How long will it take to see final results after tear trough fillers?

Question

Hi. I had a doctor inject two syringes of restaylane to cover my dark circles. My last injection was one weeks ago and I still see some circles under my eye (blue in colour). I have two questions: 1) When is the final product seen? My doctor said it takes two weeks to see the final results. 2) If the right amount of filler is inject, do the dark circles get concealed 100% ? Thank you Thank you

Nelson Lee Novick, MD · Answer

I have been injecting tear troughs and dark circles with fillers for over three decades since the use of the original Zyderm I collagen product for this purpose. In general, the results of treatment are immediate and typically evoke an immediate "Wow!" response when the patient looks in the mirror after treatment. I am not a big fan of using ordinary Restylane under the eyes, as its use has been known to give rise to the unwanted, bluish Tyndall Effect especially if the material has been injected too superficially within the delicate under eye tissues. This could possibly be the bluish color you are describing. In my Upper East Side Manhattan office, I prefer to use Belotero Balance, which possesses little to no tendency to cause this problem. (In my Israel satelite facility, where a far greater number of regulatory agency approved fillers are available, I opt for Teosyal Redensity II for this region). When dark circles are prominent, I also often add a tiny amount of a whitish-colored filler, Radiesse, which helps to lighten the region. If your current bluish coloration is indeed the Tyndall Effect, the use of hyaluronidase to dissolve the Restylane may be used.I would suggest returning to your treating physician with your concerns, and if you are still unsatisfied, a second opinion might be in order by a board certified aesthetic physician with expertise and experience in treating this area. Be sure to ask to see his/her before and after photos before proceeding.

Jason Emer, MD · Answer

I find that fillers and lasers are needed for improvement along with long term skin care and microneedling.  This is a genetic condition that is improved with cosmetic treatments but not fully cured.  Best, Dr. Emer.

Edwin Ishoo, MD · Answer

Correction of tear trough deformity with HA fillers should be almost immediate and certainly at one week you have your final result from the injection; however, dark circles that are not due to shadow from the depression, will not improve with filler injection.

Chris Thiagarajah, MD · Answer

Fillers are usually not for dark circles. Usually fillers are for tear trough depression treatment. Best of luck.

Steven Wallach, MD · Answer

Dark circles are not usually improved by fillers.  Fillers will improve the tear trough depression. Best of luck.

How long will it take to see final results after tear trough fillers?

Answers (6)

Answer: Filler not for dark circle

Answer: Filler not for dark circle

Answer: Fillers

Answer: Fillers

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How long will it take to see final results after tear trough fillers?

Answers (6)

Answer: Filler not for dark circle

Answer: Filler not for dark circle

Answer: Fillers

Answer: Fillers

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.