How much filler is safe for tear troughs? I had 1 ml of Restylane in my tear troughs (photo)

Hi Marion.  If we used only 1 syringe of Restylane for all of our tear trough patients, we would have a lot of unhappy patients.  We use up to 2 syringes of Restylane in a visit but over two visits have done as many as 3-4 syringes for those with profound volume loss.  Swelling is a key issue in limiting the number of syringes per visit.  It sounds like your injector may not be getting good information or may not be very experienced.  Best of luck.

Based upon your photo, you had a good result following the injection of Restylane to your tear trough.  If you inject too much, you might experience a bubbling of the product in that area.  Once the product settles in, in a few weeks, if you are still concerned about your results, I would make an appointment with your doctor to discuss.  Good luck!

Than you for your question! Your doctor is correct in the fact that when there's too much hyaluronic acid filler you start to form bags in your eyelids and the filler starts to shift. This is exactly the reason why I prefer to use autologous fat grafting as it provides complete correction of the tear troughs with no ill effects of the hyaluronic acid fillers.

Although we don’t have a pre-op photo of your trough, your post-op looked great. How long ago was the Restylane placed? If it hasn’t been two weeks then give it time. Usually it takes about two week for the fillers to settle in and any swelling or bruising to heal. Less is more. Fillers under the troughs will not create a perfect result but should only improve your situation. Want to create a subtle change and not a overdone look.

Your doctor is correct in the fact that when there's too much hyaluronic acid filler you start to form bags in your eyelids and the filler starts to shift. This is exactly the reason why I prefer to use autologous fat grafting as it provides complete correction of the tear troughs with no ill effects of the hyaluronic acid fillers. Good luck from New York City

Thank you for your question. Tear troughs are extremely tricky areas. It is far better to be slightly under
corrected than over corrected and end up with bags under your eyes. Each time
you have filler injected into your tear troughs you are taking great risks. By
the looks of your photos, I think you got a great correction. It would be
helpful to view your whole face to assess whether loss of volume in your cheeks
is contributing to the look of the under eye circles. It is always a good idea
to view the face as a whole to give a proper assessment.

Thank you for your question.  It appears you had a great result from the Restylane. I agree with your doctor it is better to do a little filler at a time to make sure the tear trough is not over filled.  Typically I will do 1 syringe for the first visit and have the patient come back in 2-3 weeks for another syringe of Restylane. However, to find out which treatment is right for you I recommend following up with your injector for a consultation.  Best of luck!