What fillers would recommended to fill in tear trough and create a lifted, more symmetrical look? 27 female (Photo)
Doctor Answers 7
Tear Trough / Cheek Injections
In your case, you have a tad bit of midface hollowing (which is normal in women in their late 20s-30s), which is likely accentuating the shadowing of your under eye area. You would look subtly more full and defined with likely 1-2 ccs of a product that lifts the malar region - Voluma or Restylane Lift. This product can also be placed along your cheekbone to help give you more definition. This, in addition to either restylane or belotero will help to smooth out your overall contour.
Although injections are relatively safe, there is always associated bruising and swelling which can last anywhere from 1-3 weeks under the eye. If you decide to have this procedure, be sure not to do it right around a major event.
Belotero for under eye hollows
Belotero for under eye hollows
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Best Filler for Under Eyes is Fat
Many physicians are comfortable injecting Hyaluronic Acid fillers under the eyes and in the tear troughs. However, when reviewing the patient complaints on this website, many are complaining of the lumps and bumps that they see. The truth is that almost all HA fillers are too cohesive to get a smooth natural result under the eyes and for those that are happy, the volume replacement is small.
The best treatment for tear troughs is fat injections. Fat is replacing fat that was lost to gravity and age.
Now with microcannulas the results are less traumatic and more predictable.
Fillers in lower eyelids and midface
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.
Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.