Long-term After Tear Trough Fillers

I’ve treated this area several times before and there is very little impact on the state of the area once the filler results wear off. In fact, long term use can actually promote collagen production in the area, giving you a better appearance than if you hadn’t had fillers done in the first place.

It is too early to say how your result will turn out. It may look great after the swelling goes down. In my experience some of the hyaluronic acid fillers can have issues in that they can absorb water from the surrounding tissue and give an appearance of bluish bags in the thin skin of the eyelid. As a result I have switched to Radiesse for this area as it has been more reliable over the long term. The good news is that if you have a problem there are threatments available. I hope this helps.

Hi worried.  Using Restylane or Teosyal will not make you look worse after the filler wears off.  We always take before and after pictures so that we can remind patients what they looked like before the injections.

Because these products are both hyaluronic acid based gels, they will dissolve in this area in about 1 year.  After that process is complete, you will look very similar (perhaps 1 year older) than you did before the injection.  If you want them dissolved earlier, that's also a possibility.

As for your current results, we always see our first time injection patients two weeks after the initial injections to guage results, do touch-ups and generally determine if the patients are happy or not.  This is a more expensive way to manage a patient, but always leads to higher patient satisfaction.  If you are concerned about your results, always check back with your injector, but give it a few days or a week for any swelling to go down.

Worried

Both products can be adjusted if you develop overfill from your treatment.  Because of expected swelling with this service it really will be a few days before you know if the treatment is good.  Longer if you bruised during treatment.  After about a week, if there are any bumps or areas that are too full, your injector can adjust the material manually or with an injection of the enzyme hyaluronidase.  It is important to understand that treatment is not just a commodity that should be compared on the basis of price.  This is surgery in a syringe and the material needs to be sculpted into the tear trough.  If for this treatment does not live up to every thing you hoped, the answer is to look for a better injector who can control the treatment in a way that is right for you.

Restylane is my favorite treatment for tear troughs.  If placed artfull,y Restylane will give a long lasting beautiful correction.  As the Restylane fades you will gradually lose the correction, however it will not make anything worse and will not cause baggy eyelids.  Over time you may develop baggy eyelids, but it will not be due to the Restylane.