Tear Trough Pensacola

Hyaluronic acid (HA) filler injections including Restylane®, Juvederm® &Voluma® are the 2nd most common non-surgical cosmetic procedure performed in the United States. In 2013, there were nearly 2 million injections with HA fillers.*

More definitive treatment of the tear trough deformity is accomplished with a lower eyelid blepharoplasty.

Restylane Silk® is a lower viscosity HA filler that has many applications. Drs. Butler and Leveque primarily useRestylane Silk® for treating the tear trough deformity underneath the eyes. They prefer Restylane Silk® for this because it tends to be softer and more easily molded than some of the other hyaluronic acid fillers.

Hyaluronic acid is an important structural building material that is naturally present throughout our bodies. Hyaluronic acid is being made and degraded throughout your body while you are reading this webpage. This is why hyaluronic acid is an excellent material for adding volume to the face. Because HA is constantly being produced and degraded by your body, injected HA will also eventually be degraded and is therefore considered a temporary filler.

Though rare, there are reported cases of blindness while injecting fillers around the eyes. These cases of blindness were thought to be caused by injection of filler inside the lumen of an artery under high enough pressure that the filler material “backed-up” into the arterial tree behind the eye – then with the next heartbeat the filler was pushed forward into the artery that supplies the retina, blocking it and subsequently causing a “stroke” of the retina. Since this is a very serious concern, Drs. Butler & Leveque do many things when injecting around the eye to further reduce the risk of this rare complication. Some of these preventive measures include: understanding the vascular anatomy of the face, using blunt cannulas which are less likely to enter vessels, injecting very slowly using low pressures, injecting a small amount of epinephrine before the procedure to cause the blood vessels in the area to temporarily constrict (clamp down), and applying ice to the area prior to injecting filler which also causes the blood vessels in the area to temporarily constrict (clamp down).

HA filler injections are done in the office and take less than an hour to perform. Results last anywhere from 4-12 months with most people being satisfied with the result for 9-12 months. Some patients may experience swelling, bruising and mild redness after filler injection so it is a good idea to schedule filler injections at least a week before any major events.


*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571

Gulf Coast Plastic Surgery is the only plastic surgery office in the area offering Canfield Vectra 3-D Imaging and Breast Sculptor software.