Hi Jeff. We would not use Radiesse in the tear troughs. The problem is that the filler is too thick for the thin skin under the eye. If you are unhappy with the treatment, we would recommend that you go back to the physician to check with him/her on your outcome. The difficulty is that Radiesse cannot be reversed and you will probably need to live with the result for the next 12-18 months while the product dissolves.
Web reference: http://www.celibre.com/darkCirclesUnderEyes.aspx