Belotero - HELP! - Superficial or on the bone?

Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling​ with PRP to get the optimal outcome. Typically, the best outcome for HA fillers in the tear trough is for it to be injected deep and on the bone.

Belotero is injected supraperiosteal, over the bone, in the area of the tear trough.  Injection more superficial in that area can sometimes lead to long term swelling.

I typically inject a small amount superficial to the periosteum, then another amount a bit more superficial to the initial injection. I do not think this is a waste of product. Patients often require more than one syringe to see dramatic results. It all depends on your anatomy. 
Often times the deeper injections can end up with the most natural results as it lifts the tissues instead of only filling the defects. 
Hope this helps. 
Best of luck, 
DrC