How many Juvederm injections will I need in my tear troughs?

The biggest mistake patients make is not using enough product to get the result they are looking for.I would conservatively recommend based on the 1 photo and assuming the other eye that I can't see very well is as deep as the first one, I would recommend 1 to 2 syringes of product for each eye.

I usually will not use more than 1/2 cc on each tear trough at a time, and often much less, depending on the patient.  Be sure to discuss with your own surgeon about how this applies to you, and whether they have any special concerns in your case.

you need to be conservative.  Start with one or half and put in a little bit over time.  You will also need your midface/cheek treated to make sure the troughs are supported and do not look puffy!  Best, Dr. Emer.

Thank you for sharing your question and posting your photos. It appears that your tear troughs are the problem. Restylane is best for this area. It does not swell or cause a blue hue like Juvederm can and lasts longer than Belotero. The treatment should be slightly less than you probably need with a touch up 2-3 weeks later. This gives the most precise and natural results. Your lower eyelids probably require a 1cc syringe of Restylane. Good luck.

You have a fairly deep and long tear trough, so there is a good chance you may need 2 syringes.  But you can always start with one and see how you do.  Juvederm is not the filler of choice for this area as it can get very swollen for long periods of time.   

From the photos it does appear that you have a tear trough deformity and that filler injections would provide you some benefit.  I usually start with a single syringe and see how you do with that, you can always go back to the doctor after the initial swelling has settled down, if more is needed.  The issue that I have is that I do not recommend Juvederm for the tear trough area.  It is way too hydrophilic (meaning water absorbing) for this area.  I love Juvederm in other areas, but not for the tear troughs.  I prefer Restylane or Restylane Silk for tear trough injections.

Thank you for sending your photos. You do have a tear trough deformity under each eye. In addition, there is some flattening of the upper cheeks - directly below the tear troughs. In my opinion, the best solution for you is injection of Juvederm Voluma for correcting the tear troughs and adding more contour to the inner portion of the upper cheeks. You will need, at a minimum, one 1 cc syringe, and quite easily a second syringe. The results obtained with Juvederm Voluma last longer than results with other fillers, lasting for 18-24 months. This benefit offsets the greater cost of Juvederm Voluma. The injections are usually performed with topical anesthetic cream on the skin, to make the treatment more comfortable. I recommend seeing a cosmetic dermatologist with experience injecting Juvederm Voluma. All the best!

Hi Eliza,Thank you for your questions and photos.Treat trough typically does not require a lot of product. Small amount of fillers can make a big difference. Once syringe is typically enough. Having said that, you are correct that the tear trough does typically extend into the cheeks. Sometimes getting cheek injection and a tear trough injection together can give you the best result. I often recommend different products for the cheeks and the tear trough (the skin is thinner in the eyelids and the lift in the cheeks is a deeper lift).You could consider staging the injections. First do the tear trough and asses and if you are still looking for a little more volume, then consider doing cheek injections.By the way, Juvaderm can create significant swelling in the eyelids. Consider doing a different filler for the tear trough area. You can discuss product with your injector during your appointment. I hope this is helpful.Good luck!

You would likely be a good candidate for filler injections to the tear trough and nasojugal fold.  I prefer Restylane in this area because Juvederm has a higher risk for swelling.  I also typically prefer to inject this area with a cannula to reduce the risk of bruising and swelling.  Make sure that you see an expert injector with a busy injectables practice.

After a certain age the so called tear trough is almost always present . Use of fillers to shape this region is as common as nasolabial folds . It is generally decided to never place your filler too superficial to prevent the Tindlel effect , also the safest fillers r Restylane & Belotero which r thinner , but this is a passive region which prolongs the effect . Remember ' Less is More ,u can always go back & do more & after pt has lived with new look , this my mo for all fillers , also Do No Harm !!