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Juvederm or Restylane Under the Eyes

May 12, 2009
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

4 thoughts on “Juvederm or Restylane Under the Eyes”

  1. Diana says:

    I will like to know which filler is better under eyes. Juvederm or Restylane.

  2. avril says:

    I say you should try Juvederm, because this substance is not toxic like Botox. Juvederm is also a painless treatment with great effects, especially under your eyes.

  3. Milton Buben says:

    Admiring the dedication you put into your website and in depth information you provide.

  4. Dr. Rivkin says:

    there are very few side effects to hyaluronic acid injection under the eyes. the most common issue is bruising, since it is a very vascular area. if there is bruising, it is mostly minor and can be covered up. however, sometimes it is more extensive and take a week to 2 weeks to clear up. if there are irregularities in the contour of the area after injection, we can always use enzyme to dissolve bits of the filler and make it smooth. this is the advantage of hyaluronic acid over any other filler in this area – it can always be partially dissolved.

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