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

Question

Ever since rhino, I have basset hound eyes. I recently had Juvederm for the tear troughs-1 whole syringe for both. Results looked great for 2 weeks; then they returned to baseline. PS says he would use another whole syringe. (I asked for a little help with outer edge of orbital rim, too.) From what I've read,1 syringe seems to do the trick. I am so scared. One PS destroyed my face with rhino, & now I can't even rescue my eyes. The filler already bulges when I smile. Won't more make that worse?

Sonia Badreshia-Bansal, MD · Answer

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.

Kenneth Hughes, MD · Answer

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.

Sam Naficy, MD, FACS · Answer

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

Jamil Asaria, MD · Answer

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

Michael I. Echavez, MD · Answer

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.

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

Answers (10)

Answer: Juvederm for under-eyes and tear troughs

Answer: Juvederm for under-eyes and tear troughs

Answer: Amount of Juvederm for tear troughs

Answer: Amount of Juvederm for tear troughs

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

Answers (10)

Answer: Juvederm for under-eyes and tear troughs

Answer: Juvederm for under-eyes and tear troughs

Answer: Amount of Juvederm for tear troughs

Answer: Amount of Juvederm for tear troughs

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.