Do I need more or less Restylane to fix new dents under tear troughs after filler injection? (Photo)

Dear Anna,The question you ask is a very interesting one.  As I'm certain he noticed the lighting as different between your photo series with lighting coming from the sides for images and lighting only coming from above in the after images.  The lighting can either help conceal or help highlight areas of concern.  This being said, it would be helpful to know how much bruising had occurred after procedure.  I mentioned this as you may have residual swelling and the addition of filler, or the removal of filler, would be premature at this time.Be healthy and be well,James Ridgway, M.D., FACS

I would probably give it a little more time to see if any residual swelling goes down.  If you don't like the result, you could consider having the Restylane dissolved with injections of hyaluronidase.  Filler in the tear troughs should be injected in a deep plane below the muscle to minimize the risk of visible lumps or swelling.  Make sure that you are seeing a core cosmetic doctor such as a dermatologist or plastic surgeon.  In my office, I perform all filler injections myself and I don't use a nurse injector.  

I will tell you why. The right dent can be corrected with a tiny bit of filler- either Restylane, Perlane, or Juvederm, you only need a tiny bit to fill that shadow, - it is more about trickery of the eye, and playing with shadows. The flip side is that if it is over done, it may look un-natural. You really need to have a conversation with you Specialist who performed this procedure. The other option is to dissolve and restart. Tear troughs are technically challenging, and I agree with my colleague- I do them myself and not my nurses, and they should, in most cases be placed on bone. All the best, Dr Davin S. Lim Laser and aesthetic dermatologistBRISBANE, Australia.