Juvederm or Restylane Under the Eyes

Dear Dr. Rivkin,

I have seen you televised on many reputable shows, and have also followed your threads on this website. Therefore, I have decided to pose this question to you instead of other doctors. (Thank you for all your great and candid posts!)

If I am considering an injectable for hollowing of the eye area, such as Restylane or Juvederm, is it reasonable for me to ask a doctor or nurse (injector) to first inject me in an unnoticeable area (such as my hand) to guage my body’s reaction to the material?

Because I have had eczema in the past, with much itching, I am concerned that I may have an allergic reaction to injectables. (Bumps are also a concern, as I have thin skin) I am thinking that this type of request would seem normal to doctors, but I have never read about anyone asking for a “test injection.”

hi emii,
you can certainly ask for a test injection and i’m sure any reputable doc or injector will do it. be sure to go to someone who has a bunch of experience with the procedure, preferably that you can see with before and after pictures. i have never seen any allergic reactions to restylane or juvederm, even with eczema patients, and i’ve probably done about 1000 eye patients.
also, the person you go to must have be comfortable working with hyaluronidase – the enzyme that dissolves the restylane or juvederm just in case you get a bump or a bit of over injection (it happens to the best injectors)
hope that helps

Tear Trough Fillers

What can you say about which one is more appropriate filler for under eyelid and tear through ?
One doctor said Perlane, the other doctor said Redexis.
By your experience which one can fill up better looking and longer ?

Thanks,

MaryNicole

hi mary nicole,
i don’t think there is much debate these days about what material is best under the eyes. hyaluronic acid works really well and lasts for a long time – over a year and sometimes as long as long as 3 years. i prefer juvederm ultra to perlane and restylane – i get smoother results – but that’s just my preference. its perfectly ok to use the other substances if the doctor wants.
what is not ok is to use radiesse in the tear troughs. there is no reason to do so, since radiesse is more likely to form bumps, it is more likely to show through the skin as a white stripe and radiesse cannot be reversed with enzyme like juvederm or restylane or perlane.
i have probably done about 1000 tear trough cases and i have never had a serious problem with juvederm or restylane.
hope that helps


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