Bellafillcan be an excellent choice for filling lower eyelid volume loss and teartroughs. On average, it takes about one halfsyringe per side to correct a lower lid tear trough problem. If there is associated volume loss of thearea can be more. I have used as much as2.5 syringes per side on occasion. Remember that a syringe of Bellafill has 0.8 ml in it.Be verycareful as to who is injecting it since there is very little room for errorwith this filler. Under the eye there isan increased risk for lumps but these seem to settle for most patients intime. Occasionally we need to inject alittle steroid into the lump to settle it just like we would with any heavythick scar which is what the lump usually is. In order to reduce the risk for these issues the injector should use a microcannula and “airbrush” the filler in place to get a more accurate result withless trauma.Bellafillunder the eyes is one of the areas that can give patients the most dramatic andpleasing results. I have added a link tosome before and after photos for you.I hopethat helpsBestregards.