I have had multiple Juverderm fillers for tear troughs but they don't seem to last more than a month to 6 weeks. Why?

Because everyone's body reacts a bit differently to specific injectables, it's always hard to predict exactly what type of results a client will see or how long they'll last. Given that you've seen only short-term results from JUVÉDERM® up till now, you might want to check with your surgeon about a different product that your body responds to better for the next round.

Its not really possible to make an assessment based on the photos. However, I would say that several aspect of the history do sound a little worrying. Firstly, Juvederm is completely the wrong filler to use in this area. In addition, the volumes you have described are also very large and generally this amount should not be injected. Both of these aspects would indicate that the injector is not experienced in injecting this area, or up to date. I would get a second op and see where you go from there. I would DEFINITELY NOT continue putting more filler in.

Best of luck

Many thanks for your question. I do sometimes see this in a few patients and generally my advice is to under go fat transfer (micro and nanofat) in the tear trough area. When performed correctly it gives great results and also has greater longevity. Generally I'm not a fan of using Juvederm in the tear trough region. 99% of my patients using Teosyal Redensity II do not have problems with longevity.