How Much Restylane is Typically Needed to Fill Tear Troughs?

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.

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

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. 

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.

 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 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.
Regards

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.

Hi O,
The amount of Restylane typically required to fill the lower eye lid hollow varies depending upon the individual patient.
I find that between 0.3 cc to 0.5 cc per side is used in the majority of patients. I do not use more that 0.5 cc per side at one visit. If that is not enough, more can be added at later visits.
Most important to choose your injector carefully in this delicate and unforgiving area.
Good luck and be well.
Dr. P

Hello,Filling tear-troughs with Restylane is one of the most delicate areas you might use this product so it is best to take a careful, slow approach.  Understand that injectible fillers works well only for mild tear-troughs.  More severe cases should focus on surgery.  It is best to take things slowly when filling tear-troughs.  I recommend half of a syringe (.5cc) under each eye per session.  It usually takes 2 sessions, but sometimes 3 to get the optimal fill.  You will want to wait about a month or more between sessions to make sure the previous session is completely stabilized..  If you also need filling under the outside corners of your eye, then starting with 1cc under each eye is often the starting point..  Finally, do not use anything except for a hyaluronic acid filler under the eye.  There are a lot of hyaluronic acid brands with the most common ones being the Juvederm and Restylane lines of fillers.  Products like Radiesse and Sculptra should never be used in this area.Best Regards,Dr. A

This is all dependent on the extent of the problem and age of the patient. In general, I use 1-2 syringes total for patients and always use cannulas. I will then re-evaluate in 3-4 weeks and see if the patient needs more. There is often swelling when injecting this area so I instruct patients to sleep on 2-3 pillows for 2 days. Most of the filler is on the periostium, deep to the muscle and then I will go above the muscle to finish off. The "lateral tear trough" must not be ignored as well as the cheek (medial and lateral).