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How Many Syringes of Restylane for Long Tear Troughs?
asked 1 year ago by sadcheeks
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 2,070 times
Tags: age 25-34, tear trough, female, quantity
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!
15 answers to How Many Syringes of Restylane for Long Tear Troughs?
+2
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...
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+1
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.
+1
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
Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
Boca Raton Plastic Surgeon
+1
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.
Brian M. Braithwaite, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
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...
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+1
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...
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+1
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.
+1
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.
Michael Sullivan, MD
Columbus Facial Plastic Surgeon
Columbus Facial Plastic Surgeon
+1
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.
Fred Weksberg, MD
Toronto Dermatologist
Toronto Dermatologist
+1
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.
Michelle R. Yagoda, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+1
Restylane for Tear Troughs
Only small quantities of Restylane are needed to properly correct the tear troughs. I use a 0.5 cc "touch-up" sized Restylane syringe which is more than adequate to treat this area. And it's much less expensive too! For the nasolabial folds I would use one 1.5 cc syringe of Radiesse as it is more effective in treating this area and much longer lasting.
+1
Tear trough fillers
If fillers might work for you, we would use 1-2 syringes per session. I would really have to see you in person and in 3-D to assess whether or not this modality can accomplish your goals. The HA fillers can be reversed if we do not like the result.
Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon
Oakland Facial Plastic Surgeon
+1
Use of Fillers for Lower Eyelid Tear Troughs
The tear trough is the slight depressed area on the medial cheek, located below the lower eyelid. One can inject small quanitites of hylarunic acid ( Restylane, Juvederm) in these areas in order to fill them out and give a less tired or aged look.
This is an area that is a skilled and experienced injection professional should be considered. It is very easy to end up with an overdone and lumpy result. The skin is very thin in this area and one can sometimes see the pearls of...
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Richard Greco, MD
Savannah Plastic Surgeon
Savannah Plastic Surgeon
+1
Tear Trough Correction
Your question is actually quite a bit more complicated than you might think. The reason being that it is not just a matter of how much volume but where you need that volume. Looking at your photos, the tear trough is evident, however, I want you to look at the area more lateral. In an aesthetic ideal, the cheek bone is more prominent than the cheek itself. In your case, they are about the same, giving the face a squared off look. Also, pay attention to the...
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Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
Minneapolis Facial Plastic Surgeon
+1
Fillers for cheeks and tear troughs
Fillers are a great way to fill in the tear trough regions under the eyes and restore the natural look of the nasolabial folds. WIthout an exam it is hard to say , but I often will split a restylane syringe in the tear troughs, and place one or two syringes of filler in the nasolabial folds depending upon the severity of the deficiency.
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