Just had Restylane and see no difference. Any suggestions? (photos)

Question

I just had restylene in my tear troughs and see no difference. I still have hollows. Do you recommend I add more filler to my tear troughs or do I need something along the orbital rim like radiasse ?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. It is always best to be conservative when injecting fillers. Your doctor was probably being cautious with your treatment. Have him inject additional filler if he feels it is appropriate. Restylane is the best dermal filler for the tear troughs.Good luck,

Mitchel Goldman, MD · Answer

If you are not seeing results, it’s possible that you may need more Restylane added. Many doctors prefer to start very conservatively, as it’s much easier to add more later than to get rid of too much filler. I would not recommend Radiesse in the tear trough area, as Radiesse cannot be reversed and has a history of non-ideal results when injected into the thin skin under the eyes. Please visit your dermatologist for a follow-up appointment to discuss your concerns and try to reach your goals.

Jason Emer, MD · Answer

IF you see no difference you may need more filler and/or lasers.  often this area is genetic and needs treatments for improvement but there will be no cure.  Best, Dr. Emer.

Manjula Jegasothy, MD · Answer

For mildly darken and indented areas under the eyes that have already been filled, Fraxel® laser treatment can build collagen in that area to lighten and mildly thicken the skin. Since Fraxel® eyelid rejuvenation requires advanced technique, please consult a board certificated aesthetic dermatologist for a consultation!

Daniel J. Ritacca, MD · Answer

Thank you for your question. I typically recommend for my patients to start conservatively and add additional filler if more volume is needed so I would consult with the physician who performed your treatment and see if another syringe of Restylane is needed. Often times patients may require more then 1 syringe for full correction. Dr. Daniel Ritacca

Michele S. Green, MD · Answer

I would definitely return to your treating physician for evaluation to see why you don't have the results you expected.  Perhaps Belotero layered on top might help. Best, Dr. Green

Richard Ort, MD · Answer

Restylane is my preferred filler in this area.  I wouldn't recommend Radiesse to the tear trough.  You might need more than one syringe of Restylane.  It's usually best to start conservative and add more later if needed.Regards,Dr. Ort

Melvin Elson, MD · Answer

Restylane is a good filler for this area although many prefer Belotero. at any rate you may not have had sufficient amount or the skill is not enough in this area. be sure you are seeing a board certified dermatologist or plastic surgeon

Harry V. Wright, MD · Answer

In my opinion Restylane is the "go to" filler in the tear trough. You should be able to obtain excellent resolution of the shadows caused by your tear troughs. 1 syringe will not likely be enough, so you may need more.Best wishes!  Harry V. Wright MD, Sarasota, Florida

Just had Restylane and see no difference. Any suggestions? (photos)

Answers (9)