Restylane: Q&A

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I Had a Full Syringe of Restylane and I Still Show an Indentation/tear Trough W/puffiness!

How much can I possibly inject? While it looks a lot better, I am disappointed it has failed to fill in the area enough so I do not look tired. How much is too much? Should I be looking into another type of treatment or surgery? I cannot afford, nor do I want injections every 6-12 months. I have the tear trough filled, but I still show an indentation with puffiness right above it on my cheek, which does not go away. What can I do?

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4 Doctor Answers | Asked by Lizout in New York, NY

Doctor Answers (4)
Community Comments (0)

How much filler is needed for full correction?

The number one reason why patients are disappointed with the results from filler injection is insufficent volume correction. It almost always takes a great deal more volume to achieve a full correction than anticipated. As an example, when the amount of volume is not a factor, such as during demonstration injections (where the company is providing the product for free), I have seen as many as 6 syringes injected into the cheek area. The results were great, but I have few... more

I have patients who have need 3 ml per lower eyelid.

The key here is that the injecting surgeon should be experienced enough to tell you in advance what you need so there are no surprises. When you lean after the fact that a single syringe is not going to get the job done, it is natural to be every disappointed and difficult to have confidence to trust what you are told after something like this. Personally, I would suggest finding a more experienced injector.

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Restylane still an excellent choice for tear trough

Hello. You didn't say how long ago your injections were, but it is possible that you are still swollen in the cheek area from the injections. If you are less than two weeks out, be patient, you still may improve. If it is more than that, then yes you may need more filler which is not at all uncommon in this area. The good news is that due to the lack of movement of this area, treatments often last at least a year, not the 6 months we typically see in other areas. Best to you. more

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How much is enough?

Greetings~ It's really difficult to say what the proper solution is for you and what's happening with the puffiness without seeing you. Though one syringe may seem like a great deal of product and it can be expensive, it may still not be enough to sufficiently correct deficiencies in the tear troughs. (Some patients need 2 or even 3 syringes) Any concerns should always be addressed with the person or office that injected you. The puffiness may subside on... more

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