Why Do I Still Have Tear Troughs After Almost a Whole Syringe of Prevelle?

Lots of physicians are encouraging, and lots of folks are having, filler injections to treat tear trough deformity. In my opinion, the results are mixed--they certainly do not make the tear trough deformity "disappear", but may lessen its depth and its effect on appearance. Realize that some of Prevelle's volume is local anesthetic and therefore absorbs within a few days. Certainly, additional syringes can be used to enhance the results if desired. more

Hello, Filler doesn't always look good in all places and in all people. I am not so crazy about tear trough injections, but then again much of this is a matter of opinion. The best thing and worst thing about fillers are the same....the good ones eventually go away.   Best Regards, John Di Saia MD

It is always better to be conservative and add more later than to wish less was injected. There is a limit to how much filler can be added in the infraorbital below the eyelid as the filler is better when placed below the muscle above the bone, but there is no bone above the rim of the orbit and this can be a half inch away from the eyelash margin. Your next visit may involve more filler but if this is placed slightly above the tear trough but under the muscle, it may not correct as much... more