Thank you for your question and for submitting your photo. It's difficult to make exact recommendations without assessing you in-person. That said, while it certainly is safe to inject two syringes of Volbella in the tear troughs and under the eyes, you would likely benefit from a combination approach with fillers. I find that many patients with prominent tear troughs often benefit from fillers in the cheeks as well - deep injections on the cheekbones actually help lift the whole cheek and the tear troughs, minimizing the amount of filler that needs to be injected directly under the eyes. Just treating the under eyes in isolation often does not provide enough structure and support to create an ideal cosmetic result.The tear troughs and under eyes are among most complex areas to inject with filler, and require a great deal of expertise. Filler injections here should really only be performed by experienced cosmetic dermatologists or plastic surgeons. Best of luck!
