How many injections of Juvederm will I need for my tear troughs?

Honestly, without an in person exam, it is hard to say. So, my advise would be for you to schedule a consultation with either a board certified plastic surgeon or cosmetic dermatologist in your area (link below) to discuss which filler would best fill in your tear trough area. Best, Dr. Nazarian

You do appear to have volume loss in the tear trough region. A complete evaluation would be required to determine if injections should be administered in the midface is well. I strongly recommend not using juvederm in the tear trough region due to the amount of swelling this product can produce. Other products such as Restylane, Restylane silk, and Belotero are better options in the tear trough region.

I do not use juvederm in the troughs, there is often way too much swelling.  it is best to use restylane or belotero here and do small increments over time. once you get to full correction (often i do use juvederm to the cheeks to improve the troughs) then you will likely need touch ups every 6-12 months.  Best, Dr. Emer.

Hello.  Most tear trough deformities can be improved with small amounts of a hyaluronic acid filler like Restylane or Juvederm.  Generally, only 0.1- 0.2 ml of product is all that's required for each side.  Whether one uses Restylane or Juvederm is up to you and your surgeon.  Restylane is a bit more viscous or thicker and may be more suitable for the tear trough.  Juvederm is a bit softer, but can be more hydrophilic--or attract more water.  Consult your surgeon to decide what's the best course for you.  Take care.

Unless someone is Really deep, I would start with 1cc.  Juvederm is not a good filler for the lower lids as it can get very edematous.  Use either Restylane or Belotero.   

Hi there.  I agree, this is an area in which to use a lot of caution.  However, I have two main thoughts.  First, and this is not to over-sell, but almost everyone needs more than one syringe (although I can't see your full face, a comprehensive 3-D facial analysis is critical to everything else that follows).  That's not to say you can't start with one, but in order to get the BEST result, and also to augment the cheek somewhat, especially in women, I would caution you that only going with one is going to leave you unsatisfied.Second, and this is in contrast to others, I like to use a filler with a higher viscosity (or G') for this, because for me, the safest plane is in the deep plane and is used to build up the malar crease.  The other fillers mentioned are medium/low viscosity, and for me do not give a great result in this area, and are often injected into the wrong plane.  Basically, not matching up the desired result with the needed filler inherently leads to problems.  Also, those others only last 6-12 months...  better to use a product like Voluma or Lyft (although all of these are off-label uses for what we're talking about), which if used properly look completely natural and last 2 years or longer.  Laslty, find someone who knows the anatomy in this area extremely well, and how to avoid injecting around nerves/arteries.

Hello Eliza Bethany,Always be conservative when injecting the tear trough.  The skin is thin there and over injection is quite noticeable.  It would be unlikely that you would need more than a single syringe.  I would agree with what others said regarding Juvederm in this area.  It tends to swell more than other fillers.  I like either Restylane or Restylane silk.  I would recommend you consult with a facial plastic surgeon, plastic surgeon, dermatologist, or oculoplastic surgeon to evaluate you and provide recommendations.  I hope this helps and good luck.  

Hi. Most likely one syringe would be enough for your tear troughs. You can always add more later if needed. However, I would not use juvederm as it tends to be too "thick" for this area. Belotero or restylane/ silk tend to be better for this area. Best regards, Ira Vidor, M.D.

If the correction you are looking for include the area from the marked X medial toward the nose, then yes, one syringe to the tear trough area with a filler like Juvederm would be adequate to provide a very nice correction. I prefer delivering the filler through a cannula which allows us to correct this area with the most ease. Your picture does not allow me to assess fully your mid-cheek area. Deciding whether to place a mid-cheek filler such as Voluma would be based on assessment of your age related volume loss and descent of the mid cheek. Volumizing the mid cheek area can also create some secondary improvements of the tear trough area and nasolabial folds.

You white dots are positioned in the submalar areas of your cheek. The tear troughs are right next to you nose/eye junction. Both can be helped with filler. You probably need at least a syringe on each side to give you some volume. However, you may actually need 2 per side. Only an evaluation could give you more precise recommendations.