What filler is good for improving the area under the eyes

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Question: What filler is good for improving the area under the eyes with the tear troughs?

Answer: The only filler that I will ever use in the tear trough area that is available today is the hyaluronic acid fillers as I feel the other fillers are literally contraindicated in this area due to high risk of problems.  It is even tricky with the hyaluronic acid fillers in many patients to get a very nice smooth complete correction in this area.  Frequently 2 different injections sessions would be needed if the patient has a significant amount of volume loss in the tear trough area and I will therefore split them up several months apart.  I personally have not had any significant problems in this area but I would recommend that anyone seeking filler injections into the tear trough find an experienced injector to perform this relatively difficult maneuver.

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