As a rule, it is better to avoid using Sculptra under the eyes because of the increased risk of nodule formation in that area. I have used it in the past without complications but now feel that there are better options that give better results. Technically speaking, none of the fillers on the market have the official indication for treating "tear troughs" or under eye hollows - a very popular request - although they can be used safely in an off-label manner for this purpose. The key is to make sure that you receive treatment by an expert and highly experienced injector who is familiar withe pros and cons of each filler and who is prepared to treat any complication in this area. In the right patient, my favorite fillers for treating the under eye area are Restylane and Belotero Balance. Like all hyaluronic acid fillers, they can be dissolved with hyaluronidase in the event of an adverse event.