Is Restylane really safe in the tear troughs?

Is Restylane use safe in the tear troughs? I have been considering this procedure for some time for chronic dark circles under my eyes but I know it is considered an "off label" use of Restylane. Is it really safe and effective?

Restylane has been used successfully for this situation. Other HA fillers may be better options. A great deal depends on the experience of your treating doctor and your exact clinical situation. Dark circles may be due to other causes than a contour deformity. It is best that you speak with an ASAPS member to address your concerns who has experience with treating "dark circles" in the lower eyelid region so that you understand all of your options.

Hope this helps!

Michael I. Kulick MD
Michael I. Kulick MD
450 Sutter StSFCA94108US

Michael I. Kulick MD

450 Sutter Street, Suite 2620,
San Francisco, CA, 94108, US

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Restylane is relatively safe. However, in some cases it might cause a blueish discoloration due to it being monophasic. This is called tendal effect and it tends to happen in a lesser percentage of biphasic HA products. Consider an ASAPS member for this procedure and raise this issue with him/ her and measure your risk/ benefit ratio before making your final decision.

Best,

Shady Hayek, M.D.

Beirut, Lebanon

Shady Hayek, MD
Shady Hayek, MD

Shady Hayek, MD

Ras Beirut Clinics Building, 4th Floor,
Souraty near Hamra, Beirut, Lebanon

I would not recommend Restylane in the tear troughs. A patients' own fat by means of structural fat grafting if the only material I would use for under eye fillers. Look at many before and after photos before electing to have a surgeon make a permanent change to your appearance.

Michael Law MD
Michael Law MD
10941 Raven Ridge RdRaleighNC27614US

Michael Law MD

10941 Raven Ridge Road, Suite 103, Raleigh,
NC, 27614, US

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