First I want to say that I love your website! It is very informative and I appreciate the fact that you take time to answer questions online.
I am a 31 year old female who is considering using a dermal filler (juvederm or restalyne) under the eyes/ tear trough. My skin has fared well considering I work outdoors daily. While I have some sun damage(mostly on the sides of my nose) I don’t have any wrinkles, at least not yet:)
Sometime around my 29th birthday I begin to notice darkness under my eyes and the line running from the inner corner of my eyes looked more defined. I have read that the under eye hollowness comes from losing volume and thinning of skin as you age. I have also read several reviews(some good and some bad) about treating the tear trough areal with a dermal filler to restore volume. The “after” photos I have seen are very impressive and seem to look very natural but the horror stories of lumps and bags forming beneath the eye have made me concerned.
My question is… Is there a particular filler that works best for this problem? Also, how do ensure I get a good result? Are Plastic Surgeons a better bet than say a dermatologist? and lastly the average price seems to be around 600-700 dollars, which while pricey would be ok if lasts the 9 months to a year that I’ve read but if it absorbs in 2 or 3 months it wouldn’t seem worth it. Do you find the tear trough injections last that long or are worth the money?
I guess that turned out to be more like 4 questions! I appreciate your response to any or all as well as your time. Thanks Again!
Thank you for your nice comment. I try to make this as educational as possible without any sale’s pitch!
Tear troughs are treated with fat injection, fillers, implants and fat transposition surgery.
Fillers work very nicely when injected properly by experienced doctors.
Plastic Surgeons know the anatomy much better than Dermatologists but I have seen very nice and very poor results achieved by both types of doctors. I have seen nice results from nurse injectors and bad results from them. It all depends. Knowing and seeing the anatomy helps surgeons know where to inject but having patience and a good artistic sense also is key.
Juvederm and Restylane are the only 2 fillers that should be used there. Either is fine. The injection should be right on tip of the bone. Bruising may occur. The filler should last 6-12 months in that area (as opposed to the lips that last much less) and the cost of $600 is an average cost per syringe and most patients dont need more than one syringe.
Lumps and bumps should be avoidable but baggy swelling can occur in rare cases due to the hydrophillic nature of Hyaluronic Acid fillers.