I want to get Belotero filler in my tear troughs. My eyebags bother me and have gotten worse over the last year or so. (Photo)
Doctor Answers 11
Proper volumization of the tear troughs with HA fillers like Belotero
Ver little Belotero in this area will help you, and resist getting half a syringe in each. The HA products are very hydrophilic and they have potential to "draw" water molecules and cause undue swelling. A very conservative approach should be taken in volumizing this area. You can always go back for more. Also, expert placement is key to prevent the Tyndall effect where there will be discoloration due to refraction of light through the product in this area of the face where the skin is very very thin. Tyndall effect is an optical physics term.
I want to get Belotero filler in my tear troughs. My eyebags bother me and have gotten worse over the last year or so
It is true that in patients who have even mild undereye puffiness, this is due to water retention in the undereye fat pad (all genetically caused) which can become worse with any hyaluronic acid filler. The only current treatment for this fat pad is surgical removal, although there may be a topical cream to shrink this fat pad (called Topokine®) to be approved by the FDA in the next few years.
I do think you would benefit from a small amount of a soft filler in your tear troughs. In the tear troughs, I generally like to use soft hyaluronic fillers such as Restylane Silk or Belotero, but every patient is a little different. To maximize the likelihood of a favorable outcome, I recommend that you only get treated by a well-trained and experienced dermatologist or plastic surgeon.
Hope this opinion is helpful to you. Best of luck, Dr. Frucht.
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Thanks for your question and the photos. Based on your photos I think you would be an excellent patient for treatment of the tear toughs. A little goes a long way in this area. In order to have a safe, even injection I use a microcannula. It's also great for minimizing bruising. Your best option is to seek a thorough consultation from a board-certified dermatologist who specializes in fillers.
All the best,
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It is very difficult to tell from the photo but it appears that you would be a good candidate for fillers in the under eye area. Please consult an expert in this delicate area. Best. Dr. Green
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