Restylane Q&A
62%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
476 Reviews
Restylanebefore & after photos
View Before and Afters

Average Restylane Cost: $625

Learn about Restylane

1,372 people and 503 doctors are talking about Restylane

Get Free Email Updates

I Have Already Had a Full Syringe of Restylane in the Tear Trough and Still Need More!

asked 10 months ago by Mari2gold in New York, NY
Latest answer by Alan Engler, MD
Question viewed 202 times
Tags: asymmetry, indentation, options, technique

I still show an indentation (w/puffiness) on ONE side of my face, right above my cheek. I hesitate to put more--where is it all going? The filler was added on three separate occasions. What are my other options? I don't think I want to go through this every few months--especially if it does not fill in all the way--not to mention the cost. Any thoughts please? Could it be the technique used by this particular dermatologist?

7 answers to I Have Already Had a Full Syringe of Restylane in the Tear Trough and Still Need More!

+1

Restylane - I Have Already Had a Full Syringe of Restylane in the Tear Trough and Still Need More!

The amounts of Restylane needed to "correct" areas such as this can vary a lot from patient to patient. Sometimes it's a question of trial and error, sometimes there are differences the way physicians address specific contour irregularities. If you've had one syringe and the results are not adequate then it's certainly possible that you would need more than this in order to achieve the changes you're looking for. I'm not sure if I'm reading... more
Alan Engler, MD

New York Plastic Surgeon
+1

Restylane in the tear troughs

Greetings~ It's difficult to say for sure what may or may not be happening without seeing you. It is NOT unusual to need more than one syringe for a tear trough correction. That being said however, there is no magic number or amount that works for everyone. One patient may need only half a syringe and another may need two. Correction for this area is very injector dependent and done incorrectly it can look terrible and accentuate the problem you are trying to... more
Grant Stevens, MD

Los Angeles Plastic Surgeon
+1

Restylane is excellent for correcting tear trough deformities

Restylane is my favorite product for the tear trough. Some need more than others to get optimal correction. There are several factors to consider- sometimes the product needs to be place in different layers to get the right amount of filling without puffiness and I also find that there are times when a little strategic placement of the product to the cheek makes a very big difference. I find it best to do this over more than one session to see how the filler settles and to assess at... more
Doris Day, MD

New York Dermatologic Surgeon
+1

I Have Already Had a Full Syringe of Restylane in the Tear Trough and Still Need More!

Very unusual to need a FULL syringe of Restylane for the tear trough deformity. A posted photo ALWAYS helps to address your issues. Sounds like you need more than just fillers.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

I agree with Dr. Campanelli

If I understand correctly, you've had a total of one syringe of Restylane, which may or may not be adequate volume for your situation. So many factors are involved - your age, bone structure, muscle movement, in addition to the talent of your injector.....I would suggest seeing a few physicians, including an oculoplastic specialist and a cosmetic dermatologist experienced in tear trough injections. Good luck!
Laura Skellchock, MD

Palm Beach Dermatologic Surgeon
+1

Persistent Indentation in the Cheek after Filler Injection

Your problem, most likely, is that the ligaments that connect the skin of the cheek to the underlying bone are too strong and are forcing the filler out of the corrected area. This is not common, but when it happens, it is discouraging because it can not be corrected with more filler. Ask if this is the case the next time you are seen.
Joseph Campanelli, MD

Minneapolis Facial Plastic Surgeon
+1

Restylane in Tear Trough

Mari2gold, Your experience sounds unusual. I tell patients that Restylane should last 9-12 months in the tear trough. Most patients require at least 1cc of Restylane in this area, and many require more to get an adequate fill. The syringes are single use, so I don't inject a syringe over several appointments. I would need to evaluate you in person to comment on the indentation and puffiness. I think you should see an experienced injector for an... more
Michael McCracken, MD

Boulder Oculoplastic Surgeon

Ask a question