Los Angeles Doctor Recommendations for Injectable Fillers in Tear Troughs

I do not inject filler under the eyes. Instead, I use fat grafting. The results can be seen in the before and after images I've posted to RealselfThe under eye area is very delicate and leaves little margin for error.  I have seen some people with hyaluronic acid fillers in the under eye area with a nice result. I have seen many more with a puffy unnatural results that distorts the look of the entire face I know a number of physicians who once used fillers for correction of the tear troughs but have abandoned this technique because it is so unpredictable. Fat grafting (not fat fat injection) when expertly administered by  a plastic surgeon with experience and expertise using specialized equipment can provide beautiful, natural looking and lasting results. My gallery of fat grafting before and after images includes dozens of images of fat grafting to tear troughs, under eye hollows and hollows in the upper eye area.I have yet to see a physician with dozens of images of any other filler placed in the tear trough area. When making a permanent change to the face, I think patients must view many, many photos of the procedure they are considering Two or three photos just isn't enough to make a patient confident about results. We do use a lot of fillers in my practice. Juvederm, Restylane and Voluma are all excellent  products for the appropriate indication. But none of them are FDA cleared for use in the tear trough or under eye area. I do not believe they belong there. The most important thing to remember is NEVER to have any material injected with a needle into the area around the eye. The needle can inject material into an artery which can embolize the central retinal artery, resulting instantaneous, permanent loss of vision in that eye.  Fat grafting is administered with a blunt cannula  and not a needle. Looking at many, many great before and after images is a must. But it is just a start. Take your time checking the background and training of your physician. Ask other medical professionals about a doctor you are considering, check your state medical boars. And finally, find a plastic surgeon who really listens to you and your concerns.