Question : Can fillers be used to treat tear troughs and, if so, which one is best?
Answer : Yes, but this can be a difficult injection associated with some lumpiness and black and blue in this thinned skinned area. It must be done very carefully. We like Belotero Balance, Juverderm or Perlane. Belotero is supposed to have less risk of a bluish discoloration called Tyndall affect.