I'm afraid to get tear trough filler; how could I make sure this wouldn't happen to me?

Hi @Queens2172. 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

Allergies and biofilm (a type of infection) are not common and are no more common in the tear troughs than elsewhere.  All but one of the fillers approved in the USA were approved without allergy testing because the risk is so low.  The risk of biofilm is not well understood but appears to be reduced by avoiding other procedures that can cause bacteria to enter the bloodstream in the weeks before and after filler injection such as dental work.  It is also crucial that you let your physician know if you have had a recent oral or skin infection.  Finally, filler should never be injected through skin that has not been prepped with antiseptic cleansers.  Since a biofilm could theoretically happen with any one of multiple injections, a 'test' on your hand wouldn't be helpful.Ultimately, you need to find a core cosmetic physician who is expert at doing aesthetics, discusses the risks and benefits with you clearly and follows the best standards of practice.  Take a look at the American Society for Dermatologic Surgery website for more information.I hope that answer was helpful.  Best of luck!

Hi Monika. Thank you for your question. While all medical procedures do carry risk, placement of dermal fillers is a common and very safe procedure with a low rate of complications. In order to minimize your risk of having a complication and maximize your likelihood of having a favorable outcome, I recommend that you only get treated by a well-trained and experienced dermatologist or plastic surgeon. Best of luck, Dr. Frucht.  

The risks of biofilm infection, filler allergies and arterial occlusion are very rare, and yes, they do happen. One can minimise risks by-1. Seeing a Board Certified Specialist who can handle all potential complications AND perform more complex procedures such as tear troughs.2. Avoiding fillers if you have sinus or dental problems.3. The injector taking extra care to be as sterile as possible during the procedure4. Following post up instructions.5. Using time tested products such as Restylane or Juvederm VOLBELLA (Juvederm comes in different forms depending on which part of the World you are in. In the UK, Asia and Australia Volbella is the Juvederm equivalent of Restylane).All the bestDr Davin Lim Laser and aesthetic dermatologistBrisbane, Australia.