Which filler is best for tear troughs? (Photo)

Thank you for your question. Most patients will be treated with 1 syringe of restylene or juvaderm ultra for both eyes. You will not have excess skin after the product resorbs.  Their always risks with any procedure. Make sure you go to an expert with much experience in tear trough injections.  Best wishes.

For the under eye area I prefer to use Restylane or Belotero, though is does depend on the facial structure. Juvederm tends to cause swelling under the eye due to the skin’s thinness (diluted Juvederm can work well in this area though if placed a little deeper). I usually use between .5 to 1.0 syringe of Restylane when dealing with the dark circles under the eyes. The filler slowly dissolves as time goes on. Injected properly, the filler will not dramatically disappear or cause swelling, though this can occasionally still occur. Fortunately there is an eraser, hyaluronidase in those rare cases.Restylane and Belotero are both safe due to their composition of hyaluronic acid that is produced naturally from the human body. The synthetic and biodegradable hyaluronic acid that forms Restylane® and Perlane® has already been used in Canada and Europe for many years. These products contains the same 20 mg/cc intensity of hyaluronic acid, but they vary in the sizes of packaging in gel forms. The variation in their properties allows customization of injections depending on each specific patient’s facial folds, wrinkles, and lip enhancements. See a board certified dermatologist or plastic surgeon for best results with your injections.

My favorite fillers to utilize in the tear trough are are Restylane and Belotero depending on the anatomical landscape. In my opinion Juvederm has the tendency to swell and be less forgiving, sometimes resulting in malar festoons or water bags under the eyes.