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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?

Doctor Answers (17)

Restylane for Tear Troughs

+1

   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.


Los Angeles Plastic Surgeon
5.0 out of 5 stars 178 reviews

Approach to tear troughs

+1

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.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 18 reviews

Best option for filling the tear trough

+1

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. 

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Restylane is Filler of Choice in Peri-Ocular Region

+1

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!

Robert F. Centeno, MD, FACS
Fairfax Plastic Surgeon
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Restylane for your tear trough

+1

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.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 15 reviews

Radiesse Combined With Belotero Balance Works Well For Hollows Under the Eyes

+1

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 related to light scattering (a phenomenon known as the Tyndall effect) can occur, which can actually make the dark circles more prominent. Belotero Balance, a new hyaluronic acid product, has been manufactured to avoid this. However, I have found that the addition of a tiny amount of Radiesse, a whitish-colored filler, to Belotero, Restylane L, or Juvederm UltraXC, to be an excellent way of treating tear troughs and hollows and lightening existing dark circles. However, only an experienced, board certified aesthetic dermatology or plastic surgeon injector should attempt to treat this area in this fashion.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Restylane to efface the nasojugal groove

+1

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.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Restylane in Tear Troughs

+1

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.

Philip Young, MD
Bellevue Facial Plastic Surgeon
3.5 out of 5 stars 28 reviews

Restylane and under eye treatment

+1

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.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 130 reviews

Restylane for under eye hollowness

+1

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/

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.