I had a syringe of restylane in my under eye area 9 months ago. 1 syringe dint give me total correction and my doctor said i hage fairly deep tear troughs that extend to my upper cheeks. Now 9 months later , the result is almost gone. I have consulted another doctor, she said i should go for Juvederm ultra plus this time as this lasts longer . Is it a better filler for under eye area? Or any other filler which would give me more long lasting effects ?
August 15, 2017
Answer: Best filler for tear troughs that extend to upper cheeks. Thank you for sharing your excellent question. If you are looking for a longer-lasting result I would advocate placement of Juvederm Vollure. This product is soft, matures quickly, and has limited swelling time. Placement with a cannula also affords little downtime and bruising risk. Hope this helps.
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August 15, 2017
Answer: Best filler for tear troughs that extend to upper cheeks. Thank you for sharing your excellent question. If you are looking for a longer-lasting result I would advocate placement of Juvederm Vollure. This product is soft, matures quickly, and has limited swelling time. Placement with a cannula also affords little downtime and bruising risk. Hope this helps.
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August 15, 2017
Answer: Fillers for tear troughs Patients who need fillers in the tear trough area often also need fillers in their upper cheeks. For most patients the goal is to improve the eyelid-cheek junction and reduce shadowing in this area. Juvederm Ultra and Ultra plus are hydrophillic fillers, which means they attract water and increase in volume after injection. It is sometimes difficult to judge how much these fillers will expand, which can lead to overcorrection. Restylane and Restylane Silk are much better products to use in the tear trough area as they do not attract water the same way. I often blend lower eyelid and tear trough fillers with Restylane Lyft or Voluma in the cheeks. In a small number of patients, Juvederm Ultra and Ultra Plus can also attract additional water as the products break down leading to a puffy, swollen look several months after injection. This is rarely seen in areas with thicker skin, but can look really awful when this reaction occurs around the eyes. Juvederm Ultra and Ultra Plus are great fillers especially for the lower face - I just dont like to use them around the eyes. In most patients, under eye fillers last 1-2 years or more. Even if your body tends to metabolize the filler more quickly, I wouldnt recommend switching products for the reasons I describe above.
Helpful
August 15, 2017
Answer: Fillers for tear troughs Patients who need fillers in the tear trough area often also need fillers in their upper cheeks. For most patients the goal is to improve the eyelid-cheek junction and reduce shadowing in this area. Juvederm Ultra and Ultra plus are hydrophillic fillers, which means they attract water and increase in volume after injection. It is sometimes difficult to judge how much these fillers will expand, which can lead to overcorrection. Restylane and Restylane Silk are much better products to use in the tear trough area as they do not attract water the same way. I often blend lower eyelid and tear trough fillers with Restylane Lyft or Voluma in the cheeks. In a small number of patients, Juvederm Ultra and Ultra Plus can also attract additional water as the products break down leading to a puffy, swollen look several months after injection. This is rarely seen in areas with thicker skin, but can look really awful when this reaction occurs around the eyes. Juvederm Ultra and Ultra Plus are great fillers especially for the lower face - I just dont like to use them around the eyes. In most patients, under eye fillers last 1-2 years or more. Even if your body tends to metabolize the filler more quickly, I wouldnt recommend switching products for the reasons I describe above.
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