Hi and thank you for your question! As you said, the area under the eyes and tear troughs are sensitive areas that require a higher level of skill and attention. I almost always use a cannula for filler injection in these areas. Also, the placement of filler requires great skill and it is ideally done at multiple layers/planes to achieve the most natural look and many patients also need some additional filler work around the more lateral area toward the cheeks. Lastly, placing hyaluronic acid fillers such as Belotero too superficially can result in bluish discoloration (Tyndall effect) and hence, it should be avoided. I hope it helps and good luck!
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