Did two consults for tear trough area. 1st Dr wanted to inject Belotero with a needle onto the orbital bone. 2nd Dr wanted to inject Vollure superficially with a cannula. Which is method is safer against long term side-effects like nodules and inflammation? So confused with this being a dangerous area for injections! I'm 39, would love your opinions!
Answer: Tear trough injections Tear troughs are very tricky. There are many things that can go wrong including lumpiness and discoloration. As you mentioned if a needle is used, it should be on the bone to avoid injecting into a vessel. Injecting superficially, even with a cannula, can leave unevenness and a blueish discoloration called the tyndall effect. The choice of product does matter, I would stick with beletero or plain Restylane. Vollure may be too thick for this areas. The best option would be autologous fat injection by someone who knows what they are doing. This is and area where you might consider not doing unless your injector is very skilled.
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Answer: Tear trough injections Tear troughs are very tricky. There are many things that can go wrong including lumpiness and discoloration. As you mentioned if a needle is used, it should be on the bone to avoid injecting into a vessel. Injecting superficially, even with a cannula, can leave unevenness and a blueish discoloration called the tyndall effect. The choice of product does matter, I would stick with beletero or plain Restylane. Vollure may be too thick for this areas. The best option would be autologous fat injection by someone who knows what they are doing. This is and area where you might consider not doing unless your injector is very skilled.
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Answer: Method of Injection for Tear Troughs Hi and thank you for your question! As you said, the area under the eyes and tear troughs are sensitive areas that require higher level of skill and attention. I almost always use cannula for filler injection in these areas. Also the placement of filler requires great skill and it is ideally done at multiple layers/planes to achieve the most natural look and many patients also need some additional filler work around the more lateral area toward the cheeks. Lastly, placing hyaluronic acid fillers such as Belotero too superficially can result in bluish discoloration (Tyndall effect) and hence, it should be avoided. I hope it helps and good luck!
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Answer: Method of Injection for Tear Troughs Hi and thank you for your question! As you said, the area under the eyes and tear troughs are sensitive areas that require higher level of skill and attention. I almost always use cannula for filler injection in these areas. Also the placement of filler requires great skill and it is ideally done at multiple layers/planes to achieve the most natural look and many patients also need some additional filler work around the more lateral area toward the cheeks. Lastly, placing hyaluronic acid fillers such as Belotero too superficially can result in bluish discoloration (Tyndall effect) and hence, it should be avoided. I hope it helps and good luck!
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July 28, 2020
Answer: Best way to administer tear trough filler I appreciate your question. As a general rule, I tend to administer tear trough injections with a cannula deeply on the orbital bone, because it tends to offer a smoother and safer result with fewer post-treatment side effects. There are many blood vessels near the eye and a cannula is felt to carry less risk of injury to these vessels.The specific type of filler may vary from patient to patient, based on the amount of correction they need and the results they hope to achieve. I recommend looking more at the experience of the doctor performing the injections than the specific filler used although many fillers should not be used in this area as they can cause prolonged swelling and bumps. This area requires a tremendous amount of precision and expertise to treat properly, so experience cannot be overstated in this case.
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July 28, 2020
Answer: Best way to administer tear trough filler I appreciate your question. As a general rule, I tend to administer tear trough injections with a cannula deeply on the orbital bone, because it tends to offer a smoother and safer result with fewer post-treatment side effects. There are many blood vessels near the eye and a cannula is felt to carry less risk of injury to these vessels.The specific type of filler may vary from patient to patient, based on the amount of correction they need and the results they hope to achieve. I recommend looking more at the experience of the doctor performing the injections than the specific filler used although many fillers should not be used in this area as they can cause prolonged swelling and bumps. This area requires a tremendous amount of precision and expertise to treat properly, so experience cannot be overstated in this case.
Helpful
July 24, 2020
Answer: Choose your provider, not the treatment Thank you for your question and I understand your confusion as you try to choose the best practitioner for your treatment. Keep in mind there is no absolute right approach to tear trough filler. Every doctor will have their favorite filler and injection method based on the success they have seen with previous patients. An experienced injector will also know how to tailor this treatment to the precise needs and goals of each patient. I tend to use a microcannula for most of my tear trough fillers since this approach tends to reduce bruising and produce the smoothest results. However, there might be times when I would consider deeper injections with a needle for some patients. I recommend looking at the doctor’s experience, training, and track record when choosing the right treatment for you.
Helpful
July 24, 2020
Answer: Choose your provider, not the treatment Thank you for your question and I understand your confusion as you try to choose the best practitioner for your treatment. Keep in mind there is no absolute right approach to tear trough filler. Every doctor will have their favorite filler and injection method based on the success they have seen with previous patients. An experienced injector will also know how to tailor this treatment to the precise needs and goals of each patient. I tend to use a microcannula for most of my tear trough fillers since this approach tends to reduce bruising and produce the smoothest results. However, there might be times when I would consider deeper injections with a needle for some patients. I recommend looking at the doctor’s experience, training, and track record when choosing the right treatment for you.
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June 26, 2020
Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers Belotero, Juvederm Volbella; Laser Like Fraxel/Co2/J Plasma; Microneedling/PRP; Peels there are many options for eyes and fillers in this area should be used to liftt he cheeks AND address the troughs. I like belotero, restyale refyne, and juvederm vollbella to the under eyes and vollure, voluma, defyne and radiesse to lift the cheeks. I think at home dermarolling (see link to eye rolling package from emeragecosmetics.com where we do free skincare consults daily) and peels like enlighten help (along with faith essance serum, restorsea eye serum, sente eye cream). in office lasers will make a big difference.
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June 26, 2020
Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers Belotero, Juvederm Volbella; Laser Like Fraxel/Co2/J Plasma; Microneedling/PRP; Peels there are many options for eyes and fillers in this area should be used to liftt he cheeks AND address the troughs. I like belotero, restyale refyne, and juvederm vollbella to the under eyes and vollure, voluma, defyne and radiesse to lift the cheeks. I think at home dermarolling (see link to eye rolling package from emeragecosmetics.com where we do free skincare consults daily) and peels like enlighten help (along with faith essance serum, restorsea eye serum, sente eye cream). in office lasers will make a big difference.
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