I’ve been interested in eyelid surgery on my lower eyelids but I’ve heard that Restylane can be used to achieve the same results. Is this true?
In most cases, people who request lower eye lid surgery do it because they have “bags”, a deep tear trough (a deep angled depression near the nose), or both. An hyaluronic acid like Restylane, Perlane or Juvederm and Radiesse can be used very carefully in very small amounts to temporarily fill a depressed tear trough. However, the skin is very thin in this area; and the filler can show through sometimes. Also, if the products get into the deeper tissues of the eye they can cause persistent swelling and, theoretically, vision loss. Longevity is 6-9 months. In a lower eyelid blepharoplasty the fat that is causing the “bags” is moved down to fill the tear trough. While nothing is permanent, this is a much more long lasting procedure. Yes, it is an operation; but it does give a better results. Here is a link to such a patient: http://www.drbentkover.com/photogallery/blepharoplasty-eyelid-surgery/patient-3