Belotero for Under Eye Creases, Mild Tear Trough Groove and Upper Cheek Volume?

Hi Lydia, We have been getting very nice results using Belotero for treatment of under eye creases. As you describe, the problem with some other fillers is that it is difficult to inject them superficially enough. It tends to be more malleable than other HA fillers, making it a great choice for under eye treatment.  As you stated, it also eliminate the possibility of Tyndall Effect, which is that blue color that shows through the skin. There are other options available for mid-face filling depending on the specific concerns.  Our patients have been very happy with their results using Belotero.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Belotero is a great product. You are right that it can be placed under the eyes with great success. The key to the formula is that it has less tyndall effect so we can injected it superficially, as well as into deeper tissue. That is what is giving me the best results. 
I do still prefer fat though for many reasons: stem cells, increased volume, and safety. I attached a video of us talking a bit about fat. Most people need at least 2mL to really make the eyes look good. That is a lot of Belotero so fat is always an option. The take rate is variable, but at least a percentage is permanent. For instance, if I transfer 4mL, (even being very conservative) at least 1 mL should live. Forever. So that is a pretty good investment. 
Hope this helps.
Best of luck,
DrC

Belotero seems best suited for deep etched lines such as those of the glabella or perioral smokers lines around the mouth.  Caution should be used with any filler in the periorbital area as the very thin skin of the lower eyelids is very unforgiving.  

Belotero is a newer hyaluronic acids; however, it's one of my favorites as it is currently the thinnest filler on the market (Restylane Silk, which will make its debut in 2015, maybe even thinner). It works great in thin areas such as around the eyes and in lip lines. Around the eyes, we're getting more than a year in many patients. Around the lips, unfortunately, similar to the other hyaluronic acids, we are getting maybe 4 months.Belotero, similar to Restylane and Juvederm, can still have a Tyndall effect and does still create some long term swelling in certain patients.  It is hard to predict who these patients will be but the incidence of both of these effecs seem to be less than Restylane and Juvederm.  Perlane has been used with great success around the eye because of its soft nature.

Belotero is great for the fine lines around the face and is roughly $550/syringe. You don't get the lumpy/bumpy that juvederm sometimes gets. Lasts 4-6 months. Sincerely, David Hansen,MD

I've been seeing excellent results in my patients when using Belotero to treat the tear trough.  I generally still inject the product deeper, close to the orbital rim, which helps to avoid any bagginess, and further eliminates the chance of a Tyndall effect.  At this point, it has become the "product of choice" for me in this region of the face.

Belotero is an excellent choice for use under the eyes because it is soft and can be injected more superficially (if needed) unlike the other hyaluronic acid fillers.  While it could also be used in the upper cheeks, there are other fillers for that area that would last longer and would not be as likely to cause problems there because of the thicker skin of the cheek.

I usually use Belotero or Restylane in the under eye area. Belotero is best utilized for superficial filling of this area. For the cheek, I usually look to Voluma, Radiesse, Restylane Lyft, or Juvederm Ultra Plus. I wouldn't consider Belotero in the cheek area as I don't believe it provides the same lift as the previously mentioned products for this indication.

Belotero is an excellent filler for the tear trough groove- for all the reasons you stated.  It is a little more malleable than some of the other hyaluronic acid fillers, and there is less risk of the Tyndall effect with Belotero (bluish discoloration when filler is placed too superficial).  These characteristics make it ideal for the tear trough groove where you may need more superficial placement of the filler.  That being said, if too much is placed too superficially you can end up with swelling and "bagginess" under the eyes - so be careful when choosing your injector.