Belotero - HELP! - Superficial or on the bone?

Question

I recently got half syringe of Belotero injected into each tear trough with a cannula. No bruising, No pain, and I did notice slight improvement. My doctor injected right on the bone and I am curious if this is why I didn't see more dramatic results? I know that Belotero can be injected superficially so I wonder if injecting deep on the bone is a waste of the product. I imagine it takes more product to fill a hollow if product is placed deeper under the skin as opposed to right under the skin.

Jason Emer, MD · Answer

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.

Jennifer Parker Porter, MD, FACS · Answer

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.

Benjamin Caughlin, MD, FACS · Answer

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

Hratch Karamanoukian, MD, FACS · Answer

Belotero is injected above the bone to reduce potential for undue or excessive swelling.Belotero is a hydrophilic agent, retaining water molecules in the area where it is injected. 
Citrus bioflavonoids may help with localized inflammation and water retention.
Try swell-x pt from VenaSmart. It contains citrus bioflavonods and Diosmin.
H Karamanoukian MD FACS

Hardik Soni, MD · Answer

Thank you for your question. To prevent swelling and lumpiness most injectors will place Belotero over the bone of the orbital rim. You get a more natural look this way.

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Belotero - HELP! - Superficial or on the bone?

Answers (10)

Answer: Where should Belotero be injected in the under eye?

Answer: Where should Belotero be injected in the under eye?

Answer: Belotero

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Our mission is to create a world where every investment in modern beauty is Worth It.