Belotero is arguably the best dermal filler for under eye and tear trough hollowing. The skin is particularly thin in this area, which does not leave much room for forgiveness. Because of Belotero’s very small particle size, it blends smoothly and integrates with the skin beautifully. Thus, the chance of lumps is greatly reduced. There is also less swelling and no blue-ish Tyndall effect that can be sometimes seen with other HA dermal fillers.

When performed using a blunt tip micro-cannula, the risk of bruising is very low and most patients are able to leave the office and go about their day without anyone knowing they had a procedure done. Because there is less movement in this area, results generally last over a year in  most patients.

We often see patient who’s eye bags or eye circles are not caused by tear trough hollowing.  The upper or medial cheek fat pad has slipped down and/or lost volume, causing what appears to be an under eye issue. Restoring structure and support in this area with large particle cheek filler such as Restylane Lyft will help resolve the issue.

Sometimes patients will present with a mix of both tear trough hollowing and mid-face volume loss. In these cases both treatments are needed for satisfactory correction.

 

⇑⇑⇑  2mls using a combination of Restylane Lyft to support mid/upper cheek structure and Belotero to fill slight hollowing, via micro-cannula technique, results in a well-rested yet natural look.

 

⇑⇑⇑  First Patient:  2mls of Restylane Lyft was used to support upper and mid cheek structure.  This can happen through the aging process and/or weight loss. This case is not a tear trough issue.  Notice there is no hollowing directly under the eye. The ‘groove’ under the eye is due to midface volume loss. 

⇑⇑⇑   Second Patient:  Slight hollowing and discoloration was improved using 1ml of Belotero via mirco-cannula technique. This case is a true tear trough issue with hollowing.  No mid face support needed.

 

⇑⇑⇑  2mls of Restylane Lyft was used to address mid face volume loss and reduce under-eye puffiness. This case is not a tear trough issue.  Notice there is no hollowing directly under the eye. The ‘groove’ under the eye is due to midface volume loss. 

 

⇑⇑⇑  4mls total using a combination of Restylane Lyft and Belotero via micro-cannula technique greatly improved this gentlemans under-eye bags.

 

⇑⇑⇑  1ml of Belotero split between each tear-trough via mirco-cannula improves slight under-eye hollowing for this patient.

 

⇑⇑⇑  1ml of Belotero split between each tear trough via mirco-cannula.

 

⇑⇑⇑  1ml  of Belotero split between each tear trough via mirco-cannula.

 

⇑⇑⇑  1ml of Belotero split between each tear trough via mirco-cannula.

 

⇑⇑⇑  2mls of Belotero fills in deep groove above orbital rim for this patient.

 

⇑⇑⇑  One syringe of Belotero split under each eye was used on this patient to fill under eye hollowing. Notice how the ‘tear trough’ is less shallow and the thin skin under the eye appears smoother

⇑⇑⇑  One syringe of Restylane Lyft(split) in the upper cheek area via micor-cannula to close the orbital break under the eye.

⇑⇑⇑  1ml of Belotero split between each tear trough via mirco-cannula.

⇑⇑⇑  2mls of Restylane Lyft(split) in the medial cheek area to refresh tired eyes.

⇑⇑⇑  Certain genetics can predispose even our younger patients with darkening under the eyes. Dr Gallo used 1 ml of Belotero for this patient via the micro-cannula technique. No bruising, minimal swelling and much less risk. This photo was taken immediately after and the filler will settle in nicely over the next 2 weeks to mask the darkness even more.

 

⇑⇑⇑  Dr Gallo used 1 ml Belotero for this patient via the micro-cannula technique. No bruising, minimal swelling and much less risk. This photo was taken 2 weeks post treatment showing full resolution of darkness.

⇑⇑⇑  35 year old female Many patients come in thinking they need filler under the eye, often it is the cheek that has lost volume and creating a bag under the eye. The cheek issue needs to be resolved first, then if still needed a little filler can go into the tear trough. Restylane Lyft was used for the cheek area and Belotero for the tear troughs.

denise
⇑⇑⇑  Female patient in her late 40’s. A combination of Botox, Restylane and Radiesse were used to reduce forehead wrinkles, smooth out under eye bags and restore volume in the cheek area.

maryann1⇑⇑⇑  Female patient in her 60’s. Restylane was used to plump under eye hollows along with Radiesse to restore volume lost in the cheek area.

⇑⇑⇑  1ml Belotero in the tear trough area via micro-cannula was used on both these patients. This is the final result