Question: Am I a good candidate for tear trough fillers to help with under-eye bags?


I’m not interested in surgery at this time, so I’d like to know if fillers would help with my under eye bags. If so, which type of filler would you recommend? Thank you in advance!

Dr. A’s Answer: Filling Lower Eyelid Tear-Troughs

You have what I would call moderate tear-troughs. Injections of Restylane work very well for mild tear-troughs and in fact is generally all that I suggest. Moderate tear-troughs typically experience a nice improvement that is well worth the effort, but rarely is considered a complete correction. Severe tear-troughs typically just don’t get a worth-while result from injections. Moderate and severe tear-troughs both do well with surgery. Between 1/2 and 1 cc is appropriate for each eye. Occasionally 1.5 if the treatment is extended all the way across the lower eyelid. If you need more than that, you need something else (surgery). Too much filler does not look better because the root problem is lack of bone structure and filler does not behave like bone. Hyaluronic acid fillers (Restylane) tend to last a very long time in the tear-trough. In fact, many years are possible in some people. I have done surgery on people who are more than 2 years out from an HA injection and during surgery, I find it in tissues.