How any ccs of Belotero to tear troughs for optimal results?

The amount of filler needed to correct the tear trough is different from patient to patient. The safe way to avoid too much swelling is to inject 1cc at the time, because too many cc's in one time, gives you more swelling. Some patients with 1cc will have a full correction, but others may need 3 or 4cc, not just in the tear trough area, but also in the cheek area, to improve the contour of that area.

Belotero is one of the thinnest available fillers which means it spreads everywhere. Restylane lifts under eye hollows better and is more accurate while lasting longer. You can consider adding Restylane about 2 weeks after your initial treatment.Prp and microneedling will have very limited benefit to under eye shadows if any.

I wouldn't place more filler one day later.   Give it time and then consider it at 2 weeks.  Best of luck

Hi Tinherbell.  The amount of dermal filler product (we prefer Restylane) under the eyes depends on the person.  We have injected as little as .5 CC (1/2 syringe) and as much as 4 CC's over two visits.  If you have achieved some improvement but want more, you likely just need some more product.  Best of luck.

It's too soon to tell what your final results will be. It takes 1-2 weeks for final results with Belotero. However, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Thank you for your inquiry. Happy to hear you had no swelling! Typically 1 - 2 syringes is required depending on volume loss. Wait two weeks and follow up with your injector. 

Depends on the depth of the tear troughs. 1 cc divided is usually more than enough. Although belotero may swell for up to 5 days after injection. Volbella may be a better option.

The amount of Belotero in the tear trough can very depending on age, depth of tear trough, skin texture an laxity, and anatomy to name a few. It is reasonable to start with 1 vial, but you may need more for the complete effect either in the trough or filler in the adjacent cheek. The effects are immediate, so if you already feel like you need more, then I would return to your injector once the swelling has subsided in 1-2 weeks for further treatment or evaluation.

It would be difficult to assess how much more filler would be required under the eye without a picture. However, since you just had filler, I would wait 2 weeks to allow the Belotero to settle before determining if more product is needed. Filling the under eye region should be done is a slow and thoughtful manner so that is is not overfilled leading to a more tired look. All the best!

Generally speaking it take about 2 weeks for tear trough filler to settle and for any swelling and bruising to dissipate. I would follow up with the injector in 2 weeks and decide whether additional filler is needed. How much filler one needs to achieve optimal response in the tear trough area is variable from patient to patient but 1 cc of Belotero is  a good starting amount in most cases. Good luck!