How Much Restylane is Typically Needed to Fill Tear Troughs?

Doctor Answers 11

It very much depends on the under eye hollow

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Dear Oulipo

Tear trough hollows vary quite a bit. The amount of filler need also varies. Most patients need significant volume under the eyes. In a study I recently completed looking at 400 consecutive under eye Restylane treatments, the average volume was 1 ml under each eye.

However, I have some patients who needed less and others who needed much more. Generally I would recommend a consultation with an experienced injector to be assessed regarding what you need. This is a great treatment option.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

How Much Restylane is Needed for Under Eye Injections?

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Hello oulipo.  The answer to the question very much depends on the patient.  In most cases, we will use between .5cc and 1cc for both sides combined.  With that said, we have had a patient that required 1 cc for each side because of her facial anatomy.

When we reach for a 1 cc syringe and it does not get completely used for the area, we work with the patient to place it in other areas that may benefit them like the lips. 

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Use fillers around the eyes sparingly

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 It is important to use fillers around the eyes sparingly as over-correction can look awful.  In most cases 0.5 cc (half syringe) is good for each side.  However, each patient is different and the amount should not be determined without examining you.  

Typically? About 0.2 cc.

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These questions are really tough since there can be a wide range to the severity of the defect and the amount needed to correct.

That said, I usually start with 0.2 cc each side and work from there. You do NOT want over correction in this area.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

How Much Restylane is Typically Needed to Fill Tear Troughs?

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Thank you for your question. I would start with injecting half a syringe for each side. This is because you do not want to over correct the area and then have to dissolve the filler. However, every patient is different and the amount cannot be determine without an in person examination. Best of Luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Tear trough and fillers

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There is a range of 0.2 to 0.4 ccs, but it may be more or less for some individuals. Ask your physician with whom your consulting to tell you what you need.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Surprisingly little

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Restylane is my preferred filler for the tear trough area. It is soft moldable and lasts about a year. I typically will use about 0.3- 0.5 cc per side depending on how much of a correction is necessary. More can always be placed at a later date.
I do not believe in the semipermanent fillers in this area. If you are not pleased with the correction this is very difficult to fix. The restylane however can be dissolved with an enzyme.
Good luck

Robert W. Kessler, MD, FACS
Corona Del Mar Plastic Surgeon
5.0 out of 5 stars 130 reviews

Restylane for tear troughs.

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The answer to your question is VERY LITTLE. In Manhattan, we typically inject 0.3 or 0.4 cc's of Restylane for each side when treating the tear troughs.  And the Restylane must be injected deeply.  This area is unforgiving, and technique is very important.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Restylane into Tear Trough

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Typically 0.5ml to 1ml. Its always good to start with less and then wait for one week to assess the final result.

In case of wrong position or over correction, Vitrase can be used to dissolve the excess.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Restylane for infraorbital hollowness

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Restylane has become the filler of choice for the lower eye area for long lasting correction. Juvederm and Hydrelle simply have too much hyaluronic acid content and are at risk for swelling.

For patients contemplating their first injection we usually recommend Prevelle, which does not last as long but also is quite safe.

For patients who need greater and more permanent correction we steer away from semipermanent fillers in favor of LiveFill(R) often performed with an ultrshort incision cheeklift (USIC (R)).

In any event, there are many choices now that were not available a few years ago.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.