As Restylane may possibly produce the Tyndall Effect, and Juverderm supposedly "moves" around frequently after injections, and fat transfers may or may not take, as well as leave lumps (especially on thinner faces). --- Has early usage of Belotero, under the eyes and in mid face volume, (described also as creating a more youthful lower lid/cheek junction) shown significant success? Apparently, the formula now available in the US is "clear" and described as quite malleable. It sounds good...
Belotero for Under Eye Creases, Mild Tear Trough Groove and Upper Cheek Volume?
Doctor Answers 11
Belotero Under Eyes
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.
Belotero for under eyes and upper cheeks
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.
Belotero under the eyes
Belotero is an excellent option for under they eyes due to all the reasons you cited- it's malleable, soft, and cen be injected more superficially than other HA fillers like the ones you mentioned above.
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Belotero under eyes
Belotero around the eyes
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 for tear trough groove
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.
Belotero to tear trough
Great results with Belotero around the eyes using blunt tip cannulas
I have been seeing excellent results with injecting Belotero under the eyes using blunt tip cannulas which are needles without a sharp tip. The blunt tip goes in with less pain and little or no bruising. The blunt tip simply pushes things under the skin out of the way as it goes in instead of cutting across tiny blood vessels like a sharp needle. This is important around the eyes where bruising can show. It is very important to have injections around the eye only performed by an experience surgeon certified by the American Board of Plastic Surgery as fillers around the eye if performed incorrectly can have side effects that are serious.
Filler vs. Fat
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 more superficially as well as deep. That is what is giving me the best results.
I do still prefer fat however. The reasons are many. 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,
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