What is best filler for tear trough, Teosyal Redensity 2 or Juvederm Volbella? (photos)

Addressing your question first, I personally prefer Teosyal Redensity II for under eye tear troughs and dark circles, and it is my injectable of choice for this region in my Israel satellite facility, where it is a regulatory agency approved injectable hyaluronic acid product. As far as I know, it is not, however, approved by the FDA for use in the U.S. In my NY office, I opt for Belotero Balance for this purpose, as this product possesses little to no tendency to give rise to the unwanted bluish/gray Tyndall Effect when injected into the delicate under eye tissue. Your question helps me to segue to what I feel is an important issue when selecting an injector to treat any area of your face and neck, especially the critical infraorbital area. You would be wise to seek consultation and treatment by an experienced board certified aesthetic physician in one of the core aesthetic fields, such as dermatology or plastic surgery, and of course should also ask to see his/her personal before and after photos. You would not likely consider going to a dermatologist or plastic surgeon to treat your teeth, so why would you consider a dentist (or for that matter cardiologist, gynecologist, breast surgeon, family doctor or pediatrician all of whom of late have flooded the aesthetics market) to treat a region as critically important as your face--no matter what cut-rate price may be offered as an enticement. Best of luck. 

Hi Lara.  From what we've seen on Realself, most of the physicians (nurses) that perform tear trough injections under the eyes prefer Restylane.  This is based on it's consistency and ability to absorb water.  It is a smooth consistency so it works well on the thin tissue under the eyes and because it does not absorb as much water as Juvederm, it is less likely to create pouches of fluid that can occur with Juvederm.  

Thank you for sharing your excellent question.  In most cases a combination of products is needed for the best result and this includes a cheek filler to add support, my preference being a Juvederm product and then placement of a thinner HA filler into the undereyes, typically a Restylane.  We do not have access to Teosyal here in the US hope this helps.

Some people respond better to a particular type of filler. Overall any hyaluronic acid should give you your desired result if injected properly. Moreover, there are different factors that determine how to appropriately administer a filler.

Thanks for your question.   The most important thing is to make sure you are in the hands of an aesthetic physician in the fields of dermatology or plastic surgery, or oculoplastic surgery for such a delicate, important area.  Tear trough (undereye) injections are very tricky and every patient is different.  Experienced, careful injectors will help you choose the best filler for you at the time of consultation and will guide you based on exam and their preferences and experience.  It is not possible to say one filler is better over another, but I don't think the Teosyal is FDA approved in the U.S.  Please be careful if you are going to let a dentist inject your eye area - I would not personally recommend that.  See an expert and best of luck.

Did you receive your consult out of the United States?  I see your location as Ohio but I do not believe Teosyal is FDA approved in the U.S. More important than the product used is the provider injecting the product.  I would do your research and find someone with at least 5 years experience in injectables that is performing injectables daily. The products I use in the tear troughs are usually Restylane or Belotero.  I cannot tell based on your picture if your cheeks would need treated first. 

Hello and thank you for your question. From your question we can advise here but nothing would compare to a face to face consultation in clinic for an accurate plan of what would work best. The more important element is who you trust to do the treatment correctly. With both products good results can be achieved - ensure you see the practitioners before afters and udfnertand their experience treating this area. Hope this helps, Best wishes