Which one has better immediate and long lasting results for eye troughs: PRF or filler?

Hello, PRF is not an established standard of care for under eye rejuvenation. It is something popularized by untrained providers and med spas. Please visit an oculoplastic surgeon for safe and high-standard treatment for your eyelids.

Hi @loveansbeaury! PRF injections will not restore volume loss in the tear trough area. Thus, I would recommend Hyaluronic Acid Dermal Fillers. Best of luck, Dr. Nima!

Fillers have a several decades long track record for treating under eye hollows, going back to the early days with the use of Zyderm I collagen for this purpose in the 1980s. More recently HA fillers, such as Belotero Balance & Teosyal Redensity II have established themselves as effective treatments for these issues, with results that may last 2-7 years. I personally have a patient whose results have so far lasted that long and when I treated myself, it is so far greater than five years. The same cannot be said of newer faddish treatments whose hard science to support their use lags woefully behind the intense marketing to promote them. Treating the under eyes with fillers requires experience and expertise. So make sure to consult with a board certified cosmetic dermatologist and be sure to ask to see his/her personal before and after photos before agreeing to proceed. Hope this helps.

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer​​​​

Filler is more often used to improve the tear trough area. It improves the transition from the under eye to the cheek and gives a younger, fresher appearance. The treatment is done in the office and the results last approximately a year depending on filler selected. We welcome you to visit our Houston office for your treatment!

Thank you for your question!
I really love PRP and PRF for certain indications. I have not found that it makes a lot of difference in the tear trough region.
Depending on your anatomy, either filler or a lower blepharoplasty will be your best bet. This is a tricky area, so please consult with a Facial Plastic Surgeon or an Oculoplastic Surgeon.
Best,Rosa B Lipin

They each do different things . Filler corrects volume deficits /volume loss . So correcting hollows is best with filler . PRP helps skin quality such a wrinkles and laxity . So if that is a concern then PRP can be used

Hi there,

Yes the PRF is not a filler and will not restore volume loss in the tear trough.

Have a consultation with an expert injector for best results.

Best of luck!

Unfortunately, many people have bought into PRF as the "next greatest thing" in for facial rejuvenation. Even if it does some of the things it is purported to do, it is NOT a filler and will not replace a filler, especially for tear troughs. So far, there is no convincing evidence that it does anything else either. In fact, the FDA classifies its use as experimental and requires anyone using it to be doing so in an official clinical trial.