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Dear Lisa, You should go to a board-certified doctor that is experienced with injectable fillers, and has lots of photos demonstrating favorable results. My preference for the lower eyelid groove is Silikon-1000 which gives completely natural, permanent results. I have several photos on my profile here at RealSelf.com you could look at. If you decide to get Silikon-1000, make sure your doctor discusses the position of the FDA and "off-label" applications. And also make sure your doctor is a very experienced injector, since the proper use of Silikon-1000 is critical. Juvederm works well, and I've seen it last over a year. Since Juvederm attracts water, you can get a bulge if too much is placed. Again, go for 1) board-certified, 2)lots of photos, 3)experience experience experience. Of course, you should like the person as well...
Experience is the key to getting good results in the tear trough area. It is a tricky procedure to perform, and is best done by a board certified dermatologist, ophthalmologist, or plastic surgeon, I prefer to use hyaluronic fillers such as Restylane or Juvederm in this area because they can be disolved if the doctor or patient does like the result.
Injectables in the tear trough area can be a tricky thing. You should find a board certified plastic surgeon, facial plastic surgeon, oculoplastic surgeon, or dermatologist who performs injectables. Good luck.
Dear Katie, This is an excellent question. Are you talking about the horizontal crease that may form just above the tip? This is usually associated with chronic nasal allergy, and repetitively pushing your nose upward (often called the "allergic salute"). Since this is a skin-wrinkle,...
Besides avoiding aspirin, ibuprofen, fish oil, etc. for 1-2 weeks prior to a filler treatment I recommend Cearna Ocumend hydrogel pads immediately after filler treatments. These deliver a very high, concentrated dose of Arnica Montana directly to the areas where it is needed. In my exp...
Dental blocks are usually very safe. Occasionally adverse reactions can occur and may be the result of injection directly into the vessels or nerves, allergy, inadequate block, bruiising, swelling or poor understanding of the technique or anatomy.
