What filler is good for improving the area under the eyes or the tear troughs?
Let me start by saying this is a very “touchy” (pardon the pun) place to inject. Bruising is common. The injection must be done very carefully and deep just above the bone. The skin is very thin so fillers can show through. If it gets into the orbit or blood vessels of the orbit, it can cause blindness. That said, a diluted hyaluronic acid filler like Restylane, Juverderm or Belotero can be placed very carefully. A better solution is a lower lid blepharoplasty with fat transposition. In this operation the protruding fat pads of the lower eyelid are moved into the tear trough for a permanent improvement.