Restylane vs. Juvederm for Under Eyes: Periorbital Rejuvenation

A recent American Society for Aesthetic Plastic Surgery survey showed that periorbital rejuvenation, or treatment explicitly targeting the under-eye area, was one of the fastest-growing cosmetic procedures in 2023. This surge in interest reflects the desire for a refreshed and youthful appearance, with dermal fillers playing a leading role.

Among the most popular dermal fillers for under-eye rejuvenation are Restylane and Juvederm. Both are hyaluronic acid (HA) fillers, a naturally occurring substance that plumps and hydrates the skin. However, choosing between Restylane and Juvederm for under-eye concerns requires understanding their subtle differences in formulation and how they address specific under-eye issues.

This article will comprehensively compare Restylane and Juvederm for treating the under-eye areas, helping patients and professionals choose between these innovative treatments.

Key Takeaways

• Both Restylane and Juvederm use hyaluronic acid to rejuvenate the under-eye area. Restylane has a denser texture for fine lines, and Juvederm provides a smoother gel for natural-looking volume.
• Proper injection techniques are critical for minimizing risks like swelling or bruising, using tools such as thin cannulas to inject fillers precisely below the orbital rim.
• Patients report high satisfaction with both fillers, noting improvements in under-eye hollows and wrinkles. However, choosing between Restylane and Juvederm depends on individual needs and desired results.
• Safety is paramount in periorbital rejuvenation; medical professionals must understand facial anatomy deeply to prevent complications from injections near sensitive eye structures.
• Follow-up care after filler injections includes monitoring distribution and effects over time, allowing for adjustments to ensure patient satisfaction with their youthful appearance.

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Introduction to Periorbital Rejuvenation

Periorbital rejuvenation plays a crucial role in facial aging. It focuses on the eye area to restore volume, reduce wrinkles, and enhance skin texture. This treatment tackles the signs of aging, fatigue, and stress that primarily affect the periorbital region, which is often the first to show changes.

Methods such as neurotoxins and dermal fillers are critical non-surgical approaches used for this purpose. They aim for a refreshed and youthful appearance without invasive procedures.

Overview of Fillers for Undereye Area

Fillers for the undereye area offer a non-surgical solution to address periorbital aging. They rejuvenate the eye area by improving appearance and reducing signs of tiredness or age. Dermal fillers, specifically hyaluronic acid fillers like Restylane and Juvederm, are famous for treating tear trough deformity.

These fillers provide volume where it is lost and improve skin hydration. Medical professionals often recommend injecting these fillers at the subperiosteal level, as this technique effectively treats tear troughs with a lower risk of complications.

Understanding Restylane and Juvederm

Restylane filler uses hyaluronic acid, a naturally occurring carbohydrate molecule found in all living organisms, as its active ingredient. Its formulation is denser, thicker, and more granular than other fillers on the market. It helps it effectively target fine lines and wrinkles by adding volume and smoothing out the skin.

Juvederm leverages hyaluronic acid as its core component, similar to Restylane, but stands out due to its unique smooth consistency. This smoother texture results from Juvederm’s manufacturing process, which creates a gel that can easily flow into the skin and provide a natural look.

Understanding Restylane’s viscosities and hyaluronic acid concentrations is crucial for medical professionals evaluating dermal fillers for under-eye rejuvenation. This knowledge assists in comparing Restylane to other products, such as Juvederm, to determine their suitability for periorbital rejuvenation treatments.

Aspect	Details
Composition	Restylane’s formulation is with non-animal stabilized hyaluronic acid (NASHA).
Viscosity	Restylane products vary in viscosity and are for specific areas and depths of injection.
Hyaluronic Acid Concentration	Different Restylane fillers have varying concentrations of hyaluronic acid, influencing their effectiveness and duration.
Safety Profile	Restylane has a strong safety profile, with rigorous clinical testing to ensure patient safety and efficacy.
Formulations for Under-Eye Area	Specific Restylane formulations are for delicate and thin skin of the under-eye area.

Viscosities and Hyaluronic Acid Concentrations of Juvederm

Juvederm’s formulations are optimized for under-eye rejuvenation, focusing on a balance of viscosity and hyaluronic acid concentration. Here is a detailed look at these aspects:

Juvederm Product	Viscosity	Hyaluronic Acid Concentration
Juvederm Ultra	Medium	High
Juvederm Volbella	Low	High
Juvederm Voluma	High	High

Influence of Formulations on Efficacy and Safety

The precise formulation of injectable fillers like Restylane and Juvederm is critical in their efficacy and safety, particularly in the delicate periorbital area. These hyaluronic acid-based products need to harmonize with water to produce natural results and minimize complications near the eyes.

Injection Techniques and Considerations

Correct injection techniques are vital for achieving desired results and minimizing complications in the undereye area. Experts must choose fillers wisely and master advanced injection methods to effectively treat tear trough deformities.

• Evaluate the patient’s periorbital anatomy closely before choosing an injection site. 
• Select dermal fillers designed for the under-eye area, considering their viscosity and hyaluronic acid concentration for optimal results.
• Use a subperiosteal injection technique near or below the orbital rim to address tear trough deformity directly, enhancing precision.
• Ensure injections’s placings avoid interfering with delicate structures around the eyes, reducing the risk of complications.
• Opt for thin, flexible cannulas over needles to minimize tissue trauma and decrease the chance of bruising.

Patient Considerations for Periorbital Rejuvenation with Fillers

Selecting suitable patients for periorbital rejuvenation involves deeply understanding facial anatomy and aging changes. Medical professionals must evaluate each patient’s needs, focusing on their specific tear trough deformities and skin conditions.

Potential Outcomes and Patient Satisfaction

Patients often report a noticeable improvement in under-eye hollows and bags after receiving Restylane or Juvederm injections. Satisfaction levels tend to be high, with many appreciating the rejuvenated appearance and reduced signs of aging around the eyes.

Expected Outcomes with Restylane

Restylane ingredients focus on volume restoration and wrinkle reduction in the periorbital area, providing a smoother and more youthful appearance. Its granular, cohesive texture allows precise facial contouring and effective treatment of fine lines under the eyes.

Expected Outcomes with Juvederm

Juvederm offers impressive outcomes for periorbital rejuvenation, focusing on volume restoration and wrinkle reduction. Patients choose Juvederm for its smoother texture than other fillers, contributing to a more natural-looking under-eye area.

Patient Satisfaction and Safety Considerations

After exploring the expected outcomes with Juvederm, it is crucial to assess patient satisfaction and safety considerations during periorbital rejuvenation. Patients often report high levels of contentment after receiving treatments to correct infraorbital hollows, especially when using products like Juvederm Voluma XC.

Conclusion

Choosing between Restylane and Juvederm for under-eye rejuvenation involves understanding your needs and desired outcomes. Both fillers offer practical solutions for hollowness, dark circles, and wrinkles around the eyes.

Trained medical professionals administer these injections to help achieve a more youthful and refreshed appearance. Ultimately, discussing options with a healthcare provider will guide you to the best choice for periorbital rejuvenation.

FAQs

1. What are Restylane and Juvederm used for under the eyes?

Restylane and Juvederm are fillers that reduce wrinkles and add volume under the eyes.

2. How long do results from Restylane or Juvederm last under the eyes?

Results can last up to 12 months for Restylane and Juvederm treatments under the eyes.

3. Is getting Restylane or Juvederm injections painful?

You might feel a pinch, but most people find the injections mildly uncomfortable.

4. Can anyone get Restylane or Juvederm injections under their eyes?

Most adults in good overall health can get these injections, but you should consult a professional first.

5. How quickly will I see results after getting Restylane or Juvederm under my eyes?

You’ll likely see immediate improvements right after your treatment session.

References

Hwang C. J. (2016). Periorbital Injectables: Understanding and Avoiding Complications. Journal of cutaneous and aesthetic surgery, 9(2), 73–79. https://doi.org/10.4103/0974-2077.184049

Lee, S., & Yen, M. T. (2017). Nonsurgical Rejuvenation of the Eyelids with Hyaluronic Acid Gel Injections. Seminars in plastic surgery, 31(1), 17–21. https://doi.org/10.1055/s-0037-1598189 

Few J. W. (2009). Rejuvenation of the African American periorbital area: dynamic considerations. Seminars in plastic surgery, 23(3), 198–206. https://doi.org/10.1055/s-0029-1224799