Best filler for tear trough / under eye?

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer​​​​

Tear trough fillers are a non-surgical, minimally invasive treatment. It involves numbing the tear trough area with a topical anaesthetic and then injecting the area with hyaluronic acid gel, which works to boost collagen production and replace the lost volume brought about through the ageing process.Teosyal Redensity 2 is the reference injectable hyaluronic acid to fight against DARK CIRCLES. It helps to eliminate folds and wrinklesRestylane are highly effective at smoothing skin, adding volume, and creating a more youthful appearance overall. One of the main key advantages of a using a cannula over a needle is that it's blunt. Cannula's can't penetrate the skin like a needle and are unable to penetrate a vein or artery very easily.

There are multiple choices for undereye filler. While the filler selected is important, the most important thing to consider is selecting an experienced injector. She/He will evaluate your needs and treatment goals and help you to select the right filler for you. I have good results with Restylane and Juvederm products. I've included a video that I hope you find helpful.

I have used both of these types of fillers throughout my career as an injector and they are both good fillers for tear troughs. I have never had an issue with either. However, the type of filler I select is decided after I assess a client is something I do when I examine the area being injected. As for technique I use a combination of needle and cannula. Cannula is my preference for safety in areas of the tear trough that are of greater risk.

I, personally am against using hyaluronic acid, fillers of any kind when it comes to the tear trough treatment. All hyaluronic acid fillers are made of a gelatinous product. Hyaluronic acid fillers, tend to be displaced and create bags in the lower eyelid area in addition to the Tyndall effect, none of which are desirable. The single best filler for the tear trough is your own fat. You only need a very small amount of the fat and the procedure should produce permanent and natural results, as long as it’s done by Plastic surgeon with a great deal of experience in fat grafting. I hope this helps and good luck from New York City Plastic Surgery.