Restylane for Tear Trough - Uneven Results

It is not unusual to require a follow up for finessing the  results of eye trough injections. Ordinarily, small increments are best injected and often this area has mild to moderate swelling . Swelling  can distort the symmetry at the time of treatment.  Most everyone, however, has a degree of facial asymmetry to begin with so correcting the obvious difference is easier to do as the swelling subsides in 7-10 days.

Asymmetry can occur after any filler injection.  I find that many patients take notice of asymmetries in their face after a filler injection, only to find out that the asymmetry was present before the filler injection when we review their pre-injection photographs.  These small imperfections are often much more prominent to the patient than to everyone else around them. It is important to remember that these asymmetries can be addressed and often improved, but perfect symmetry is usually not possible.

The tear trough is a sensitive area, and it is much preferable to under-inject and have a touch up if necessary.  I always recommend my filler patients return 2 weeks post procedure to evaluate our results and make sure everything looks the way that it should.

In your case, I would probably want to address the asymmetry in the tear trough before I augmented the cheeks.  There may be a charge for the touch up, you will have to ask your doctor about that.