Tear Trough treatment with Restylane: America's Most Needed (and Under-Utilized) Non-invasive Cosmetic Procedure Now Found To Last Much Longer Than Expected

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Dr. Hamilton has estimated that the incidence of this facial beauty issue is around 75%! Yet, most people don't realize how it detracts from their appearance, often dramatically. Hyaluronic filler Restylane proves to be an effective and cost saving treatment for this common issue.

Before and After Tear Trough Images

Actual Patient: Tear Trough treatment with Restylane

It is a real deal killer for many faces," says Dr. Hamilton. "Beauty is built, not on small lines; rather it is determined by issues that you note within milliseconds of walking into the room.

Dr. Douglas Hamilton, a Beverly Hills dermatologist and UCLA associate clinical professor has been teaching others about facial beauty issues for years.

He is co-author of “Beverly Hills Beauty Secrets” (John Wiley 2009) and author of the non-invasive chapter in the medical text on eye rejuvenation, “Master Techniques in Blepharoplasty and Periorbital Rejuvenation” (Springer, 2010). Dr. Hamilton has estimated that the incidence of this facial beauty issue is around 75%! Yet, most people don't realize how it detracts from their appearance, often dramatically.

"It is a real deal killer for many faces," says Dr. Hamilton. "Beauty is built, not on small lines; rather it is determined by issues that you note within milliseconds of walking into the room. If Liz Hurley were to suffer a large scar on her face, how would one describe her? Probably, as a beautiful woman with a large scar; she would still be seen as beautiful.”

So what is this beauty issue so often over looked as one focuses on much less important smaller issues? It is rings/shadows/depressions under the eyes. These are 3 terms for the same problem. Doctors call them tear troughs. Interestingly, there is no effective expensive risky surgical answer for this (unlike the removal of fat pad bulges by surgical blepharoplasty); on the contrary, there is a very effective non-surgical safe answer: hyaluronic filler injections. Recently, it has become apparent to cosmetic specialists that the effects last up to 3 years though these same fillers only last about 6 months elsewhere on the face.

“I prefer Restylane for the tear troughs because irregularities with it virtually never occur." Dr. Hamilton points out that what patients often think is pigment or darkness under the eyes is really a shadow from these depressions. When one compares this procedure to BOTOX injections on the forehead (which is essentially the only area that BOTOX can safely be used), 2 observations arise:

    1. Botox has developed great popularity because it does something and it seems cheap. However, compared to tear trough injections, Botox is very expensive in any office - it needs to be repeated 3-4 times a year- at $300-$500 a session (minimum) that is $900-$2000 for one year. Restylane (unlike duration in other parts of the face) in the tear troughs last 18 months to 3 years for $500-$900 typically.

    2. When we look at someone the area between the eyes and the mouth is key (the mid face); the forehead with some exceptions is very secondary." Bangs are a lot cheaper than Botox or Dysport", says Dr. Hamilton.

Dr. Hamilton feels that tear troughs are often ignored since they are part of the face often from a very early age and are accepted for that reason. "Even though they are unattractive and make people look tired, many people will undergo a surgery for a minor cosmetic issue with a nose that shows up only in profile and is often not noticed by others, while not perceiving the most prominent issue on their face that is easily fixed.”

If you would like more information about this procedure, or to schedule a consultation with Dr. Hamilton, please call (310)275-6400.

Dr. Douglas Hamilton is a nationally recognized cosmetic dermatologist with offices in Beverly Hills and Woodland Hills Los Angeles. He is board certified by the American Board of Dermatology and the American Board of Pathology (Dermatopathology).

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Douglas Hamilton M.D.
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