Memphis Facial Plastic Surgeons

filler or blepharoplasty for my tear trough?

My deep tear troughs are starting to really make me self-conscience.  I have been reading the pros and cons of each and am not sure what would be better.  I have barely gotten enough courage to consider a filler but I hear that they are difficult in this area to work properly.  I don't know if I could see myself having a blepharoplasty since its surgery (and I'm worried about not looking like myself once its done).  The fillers seem to be easy but everybody says to find an "experienced" person.  I talked to one board certified plastic surgeon who performs fillers but won't do them in the tear trough area because the results are so inconsistant.  Also, it appears that there are several different kinds of fillers as well.  Based on my photo, what would be recommended? 

First, I would need more views and different lighting to tell more on this web site. Not all cases can be resolved with fillers. Some patients need a bleph and filler. Some only one or the other. However, fillers can often provide significant improvement in the tear trough.

Blepharoplasty reduces the fat........above.........the tear trough. Protruding lower eyelid fat can exaggerate the tear trough by making it more visible; so, by reducing the protrusion above the tear trough you might lessen the disparity between the eyelid fat bulge (above) and the groove (below). Blepharoplasty....if needed...... is usually done under twilight anesthesia with local numbing. It takes about 20-30 minutes to do the lower lids, depending on whether you use an "in front" of the eyelid incision or a "behind" the eyelid (trans-cong) incision. There is very little if any post treatment discomfort.

In some cases we can move the fat bulge (above) and reposition some of the fat into the tear trough (below), but this does not solve the issue in all cases.

See a specialist who preforms facial aesthetic surgery on a regular basis and ask them to see pictures and speak to patients.

Phillip Langsdon, MD

Germantown Facial Plastic Surgeon

Can Chin Liposuction Improve my Profile?

I'm 22 years old but have always had a sort of round chin, even in pictures from when I was a young child, and despite being otherwise very lean and tall. It produces the look of a slight double chin from the front, and gives me an odd, rounded jawline from the side. If I sort of pull back there toward my jaw and hold it with my fingers, I have a much nicer, straight profile so I don't think it's something wrong with my bone structure. What procedure might be an option for something like this?

Liposuction can help...if....it is fat that is the problem. Sometimes enlarged muscles can create this look. In that case some other surgical maneuvers can often times help. A good examination will usually provide the proper diagnosis and treatment plan.

Phillip Langsdon, MD

Germantown Facial Plastic Surgeon

Am I an Ideal Candidate for Rhinoplasty/chin Implant?

I booked a private consulation with an orthodontist, they said I have an average overbite, and apprently this isnt something that needs correcting. I am getting braces however to fix a cross bite, but I never noticed my profile view until recently, and im really shocked by it, my nose seems to have grown, its only 4.5cm but it sticks out equal to the length almost, and I dont know if I have a weak chin, it is just small, im 22 will it grow anymore? I feel I look really young from the side

Every individual can see in themselves something they consider something less than perfect. However, no individual is perfect. Your pictures do not demonstrate a seriously weak chin and your nose is within normal limits of aesthetic considerations. Could you have surgery and alter things? Of course, but the real issue is...will it make enough difference to you...

I would think long and hard before committing to surgery.

Phillip Langsdon, MD

Germantown Facial Plastic Surgeon