Juvederm Vollure for tear trough? Isn't Volbella thinner and better? Need help to decide.

Hello,As panel members suggested, the best filler is one that your injector is the most comfortable with.  Regardless of preference, only a smooth gel filler (hyaluronic acid filler) should be used in this delicate area.  In our practice, we prefer Restylane for its predictability and nice outcomes.  This tried and true gel filler is also priced better than newer gel fillers.  Besides product choice, the technique and experience of the one performing the treatment is the most important factor.  This is the most popular filler treatment for both men and women in our practice.  Unlike one panel member's comment, we believe that this service is very rewarding, safe, and produces an appreciable and satisfying outcome for those patients that are good candidates.  Please refer to the below link for more information and before/after photos.

The choice of filler should be determined after an in-person consultation and evaluation. Depending on the amount of volume loss, in general smoother fillers such as Belotero, Volbella, and Restylane Silk work best under the eyes. If you have more volume loss then Restylane or Vollure may be appropriate. It's usually more about the skill of the injector than the filler used. I use microcannulas in this area to minimize the risk of complications. Make sure your injector is experienced in treating this area. Best wishes.

Each Doctor will have their preferred fillers and recommendations. Vollure is great for nasolabial folds and some Doctors use it off-label in other areas, but Volbella, Restylane, or Belotero are great fillers for tear troughs. Keep in mind, a combination approach will give the most improvement for tear troughs. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

The under eye area is delicate. The right choice of filler is really going to depend on your anatomy and isn't necessarily something that can be determined online. Vollure is an option as are Beletero or Restylane. Bottom line, do you trust your injector? If not, maybe it would be smart to get a second in person opinion. Best of luck.

Vollure is a great choice for the nasolabial folds, however is not my preference for the tear trough. Due to the eyelid skin being the thinnest skin on your body, I prefer a more silky and liquid filler to avoid discoloration and a puffy look. Options include Beletero or Restylane/Restylane Silk. Although it may seem more cost-effective to use a single filler for multiple parts of the face, a single filler type will not be appropriate for the wide variety of skin characteristics of the face. Hope this helps!Johnson C. Lee, MD Plastic Surgery

Tear troughs are indeed a very delicate area but excellent results can be obtained with fillers. The choice is filler is important because fillers with a higher concentration of hyaluronic acid (HA) can cause delayed and prolonged swelling in this sensitive area. In addition to the proper selection of filler, the skill of the injector is paramount. That will determine the quality of your results. You should always seek a consultation with an expert in facial aesthetics, such as a board-certified dermatologist, to maximize results while minimizing side effects. A combination approach with other treatments may yield optimal results.

Thank you for your question.  The choice of the best filler for a particular area depends on a variety of factors, including overall facial structure and anatomy, skin thickness, the extent of volume loss being corrected, and the depth of the injections.  While I can't make specific recommendations without assessing you in-person, Juvederm Vollure is a very versatile product, and can be used in the tear troughs in selected patients.  I particularly like it for correcting deeper volume loss in the tear troughs - I actually find that it's not very stiff and provides a very soft and natural finish.  I would not recommend Vollure for correcting more superficial volume loss under the eyes - softer products like Volbella work much better in that case.
The under eyes and tear troughs are among the most complex areas to treat with fillers, and require a great deal of expertise.  I would recommend seeing a cosmetic dermatologist or plastic surgeon for your treatment.  Best of luck!

It is my personal feeling that no hyaluronic acid filler should be used in the tera trough as overtime orbicularis oculi muscle pushes the product towards the inner portion of the eye and the nose creating a bubble witch does not look very pleasing. I have been using Hyaluronic acid fillers for over 22 years and have come to a conclusion long ago that no matter how thin or thick the product is, the result is usually the same. For those reasons I recommend that the patients have fat grafting which provides you with a permanent result that is natural in appearance. Good luck from New York City