Restylane Injection to Lower Eyelid Tear Troughs to Reduce Dark Circles Chevy Chase Maryland

Board Certified Facial Plastic Surgeon in Washington DC demonstrates injection of restylane to the lower eyelid tear troughs to reduce sunken eyes and dark circles under eyes. Alternatives to filler injection under eyes are fat injections and implants to the tear troughs.

Dr. Naderi is an instructor for Allergan and Medicis teaching other plastic surgeons and dermatologists how to inject botox, dysport and fillers in virginia and chevy chase maryland.

Category:

Education

Tags:

• Fillers
• Restylane
• Perlane
• fat injection
• tear troughs
• dark circles under eyes
• lower lid injections
• Cosmetic surgery 20190
• Plastic surgeons 20815
• Maryland
• Washington DC
• Northern virginia

[wen7ken]

Dr. Naderi, thanks for your video. It is very interesting. As you inject along the rim of the lower orbit, how can you be sure you are not injecting into the ifraorbital foramen? Thanks

[DrNaderi]

@wen7ken

Good question. I know where the foramen typically is and avoid that area. If you ever get too close to it the patient will experience severe pain and will let you know and that is another way you will avoid injecting into the nerve.

[comets69]

I just had this done today and it's been 10 hours and I feel like my under eye muscles are sore. Is that coming to w sore in the area? I only have one small bruise on my left side.

[DrNaderi]

@comets69

Soreness for a few days can be normal but check with your own plastic surgeon to make sure everything is OK.

[aTypicalDayInTheLife]

I'm 15 and I have a very noticeable vein under the skin that runs from my right temple to the inner corner of my right eye. The vein dips under my eye (which gives the appearance of a bag). It's horrible! Would this procedure work for me? If so, how much does it cost??

[DrNaderi]

@aTypicalDayInTheLife

You would need the consent of your parents but if the issue is a vein then you would need to see an oculoplastic surgeon to see if excision or cautery or laser of the vein is the better approach.  Filling around it may or may not help but most likely it would be a temporary fix and as a 15 year old a more permanent solution is best. Leaving it alone for now is even a better idea until you are a bit older and can decide more objectively.

[DrNaderi]

@bonmom

Good question. The Restylane which I use is Restylane-L which comes premixed with lidocaine. As far as the injection technique, small micro droplets of restylane or fat placed on top of the bone are much more accurate than filling while pulling back retrograde. I do occasionally use that technique for people with very deep folds but the serial micro injections allow precision and accuracy.

[bonmom]

Hi Dr. N - why do you do multiple injections rather than place the needle through one site, go to the corner of the eye, and inject as you draw back (like a field block)? Also, does the Restylene come mixed, or did you add lidocaine yourself? Is topical EMLA not enough? Thanks - Dr. M

[DrNaderi]

@piccolovic Hi Vicky. I cannot tell you if this procedure is good for your eyes and your "dark circles" without seeing you because there are multiple causes for "dark circles" inlcuding such things as hyperpigmentation or skin discoloration. If you have tear troughs and hollowness then this procedure can help but it is a very advance technique and you should find an excellent plastic surgeon or dermatologist and not just any injector. There are plenty of great doctors in Southern California.

[piccolovic]

Hi Dr, I'm thinking of getting this done. I'm 51 and have had dark circles under the eyes for a very long time.

Is Restylane the best way to go for this? I would also like to do the part that is near the inner eye near the nose bridge? Is that a good idea or not?

I have very dark areas around the whole eyes.Especially under the eyes.

btw do you have nay recommendations for a Dr in southern CA? Im really scared to do this but I want to get it done anyway.Thanks so much! Vicky