How much Restylane is necessary to fill my troughs? I'm just turned 21!

Thank you for sharing your question about Restylane. Based on the photo you have provided, you appear to be an excellent candidate for tear trough fillers. You will likely only need 1 syringe of Restylane to start, but may need to add more if you do not see enough correction. I have found that Restylane under the eyes last about 1 year, however a touch up may be necessary at 6 months in order to maintain results. In my practice, I prefer to inject tear trough fillers using the microcannula technique, which essentially eliminates bruising risk and minimizes swelling. I also prefer to use Restylane in this area because it doesn’t attract as much water as other fillers, such as Juvederm. I recommend scheduling an in-person evaluation with a board-certified specialist who is experienced with tear trough fillers using the microcannula technique. Best of luck with your treatment!

Typically, I use one syringe of filler (Belotero, Restylane) for correction of the "average" tear trough which is what your photos display.  You are correct, the pigmentation will not be improved, but typically patients see less of the "dark circles" once the troughs are filled because shadowing is reduced.  I perform all tear trough injections with the microcannula technique.  I feel this technique markedly reduces patient discomfort, bruising or swelling.  Good Luck!

Thank you for your question and photos. I routinely correct tear trough depressions with 1 - 2 syringes of Restylane. It is best to have an in-person examination for specific advice. Please consult with a board certified plastic surgeon with experience in this area. Hope this helps.

From your photos it looks like between one half a one full syringe of filler, such as Restylane or Belotero, would be enough to fill the area and reduce the shadows. You are correct that the skin pigmentation will remain. makeup can cover the color, but not the shadows of a depression. Topical anesthesia helps make this comfortable.

Thanks for this question. Despite your age (21) there is volume deficiency and so you would be a good candidate for tear trough filling. I suggest using only one syringe and the reevaluate the area 3 to 4 weeks later to see if more is required.Always seek the services of an experienced and trained injector.

I find that 1 syringe of filler (typically restylane or Teosyal redensity-II) is a great starting point for 80% or so of patients. You can always add more filler if need be, but this way the cost is kept more reasonable, and you're not overfilled requiring hyaluronidase to dissolve some of it. The remaining 20% of people need 1.5 to 2 syringes of filler in total. Injection technique & experience  for results and safety is critical, especially in this delicate location.

It appears that your cheek tissue is sitting a little lower and that exposes your eyelid more and makes your tear trough more noticeable.  I would lift your cheek area and your tear trough.

1 syringe of material is plenty to treat your tear troughs.  I prefer Belotero in this area. for the darkness apply a topical containing vitamin A and K

You are a very good candidate for tear trough filler. It is difficult to say without seeing you in person, but maybe 1/2 a syringe split between both sides. Not only will this fill in the hollowness but also help to give you a more awakened/refreshed look. In terms of your smile lines, if it is something that bothers you, I wouldn't give up on it just yet. Restylane is the lightest of the hyaluronic acid fillers and either was not appropriate for you in that area or not enough was injected. Obviously I cannot see from the photo, but I will say that I have never seen a case where smile lines could not be improved with filler.