Radiesse can be used quite safely for the tear troughs under the eyes, but only by a very experienced injector. I have been injecting Radiesse into this area on a daily basis for many years and have never had a patient tell me they were not happy with the result. Radiesse needs to be diluted and softened properly by mixing with lidocaine just prior to the injection. It is then injected deeply, in small quantities, and is gently smoothed into place. When done right, it gives a nice result that is much longer-lasting than using hyaluronic acid fillers in this area. Since Radiesse is not reversible, it is especially important to remember that the experience and technique of the physician injecting Radiesse is the most critical part to your achieving a beautiful, natural result.