How Many Syringes of Restylane for Long Tear Troughs?

I am 28 years old, and have really long tear troughs that go through my cheeks, left greater than right. Mine aren't necessarily terribly deep, but they interfere with the nice roundness my cheeks used to have and bother me terribly. Also, I feel that my nasal labial folds and corners of my mouth could be plumped up a bit, because I feel like my profile is a bunch of down-angled lines that are unflattering. Based on my photos, how many syringes would you think I would need? Thanks!

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15 Doctor Answers | Asked by sadcheeks

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How much Restylane in tear troughs

The tear trough is a small area of depression right below the eye, starting at the mediat corner of the eye. The horizonal lines to which I believe you are refering are not tear troughs. Restylane is an excellent treatment for dark circles under the eyes. Only small amounts of the filler are required to improve the tear trough area. One syringe split between the two sides should be fine. An overfilled tear trough area can look swollen and much worse than no treatment at... more

Syringes Recommendation

While in person consultation would be important to verify, a 0.5 cc or 1.0 cc syringe should be sufficient for tear throughs. 1 to 2 syringes of 1.0 cc Juvederm or 1 syringe of 1.5 cc radiese should be sufficient for the lower face.

How much restylane for tear troughs?

Very little is needed for that area, but consider Sculptra for the more lateral extension of the trough which is actually cheek descent. good luck

Long Tear Troughs

One syringe of Restylane should be sufficient to treat your tear troughs. Deciding between a 1 ml or 0.5 ml syringe is hard to judge from the photos. For the lower face, Radiesse 1.5 ml or 0.8 ml will likely be sufficient in a 28 yo without significant facial aging changes. I find Radiesse in the lower face to be more long-lasting and a better value. Hope this helps.

Restylane and Tear Troughs

Typically in younger patients that do not have deep tear troughs, 0.25 cc's per side is sufficient, for a total of 0.5cc. Some patients that are extremely deficient my require one to even two cc's. If there is product left over you can use it over the lateral cheeks to accentuate them. Under the eyes, Restylane lasts longer then in the lips and nasolabial folds, up to one to two years. Restylane under the eyes is better than Juvederm, as it does not absorb as much water and... more

How Many Restylane Syringes for Tear Trough Procedure?

Hello sadcheeks. Based on your pictures, we may actually recommend two different fillers for you. The darker areas immediately under the eye, we do categorize as a tear trough issue and would most likely use a .4cc Restylane syringe to address this issue. This would be the total estimate including both sides. As the line move3s further away from the eye, we see what's called a "malar separation". This means that the muscle in this area has moved... more

Harold J. Kaplan, MD

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Los Angeles Facial Plastic Surgeon

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Restylane for tear troughs

Start conservatively with one syringe and balance both sides as the areas are being filled rather than starting with one syringe on one side. In this way you may be able to get by with one syringe.

Consultation required

I would suggest that you schedule a consultation with a well trained surgeon in your area. Upon examination your surgeon would be able to recommend the best filler and/or treatment options to address your concerns.

Tear trough correction with filler

To corret tear troughs with filler it could be ½ cc for both sides, or if the troughs are very long then it could be ½ cc per side. So one to 1.5 syringes total on average.

Tear Trough Filling

Filing the tear trough generally requires less volume that you might expect. Injections must be placed deep enough to be hidden, but not too deep as to cause injury. Rarely does someone need more than 1cc- 1.5cc of Restylane, even with long tear troughs.