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This filling can be accomplished with injectable fillers (Restylane, Juvederm) , fat injections, or by placement of a Flowers Tear Trough Implant. A Flowers Tear Trough Implant inserted under the eyes will augment the cheek bone (infraorbital rim) and eliminate the shadowing.
This is part of an overall package of perlane I purchased (I've had my lips and cheeks done, and also now tear troughs), and only 0.2ml was used in each tear trough, but I will be going back in two weeks for the final additions.