What product would be best to treat my tear trough area?

Dr. Dean Kane Q & A. Q. Is the cannula method for they eyes a good technique for this area? Is my fair skin to light for fillers? A. The factors dependent on good results for filler in the tear trough and elsewhere include: 1. Patient selection ​2. Proper diagnosis of the problem ​3. Physician or injector talent and skill ​4. Proper product selection ​5. Use of sharp versus blunt needle / cannula ​6. Proper selection of the appropriate technique In properly selected patients, I find that shadowing of the nasojugal fold / tear trough is best approached with fillers deep and just superficial to the zygomaticus muscles and their overlying fat compartments. Heavier fillers such as Voluma and Perlane project the tissues forward and fill the separation of these compartments. Mid-projecting / volumizing fillers such as Juvederm and Restylane will be helpful to balloon the loss of volume in this compartmentalized layer of fat cells. Fine line injection with Silk, Belotero and other more fluid fillers above the orbicularis muscle may leave the patient with the depressed hollow of the tear trough. It may also highlight the bluish discoloration, the “tindle” effect in more fair skin patents rather than diminish it as with the deeper injections. Sub-orbicularis filler injection may help smooth the trough and camouflage the eyelid bags but rarely does it reduce discoloration. You may need layered filling to achieve your filler goals. Consider a mid-face lift which suspends these tissues and brings them together surgically rather than fill the hollows. In all options, it is best to consult with a well experienced, Board Certified Plastic Surgeon, Facial ENT or Oculoplastics Surgeon who has expertise in all procedures for your best evaluation and recommendations. I hope this has been helpful! All the best!
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