Is my skin just too thin for fillers?
Doctor Answers 5
Facial Filler disappointment for the Tear Troughs
This is common concern. Thin skin does make it tougher to hide the positive qualities of hyaluronic acid (HA) fillers but there are other issues to consider.
- while the molecule used in HA fillers is the same, the chemical linking and cleaving of the molecules promote the individual projection, fill or spread of the product and therefore its interaction in your tissues.
- each injector has a wide breadth of experience, knowledge, talent and skill.
- each injector will choose a different grouping of fillers for patient injection
- each patient is different with less or more challenging concerns and desires.
- smoother, less linked and smaller particle HA's do best in thinner dermal skin like that in the tear trough.
- more projecting HA particles belong deep near the bone, and
- more volumizing fillers generally do best in the subcutaneous, subdermal and muscle layers.
- Such layering and choice of the proper HA product leads to the best results.
- Each injector will have their own techniques and experience to achieve the desired result.
Fillers Into Troughs ... Use Cannula and Do Cheeks Before Troughs
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Restylane for thin skin
If you have had multiple different skilled injectors using Juvederm and Restylane in the tear trough and have developed lumps, I would recommend a softer product. The two products that come to mind are Restylane silk or Belotero. These are both hyaluronic acid just like Juvederm and Restylane but they have smaller particles. This means they are less likely to be lumpy (although they won't last as long as Restylane or Juvederm) and is the reason they are approved for more superficial wrinkles. And make sure you are receiving injections from a skilled injector to minimize the risk of lumpiness.
I hope this helps and good luck.
Fillers and Tear Trough
The tear trough area is a very delicate area and an advanced technique. An in office consultation is needed to determine what is the best filler for you. I have very specific fillers that I used based on the patient's facial anatomy. Best, Dr. Green
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.