Dr. A’s Answer:
Restylane is used to fill what is called the “tear-trough”.
This is the groove in the lower eyelid below the bulging fat (“bag”).
The darkness you see in that area is often the result of the shadow that
is cast by overhead lighting. Filling that area so that the groove is
gone will correct that shadow. However, many people also have pigment
in that skin (melanin) or a purple hue as a result of the quality of the
skin, allergies, or other issues. This will not be fixed with a filler.
In fact, filler in some people can make that worse, especially if it is
placed too superficial. Looking at your photos, your bags and tear-trough
are advanced. You really should consider surgery. Restylane is limited
in the amount of filling that it can successfully accomplish without creating
other problems. Usually 1/2 cc per side is about the max and that will
not be enough for your tear-troughs.
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