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Primary goal: Fill in wrinkles and grooves caused by loss of natural dermal collagen and fat. The commercial injectable fillers most commonly used around the eyes are Restylane ® and Juvederm ®, both hyaluronic acid based, and Radiesse ®, which is very different and not as useful under the very thin periorbital skin.
Anesthesia: None is usually required. The injections are only slightly uncomfortable.
Operative technique: A non-surgical technique. The dermal filler is injected through a needle into the middle of the dermis beneath the skin depression. Multiple injections achieve a layering effect.
Comments: A new "crop" of tissue fillers is always on its way. Each has its own set of advantages and disadvantages.
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