How many syringes of Restylane do I need for my under eyes? (photo)

Judging by your photos I would estimate approx. 1 syringe per side to begin with, you can always add more product to achieve the look you desire. Ensure you schedule a consult with an expert injector to ensure you obtain an accurate assessment. 

Restylane is a perfect filler to give you the result you wish for, based on the photos provided, I think you can start with one syringe and see the difference it makes, you may require the 2nd syringe if you didnt see much of a difference 

Filler into the tear trough does very well.  It is very difficult to assess the amount needed from this photo.  An in person consultation is needed.  Seek a cosmetic dermatologist or plastic surgeon with expertise. Best, Dr. Emer.

When there is loss of volume in the cheek region below the under eye area coupled with under eye problems (such as tear troughs, dark circles and hollows), simply treating the under eye area alone will often lead to suboptimal and less than gratifying results.It is important to appreciate that the cheek area below the lower lid serves as a platform, or a buttressing foundation, if you will, for the under eye region. Loss of volume in this critical cheek region results, as seems to be the case here, in an elongation of the lower lid, flattening and sinking of the skin of the upper inner cheek, and hollows, tear troughs and dark circles directly under the eyes.I have been nonsurgically treating this region for more than twenty years and have found, as have others, that merely addressing the lower lid, without first reinflating (revolumizing) the cheek region below, typically results in less than optimal improvement. A nonsurgical mid-face rejuvenation with a volumizing filler, such as Juvederm Ultra Plus XC or even Voluma XC would be my first choice. Often, besides the obvious improvement in the cheek itself, there is immediate secondary improvement in the lower lid region directly above, owing to the renewed mechanical support from the reinflated area.Afterward, attention can be directed to the tear troughs and dark circles themselves, if still needed. For this purpose, I would opt for a combination of Belotero Balance (which has little or no tendency to causing the unwanted, bluish Tyndall Effect that can be seen when other hyaluronic acid products are injected superficially within this delicate region) and a tiny amount of Radiesse, a whitish-colored filler that can help to mitigate the darkness of the circles. Restylane, usually diluted, could be used in place of Belotero, but, for the reasons noted above, would not be my first choice.A sophisticated approach to rejuvenating this area requires more than one filler in more than one area and would certainly require more than one syringe. Consultation with an experienced injector with experience with all available fillers and volumizers is critical for obtaining the desired results.

It is difficult to make an assessment based on a few photos. However, in most cases, 1-2 syringes of hyaluronic acid filler are adequate to volumize the undereye area without going overboard. Start slow as you can always add more down the road. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

I think you would probably need at least a syringe on each side to be able to augment the cheek all the way along the bottom of the eye socket.  One syringe might be enough to fill tear trough region.  Fat injections would be something to consider as well.  Good luck!

Based on your photos it looks like you are a good candidate for Restylane injections under the eyes. One syringe of Restylane is often enough to fill the lower eyelids, but you correctly identified that you could use additional volume in the upper cheeks. I suspect you will need 2-3 vials total. Best of luck with your treatment! Make sure to see someone very experienced in treating this area. Dont feel bad about asking the doctor about how much experience they have with under eye fillers.

A full face to face consultation with a qualified injector is always recommended, but from your photos I would recommend at least 2 syringes to obtain full correction. From my experience, if you do less that 1 syringe to each side, clients just are not as happy with the end reault. Restylane classic is always my go to for under eye filler!

I will treat tear troughs using cannulas and Restylane. The maximum that I use in this area is a syringe each side which also includes medial cheek and under eye. There is swelling for a couple days and I instruct patients to sleep upright as much as possible. Belotero has less swelling as does Voluma. Can't tell how much is tight for you until I see you in person. 

It is always difficult to tell from a photograph but you look like there is quite a bit of hollowing extending onto the cheek area.  In these cases I usually support the midface with a thicker product such as Radiesse or Voluma  and then inject 1 vial or Restylane in a layered fashion in order to acheive full correction.  I find this lasts longer than using 2 vials of Restylane and provides a very natural appearance.  Sometimes using Perlane and adding lidocaine to it provides the extra volume needed without resorting to 2 vials of Restylane but it is very patient specific and it is essential that you seek out a board certified physician, preferably an oculoplastic surgeon, who has extensive experience injecting in the peri-orbital area in order to minimize risks and get the most natural and long lasting results.