Am I a good candidate for tear trough filler? (Photos)

Hello, and thanks for your question and photo. I do think you're a great candidate for placement of a hyaluronic acid filler in your tear trough (i.e., under eye) area. In this area I prefer Volbella or Restylane, but there are other fillers that work well in this location. This is one of my favorite procedures to perform, as patients instantly look more rested and younger. In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Best of luck, Dr. Frucht. 

After performing tear trough filling for several years I believe the safest and best way to place filler in this area is with a microcannula. This is a delicate area, the skin is very thin, there are multiple veins and lymphatic vessels in a shallow complex and larger vein, the angular vein, sits right at the end of the tear trough near the nose and needs to be avoided. Filling this area just adjacent to the nose is not advisable in most cases anyway. 

A microcannula is round on the end - not sharp, and thus decreases the risk of injuring veins and lymphatics. 

One drawback of filling this area is that hyaluronic acid fillers can tend to look puffy and are very persistent - so definitely small amounts should be used. 

As to whether you are a candidate you really have to see a physician with experience to get an opinion regarding that. I'd advise seeing a doctor well versed with using a cannula in this area.