for-crows-feet-lines-around-the-eyes.aspx
Did you every get rid of the bags and if so, what did the Dr.do different this time? What is the name of the Dr?
Is it looking better after a few months?? I am having a problem w/ bluish tint and lumps after 5 weeks
Is it any better a few months later? I am having this problem too.
restylane, juvederm, evolence and many others work for tear trough. It is important to understand that a natural and subtle look is the best and technique is very important. Which product I use really depends on the age and the exact amount of volume loss one is correcting.
View answers from Sachit ShahDr. Shah, I'd like to ask your thoughts on the following. I have thin skin and have always had dark circles under my eyes. I had Juvederm injected for the hollows under my eyes. A numbing cream was applied and then the gel was injected just under the surface. It was painless but created bags. Eight months later, I had a different doctor inject deeply and even with numbing injections, I felt everything and literally almost fainted from the pain. How should Juvederm be injected and can it be done without alot of pain?
I am in Orange County if you can recommend someone. Thank you for your time.
i would recommend only non permanent fillers.
i only use juvederm in this area.
the skin is paper thin and you will likely bruise.
try icing 5 minutes before injection to shrink the blood vessels.
some physicians will inject an anesthetic with epinephrine before injecting this area.
these injections are the trickiest injections on the face. make sure you feel confident with your injector for this area in particular. it is a very unforgiving area
View answers from Pramit Malhotra, MDi have had sculptra under my eyes but found no difference also had radiesse which was okay but a bit lumpy. am now trying perlane.
Can I do tht injections myself?
are you serious? about injecting your self? thats sounds scary
I had restylane injected in tear trough 8 weeks ago, and by dark circles are worse than before! Why is that?
Is it getting any better? I have this problem too after a month
I don't know if Restylane is the same but Juvederm has a bluish tint so if it is injected just under the surface instead of deeply under the muscle, the blue shows through and makes your skin look dark.
All hyaluronic acid fillers (Juvederm, Restylane, Perlane,etc) have a clear gel appearance. However, if the product is placed too superficially, the product will produce what is referred to as a "Tyndall effect." This refers to a bluish discoloration that becomes visible when UV light is absorbed and reflects off the skin/product, thus giving the appearance of a blue tint. It's actually a trick of light but frustrating nonetheless. To avoid this, the practitioner should be skilled enough to not inject too superficially. If it is bothersome, a patient may ask about a method to dissolve the filler without waiting several months for it to degrade on its own.
View answers from Lori Haney, R.N.Lori Haney, RN
www.celibre.com
I tried Restylane under eyes, did not look good. It did fill in bags, however, you can see the filler deposits. It looks like little lumps under your eye. This was a year ago, and the bags are back and the lumps are still there!
Did it twice. First time with restalyn results were not perfect but better. The second time, 6 months later, I tried Juvederm and ended up with pillows under my eyes. More product had to be injected below in cheeks to soften the problem. I was not happy. It took about 1 year and fraxle 1540 treatments. I will NEVER do that again!
I had restylane under my eyes and it was also lumpy. When I went to a new doctor he said it should never be used under eyes just botox so I had extra botox and it looked great for about 4-6 months.Also for little sagging on neck the dodctor can also put botox there and its great.
Terry - Please share your experience by writing a Restylane review. Our members love to read reviews by real people when researching their options and alternatives.
One important thing when doing fillers-or anything: The person doing the procedure has to have good technique. I can't necessarily fault the product for the problem I posted above. Now, I've learned that the under eye area has thinner skin and you have to be careful. I recommend 1540 under the eyes first to tighten the skin. You might be happy with that alone. The under eye area is less forgiving than other areas of anything less than perfection. It's a tough call! Thank God I didn't do anything permanent!
Restylane for filling tear troughs works very well, but you must understand that it actually goes below the orbicularis muscle (which surrounds the eye). One can get an effect called the Tindril (sp?) effect , whereby a slight bluish tinge is seen though the skin. Sculptra works nicely under the eye as well for tear troughs. You need three treatment sessions, and it should last from 2-4 years.
Peter Ballas II, MD
Boca Raton, Fl.
Doctor...
Really?
Sculptra underneath the eyes???
The skin is sooooo thin and delicate there.
I keep reading about people forming tiny bumps and nodules under that thin skin when Sculptra is used there.
I had restalyne under my eyes and it looked great. I looked 10 years younger in 10minutes and it lasted for 9 months. The only thing I can think that i did not like was on one eye i had the tunnel of the needle showing for like 3 months. but it worked for me and my darkness, hallow never came back like it was before. I would like to get some kind of laser though for my fine lines under my eyes. Has anyone tried one of these and it worked? and about doing it yourself, my friend order restalyne online for 250.00 and did it herself. she had it done by a dr for 600.00 nasal folds and it looked better when she did it. so the answer is yes you can do it yourself.
Any physician who gives treatment to himself, has a fool for a patient. Who in their right mind would self inject? Find a good and trusting physician--many offer Restalyne injections in office for $450. Read report of occular occlusion with peri-orbital injections. Really, is your eyesight worth a few hundred dollars?
jackie22, Thanks for sharing. There were so many negative posts on this that I was getting disappointed. It was good to see a good report! what doctor did your restalyne under eyes and where he is located? thanks again!
I agree, she is not even a nurse. she had it done previously by a doctor a copied what the doctor did. and it was the area by her nose and mounth. as i said in my last email it did look better then when the doctor did it. as for myself, I am way to scared to do it myself. my friend just ordered more restalyne online and it going to fill in other spots on her face. I will let you know how that one turns out!
tell me where i could fine this doctor for restylane for 450.00 i live in chino california
In florida most of the docs around here are 450.00 per 1ml restalyne. good luck !!
Personally, I'm waiting for the new REVOLUTIONARY fat-grafting technique called Celution.
It's similar to the traditional fat-grafting techniques that add volume to all areas of the face... but now the fat cell solution being injected into these areas are "super-charged" with adult stem cells also taken from your fat.
The stem cells actually make the upper and lower layers of the skin YOUNG again.
So this isn't just another filler. This actually brings the total face back in time.
Yeah, and I bet it cost alot of money too!!
drink lots of water! it will make the restalyne last longer.
I don't know if this helps... .but to fill my lower eyes (or make it appear as if they were filled) my dr did a grid type pattern in my cheeks that seemed to pull skin from the eye area as well as lower cheeks and even corners of my lips and the results have been wonderful. I loved his technique. I did have one area that got lumpy for about a week but was not visible. Very small amount of bruising but was easily covered with my normal make up application. No one knew what I had done but everyone knew that something was "different" I was asked over and over again, by the girls at work, if I had changed make up or face lotion or what was I doing differentially. Haha. I firmly believe that you need to seek out a great dr and don't go by just a few people, really search. Then when you find the Dr you think is right for you, ask questions. If you're the type that forgets what you wanted to ask when you actually get there, write them down as you think of them. My dr even has a question page on his web site for patients that have appointments and have been treated as well as a general question page for people thinking of becoming one of his patients. Remember if they only tell you the "GOOD" things, then you might want to consider seeing someone that will also tell you the bad. :)
Lauraanno, what exactly did you doc use to do all this wonderful work and where is he located?
So, what's your doctor's name?
We currently have good success with using Restylane for under the eyes for the tear trough procedure. We like this product for this area because there is less chance of the product being displaced as we've found with Juvederm. Also, Restylane comes in a half syringe which seems quite adequate (and affordable) for most tear trough procedures. Whereas Juvederm only is available in a full syringe. We find that, if done properly, tear trough benefits usually are realized for up to 6 months. Some report 9 months which may be a lucky few. Either way, most of our patients see much value in this procedure. I would encourage you not to trade safety and predictability for a longer-acting product that is not designed for tear trough areas. However, using Perlane to the mid-face area offers improved correction for deeper folds as well as a longer effect.
View answers from Lori Haney, R.N.Restylane and Juvederm are the best fillers for use in the tear trough area under the eyes. If performed by an experienced injector, the results are natural appearing and very long lasting. My expectation for longevity in this area is 1-2 years. To obtain these results, the product must be injected deeply. There is a learning curve for the injector for this procedure. Find out how long the physician has been providing these injections. Improperly placed injections in this area can lead to visible lumps. This is a completely avoidable complication.
Tear trough injections of the eye hollows are very effective and met with a great deal of patient satisfaction if done properly.
View answers from Mitchell Chasin, MDWanted to say thank you for your answer. I had to learn the hard way that your advice is very true. My first time, I paid a lot of money for bags under my eyes. Hopefully others will read this and know that superficial injections must be avoided at all costs. The deep injections are more painful but so worth it. Thanks for taking the time to respond.
Do you find Restylane is better than Juvederm because it doesn't migrate like Juvederm? I have experienced the migration and have to carefully try to push it back into place. Is it safe to do Restylane after having had Juvederm?
I am now convinced that Restylane is the best dermal filler for treating tear troughs and periocular depressions. It has a long track record of safety around the eye and does not spread around like juvederm does (which is good). It needs to be injected deep (onto the bone). Bruising is now a lot less with a newer technique I have just started but it is the one area that bruising is fairly common.
Steve Weiner, Facial Plastic Surgeon, Destin Florida.
View answers from Steven Weiner, MD