Restylane for Tear Trough - Uneven Results

asked 1 year ago by beachgrrl in Bellport, NY
Latest answer by Eugene Mandrea, MD
Question viewed 889 times
Tags: tear trough, female, uneven

Hello. Injected about 2 months ago. Left side shows markedly less results. When I went for follow up the Dr. tried to push Radiesse injection for cheeks in addition to doing the Restylane. Shouldn't he have fixed the uneven results first? I am 37. I am happy with the right side but unsure what to do about the left...will there be a charge again to make both sides even? Should I try another Dr?

9 answers to Restylane for Tear Trough - Uneven Results

Asymmetric results in the tear troughs

Asymmetry aterf injecting Restylane can happen to any injector's patient from time to time. Clearly the asymmetry bothers you and I would recommend that you have this problem fixed before having Radiesse injected in your cheeks Restylane in the tear troughs should last 6-10 months. Radiesse in the cheeks can last 10-12 months.

Eugene Mandrea, MD
Chicago Dermatologist

www.lakeviewderm.com

Fillers in tear trough

Everyone has asymmetry. One side may have needed more filler than the other. It is hard to see in the photo. You can always add more filler to the side that you feel is a bit underfilled.

Steven Wallach, MD
Manhattan Plastic Surgeon

Asymmetry in tear trough after Restylane injection

I always encourage my patients to return a couple of weeks after a filler treatment, especially if they were treated in the tear trough. Every now and then, a patient needs a touch up. This is an area that you definitely do not want to over-fill, so most injectors (including myself) will be more conservative in this area. I would definitely ask your surgeon for a touch-up prior to any treatment with Radiesse.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Fillers for tear trough area (lower eyelid)

Various fillers can be used to fill in the lower eyelid or tear trough area (restylane, juvederm,fat). This area should be approached conservatively, as it is always easier to go back and add more filler than to remove excess product. After the initial injection is done, it's common for patients to need a touch up in certain areas, which is typically done a few weeks later. Each office varies on their policy, but most will only charge you for more product if... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Fillers for facial hollowing

When I first treat someone with a filler, I typically ask that they return about 2 weeks after the treatment so we can assess the initial results and decide if we are done or if we need a touch-up. It's not unusual to need a bit more filler added, particulary under the eyes. It's much better to UNDER-correct and do a touchup than th OVER-correct. I think you would benefit from some additional filler under your left eye and in your cheeks (the areas are confluent... more

Carmen Kavali, MD
Atlanta Plastic Surgeon

Even Cheeks After Restylane Injections

Hi Beachgirl, It appears that you can even out your asymmetry with the addition of filler in your left cheek area. Our policy is to charge patients our cost for the additional material. Other practices have different policies. You should be completely confident in your injecting physician. I always advise to choose your injecting physician most carefully. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Restylane works for tear trough.

Hi. 1) Asymmetry should be corrected before other procedures. 2) For touch ups, we only charge for the actual cost of the material. 3) If your confidence is shaken, go elsewhere.

George J. Beraka, MD
Manhattan Plastic Surgeon

Fillers for tear trough

Thank you for submitting the photograph, but unfortunately the two dimensionality of the photo and the overexposure makes it difficult to see the difference. You need to be examined from all angles and the area should be palpated (felt) on examination by the doctor who is treating you to determine if filler is appropriate and which filler is best for you.

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

You have some uneven results,but how much has it improved?

We do not have your before pictures to comment about the degree of the asymmetry. your right side needs a little more over the cheek(you stated that right is perfect). The best picture for evaluating the tear trough is pictures with no flash and no facial animation.