Do 2 Syringes of Juvederm Seem Excessive for the Tear Trough Area?

Thank you for your question. Under the eyes is a very delicate area due to thin skin. Only a small amount of filler should be injected to avoid overfilling.  Although, sometimes an individual may need more fillers to get a full correction.  I would recommend being treated under the supervision of a Board Certified Dermatologist or Plastic Surgeon for safest and best treatment option. I hope this helps.

    If you are not satisfied with the volume improvement with one syringe, then another may be injected.  Every volume deficit is different and patient needs and desires are unique.  I would say that you may want to consider Restylane in the future, but this depends more on the skill of the injector than the product.

It depends on the person, of course. But 2 syringes is pretty typical if there is a significant hollowing in that area.  Without a photo it's hard to guess. It is important to have the placement correct.  Another thought is considering a different product for that area.  I have found the Restylane or Belotero may lay a little better in the thin skinned areas. These are both softer than Juvederm and may less likely to swell up or show through the skin like Juvederm can do when placed too superficially

Everyone requires a different amount of product depending on how much augmentation is necessary. It will certainly vary if you are treating more than one region (e.g. tear troughs, orbital rim, etc.). In general, one syringe is usually enough for the tear troughs. Most commonly, I will use Restylane Fine Lines under the eyes as Juvederm tends to draw more water and cause a bit of a puffy appearance.

Best wishes,

-Dr. Jamil Asaria

All treatments should be individualized to each patient, so some patients will require more Juvederm than others to achieve the desired result.  Without seeing you, or pictures of you, it's impossible to judge how much Juvederm would be recommended to treat you.  Having said that, I do feel that two syringes of Juvederm does seem like large amount to treat only the tear troughs.  If the area of depression below your eyes was fairly large, then it's possible that more than usual was needed.