Best Approach for my Tear Trough Hollowness? (photo) Doctor Answers, Tips
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Best Approach for my Tear Trough Hollowness? (photo)

I am becoming increasingly concerned about the deepening depression in my undereye area. I have previously had Juvederm injected to the upper cheekbone area to correct the long creases that had extended downward across my cheeks (nasojugal?). However, I am now noticing that the correction of this area seems to be exaggerating an undereye hollowness that was less detectable when my upper cheek area was less pronounced. Would Restylane be the best option to help "blend" these two regions?

17 Doctor Answers | Asked by jheart in Orange County
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Restylane for Tear Troughs

Restylane to blend the periorbital areas is a reasonable choice and probably produces a better result than Juvederm, Radiesse, or Sculptra. Belotero may also be appropriate, depending upon goals.
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Approach to tear troughs

I think some restylane would be very helpful for reducing your tear trough. Juvederm is another option, and less commonly radiesse or sculptra can be injected here depending on the experience and preference of your chosen dermatologist or plastic surgeon. Regular injection technique by an experienced and trained physician is the typical approach, while cannula treatment is newer and less common, but may cause less bruising.
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Best option for filling the tear trough

Restylane is the filler I prefer to use for the tear trough. When the injections are performed properly, it yields a fantastic result. I would recommend a consult with an experienced physician. Thank you, and please feel free to ask any additional questions. I would be happy to answer them for you.

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Restylane is Filler of Choice in Peri-Ocular Region

Thank you for your question. I agree with your assessment. Restylane treatment deep to treat the tear trough deformities should put things into better balance. It is important that the filler be placed deep with a blunt tip cannula to prevent complications. Additionally, I would recommend that restylane be used. This filler absorbs less water than juviderm, thereby causing less swelling. Good luck with your treatment!
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Restylane for your tear trough

You may require a tiny amount of Restylane in the tear trough area. It should be injected by an experienced board certified dermatologist or plastic surgeon for best results.
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Radiesse Combined With Belotero Balance Works Well For Hollows Under the Eyes

Combining Belotero Balance, Restylane L, or Juvederm UltraXC with a small amount of Radiesse works well for hollows, tear troughs, and dark circles under the eyes Tear troughs, hollows, and dark circles are common problems of the lower lids. It has become standard practice to treat this region with lighter weight fillers, like Juvederm or Restylane, to lift, straighten, and contour this region. Occasionally, if fillers are inadvertently placed too superficially, a bluish discoloration... more
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Restylane to efface the nasojugal groove

Restylane is an excellent choice for improving the lid-cheek junction (nasojugal groove). By replacing the depleted volume in this area, a youthful contour can be restored. Juvederm tends to be more hydrophilic (attracts water) than Restylane, causing the results to be a bit less consistent.
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Restylane in Tear Troughs

Restylane is the best option for tear troughs and to "blend" the area you are noticing depression. Juvederm is often used in that area, but it is a bigger molecule and the results tend to vary. In person, your injector will be better able to assess which product and how much should be injected.
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Restylane and under eye treatment

You have options for tear trough treatment - Restylane, Juvederm, Belotero, all will provide volume and injected expertly, would help restore some of that loss you are noticing.
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Restylane for under eye hollowness

If you feel that you need something in this area Restylane would be a good choice. Another option would be Belotero. Either would do well. Won't take much/
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Tear trough depression

From your photo, you appear to have only a mild depression in the tear trough area. A small amount of Restylane is a great choice to fill this area with a deep injection to smooth the transition. Juvederm could be also be used for the tear trough area as well. More important than the product choice is the skill of the injector.
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Tear Trough Depression

In the tear trough depression area, I prefer to use either Restylane or Juvederm. If injected properly, the results can be smooth and flat without any depression. Please consult with a board certified specialist who can assist you in achieving the results you seek.
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Hollowness Under Eyes?

Hi J. While the hollowness under the eyes is not that pronounced, Restylane is an excellent option. Before choosing a provider, ask about what technique they use as not all use a technique that injects the product "under the muscle". Injecting Restylane superficially or "above the muscle" in this area can cause lumpiness and another adverse outcome called the Tyndall effect. Visit the pictures below to view our results for this procedure. We are also in... more
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Restylane is great for tear troughs

I agree Restylane would even out your tear troughs. The smallest vial is 0.5cc and I wouldn't even use the whole vial under your eyes, a very small amount will do the trick!
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Restylane for tear troughs

It is clear you are doing your research. Restylane is ideal for this area. The product is easily moldable and blends the lid cheek junction beautifully. Seek out a board certified plastic surgeon to evaluate you and discuss your options. I hope this was helpful.
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Best Approach for my Tear Trough Hollowness?

I agree with previous expert poster. Try the restylane injection first. Very simple and easy to do. Regards
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Tear Trough Hollowness

Restylane is best for tear troughs, yes. While I thank you for the photo, I think you are being a bit overcritical of yourself and wouldn't say that you have exaggerated undereye hollowness. You have some, but don't need a lot of correction in all actuality. Visit a board-certified injector for an in-person evaluation, especially so the person can see your facial movements and structure.
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