Tear Trough Injections

Q: Dr. Eppley,I am very familiar with injectables and have been using Botox for over ten years and Juvederm for at least the past five years5\. My eyes are looking extremely tired and I wear glasses every day to cover up the line. I am aware that the tear trough can be treated but have heard it is only for the experienced. Can you please let me know if this is something common in your practice? Thank you

A: Placing injectable fillers into the tear trough is the hardest area on the face for getting good results in my experience which is considerable. It is a facial area fraught with aesthetic problems such as irregularities and over correction issues. It is also a very aesthetically scrutinized area since it is in the eye region. Anything less than a perfect result will be viewed by the patient as unacceptable.

In my experience 50% of the patients treated have some issue that requires further injection treatment whether it be additional filler or hyaluronidase to reduce/remove the filler material. I would need to see some pictures of your face to determine what risk profile you have for tear trough injections in this difficult facial filler area.

Dr. Barry Eppley
Indianapolis, Indiana