Eyelid bags and depressions can be treated non-surgically with filler. Around the eyelids Dr. Massry (Beverly Hills Ophthalmic Plastic Surgery) prefers to use Restylane as his filler of choice. Traditionally, eyelid filler (Restylane) has been injected around the eyes with needles. While the results have been good, there is often significant bruising and swelling associated with the treatment.
Recently, blunt-tipped microcannulas have been developed for injection of filler to any area of the face. While these have taken hold, few injectors have been comfortable with injections around the eyes. Dr. Guy Massry, an experienced eyelid filler injector has transitioned almost all his eyelid filler injections to the use of the microcannula. Dr. Massry prefers this method, as it is safer (no chance of injecting into a blood vessel), more comfortable (not painful), easier to perform, and yields minimal to no bruising and swelling.
Below is an example of a woman who had Restylane eyelid filler injected to the hollows under the lower lids to improve appearance. On the right are her immediate post-injection photos. Note that there is slight redness (gone in 30 minutes) and no bruising and swelling
