Radiesse for Tear-trough Area?

asked 2 years ago by rainyrainy in KL
Latest answer by Robert M. Jensen, MD
Question viewed 3,708 times
Tags: cheeks, tear trough

I'm a 25 year old, female and since I turned 22, I noticed that my uppermost-cheek/tear-trough area is starting to flatten. This problem emphasizes dark circles around my eyes and makes me look tired.

How many cc's of filler would it take approximately to correct this? My problem isn't severe and I have good width across my cheekbones, but I'd like an improvement for this particular area. Can Radiesse be used for this area?

7 answers to Radiesse for Tear-trough Area?

Avoid Radiesse under the eyes

The best filler for the tear-trough deformity is either Restylane or Juvederm. I would recommend using less than 0.5 cc in each tear-trough. It will usually last a year and ofter times longer. The other nice thing about Restylane and Juvederm is that they are reversible. Radiesse is not recommended under the eyes, as it can be visible and lumpy.

Robert M. Jensen, MD
Medford Plastic Surgeon

Lower Eye Lid Hollows...Use Small Quantities of Restylane

Hi Rainy, Do not have Radiesse placed in the delicate area of hollowness in the lower eye lid. Restylane is the best product to use in this area, and it should be used in very small amounts, you can always have more added if necessary. Choose your injecting physician most carefully. Be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Fillers for the tear trough area

The hyaluronic acid fillers are generally more forgiving in the tear trough area and safer than Radiesse because the material can be dissolved by hyaluronidase if needed. My preferred hyaluronic acid filler is Restylane (seems to stay in place better than Juvederm in the tear trough area). I would generally recommend Restylane for the tear trough area; however, results with Radiesse are very technique-dependent and practitioner-dependent. Contour irregularities and nodules can be avoided... more

Bryan K. Chen, MD
San Diego Dermatologist

No.

Hi! 1) Radiesse should not be used in the tear trough. This is a tricky area and you want the most forgiving filler. 2) In Manhattan, we use very small amounts of Restylane injected deeply into the tear trough. 3) You are very young for any filler. Go slow.

George J. Beraka, MD
Manhattan Plastic Surgeon

Hyaluronic fillers for tear trough

The filler of choice for the tear trough area is a hyaluronic acid, such as Restylane or Juvederm. Usually a 1 cc syringe is enough for both sides. They last about 6 months and great results can be achieved with them. I do not recommend Radiesse in that area. Make sure the physician has experience injecting the tear trough before you have it done.

Andres Bustillo, MD
Miami Facial Plastic Surgeon

Radiesse or Fat

I like Dr. Beraka because I think he's safe and conservative, but I have to disagree in this case. First, I think that Radiesse is a much better filler in the tear trough area than the more superficial fillers, such as Restylane or Juvederm. But the filler has to be placed deep, just above the periosteum or tissue over the bone. And care must be taken to not get into the orbit. Fat grafting or fat injection as some call it is also a great alternative. Again, the fat is placed deep,... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Be very careful with fillers in the tear trough

I have just finished chairing a major cosmetic meeting that we have each year in las Vegas and it is apparent that there are potential problems in up to 10% of those who are injected with any substance in the tear trough. Having stated this most of the time we can reverse the Hyaluronic acid fillers. The same is not true for Radiesse.

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon

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