Tough Tear troughs

Sirish Maddali, MD answers: Treatment for tear troughs and thin undereye skin?

I went to a doctor out of town for correction of my tear troughs, he told me that since I had such thin skin underneath my eyes, Restylane might not work well, and find somewhere closer to home in case of complications. Now I'm wondering if a filler or fat grafting would never be able to fix it, and if I have to live the rest of my life looking tired and older than my actual age? Also I've heard of laser treatment that thickens the skin underneath the eye. Is that really safe, and if so, what is it actually called?


Sirish Maddali, MD
4 months ago
By Sirish Maddali, MD - Bay Area Plastic Surgeon

  Tear troughs are truly a trick area to treat. There are many different fillers to choose from. The ones that produce more reliable results are the hyaluronic acid family of fillers, like Juvederm and Restylane. Both can help with improving the trough, but will cause swelling that can take some time to resolve. Fat injection to that area can cause a substantial amount of swelling and can lead to some lumpiness as well. Surgical procedures to improve that area are also part of the armementarium. Make sure you get a consultation with a good plastic surgeon to go over your options, but rest assured that they can be improved but most likely will never "disappear."

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