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

Question

Hello! My smile lines have been treated once with restylane but results went away after two weeks and I've given up hope on them. However, my tear troughs are impossible to cover with makeup. I'm not worried about the darkness, I'm worried about the hollow line. So I'm wondering how much restylane is necessary to smooth out that line so my concealer doesn't look like it's sitting on a cuff? If there are any recommended Baltimore doctors that can fix this problem please reply. Thanks!

Kian Karimi, MD, FACS · Answer

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!

Anthony Corrado, DO · Answer

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!

Steven J. Rottman, MD, FACS · Answer

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.

Ira D. Papel, MD · Answer

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.

Aldo Guerra, MD · Answer

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.

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

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Answer: Tear Trough Filler

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

Answers (9)

Answer: Tear Trough Filler

Answer: Tear Trough Filler

Answer: How much Restylane...

Answer: How much Restylane...

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.