How Many Syringes of Restylane for Long 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 therefore you will not look as puffy right after injection. Also, if you are not pleased with the result you can use hyaluronidase to remove the product. I have however, never had to use hyaluronidase with my injection technique.

Radiesse should be avoided in the tear trough area as any resultant nodulairty is difficult to treat in this area. Radiesse however is an excellent volumizer for the cheeks and mid face.

 

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 downward and is creating a depression where it is pulling away from the upper cheek.  In this area, we would very likely use a 1.5 cc Syringe of Radiesse for fill and support.  This would be the total estimate including both sides.

See the pictures below for a patient that had a similar problem.