Am I a good candidate for tear trough fillers? (Photo)

Question

I'm not interested in surgery at this time, so I'd like to know if fillers would help with my under eye bags. If so, which type of filler would you recommend? Thank you in advance!

Nima Shemirani, MD · Answer

Hi @osadosalosa. Thank you for sharing your photos. You are an ideal candidate for tear trough 
fillers. Restylane and Belotero work great.  I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear osadosalosa,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from dermal fillers. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Benjamin Barankin, MD, FRCPC · Answer

I think you would have nice, although not perfect improvement of your tear troughs. Its certainly worth starting with a filler such as Restylane, or even Volbella or Belotero. Start with 1/2 syringe per side, and after 1 month or so, you may benefit from another similar treatment. If you go low and slow, you won't overdo it, and thus won't look unnatural or have paid too much. It can be injected by needle or cannula, but more importantly for this complex area, ensure that an expert physician injector such as a dermatologist treats you to optimize safety and great outcomes.

Linne Linder, NMD · Answer

From first glance, it appears that you are indeed a good candidate for hyaluronic acid fillers in the tear-trough. The go-to products for that area tend to be wither Juvederm Voluma or Restylane Lyft. Typically, 1/2 to 1 full syringe per eye is indicated, depending upon how deep the trough is. Incredible results can be accomplished using either of these products in this area. Always make sure that you are seeing an expert who is familiar with the anatomical intricacies of this area. While it is rare, blindness can be a result of improper injection technique; and therefore, your injector should be chosen very carefully.

Louis W. Apostolakis, MD · Answer

You have what I would call moderate tear-troughs.  Injections of Restylane work very well for mild tear-troughs and in fact is generally all that I suggest.  Moderate tear-troughs typically experience a nice improvement that is well worth the effort, but rarely is considered a complete correction.  Severe tear-troughs typically just don't get a worth-while result from injections.  Moderate and severe tear-troughs both do well with surgery.  Between 1/2 and 1 cc is appropriate for each eye.  Occasionally 1.5 if the treatment is extended all the way across the lower eyelid.  If you need more than that, you need something else (surgery).  Too much filler does not look better because the root problem is lack of bone structure and filler does not behave like bone.  Hyaluronic acid fillers (Restylane) tend to last a very long time in the tear-trough.  In fact, many years are possible in some people.  I have done surgery on people who are more than 2 years out from an HA injection and during surgery, I find it in tissues.

Mehdi Sina, MD · Answer

Hi,Under eye fillers work best for patients who have minimal eye bags and mostly have a volume deficit. You appear to have a combination of both and while surgery may give you a better overall result, you can still expect to have a nice improvement with filler. I exclusively use restylane in the tear through.Best,

Jasmine Mohadjer, MD · Answer

Good morning, while surgery will give you the best and more long lasting results, based on your photo, you should be able to get a good improvement with lower eyelid fillers.   Please make sure you see an Oculoplastic expert with significant experience in this area, as fillers in the lower lids do have inherent risks that can lead to blindness even if not done correctly or conservatively.   Good luck.

Robert T. Buchanan, MD (retired) · Answer

You appear to be an excellent candidate for filler. the proper filler should completely erase the problem and provide correction for 2-4 years (in my practice). Fillers like Belotero, Volbella, and Restylane are not the right fillers and can cause significant problems. For your problem I (and most other experts in treating the area that I know) use either Juvederm Voluma or Radiesse. I prefer the Voluma as it lasts longer and is potentially safer.

Am I a good candidate for tear trough fillers? (Photo)

Answers (9)

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