Cause and Treatment of Indentation Below the Tear Trough? (photo)

asked 6 months ago by guywithaquestion
Latest answer by Trevor M. Born, MD
Question viewed 127 times
Tags: atrophy, causes, indentation, options

I've just turned 21 (though my gaunt face makes me look a bit older) and I've recently developed an odd indentation just below the tear trough. It's in between the tear trough and the nasolabial folds. You can see it in the photo (sorry about the low quality). To me it appears like the fatty tissue has simply started to atrophy, but I'm not a doctor. Is there any precedent for treating something like this?

3 answers to Cause and Treatment of Indentation Below the Tear Trough? (photo)

Fat grafting, facial contouring, #fat transfer, #restylane, #tissue contouring, #beauty

Dear guywithaquestion Thank you for your question! It is a little difficult to tell from your photo- the exact nature of the contour change. It can be related to the lymphatic outflow around the eye or due to local volume loss. Options for soft tissue contour near the eye are RESTYLANE and Micro Fat Grafting. If this is related to the lymphatics I would be careful about having procedures done in this area. With Warm Regards, Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon

You are not the only one!

This may be a so-called pillow line from smushing the face at night with a pillow. This represents a change in volume in an area where the midcheek groove develops. Hyaluronic acid fillers are immensely helpful in dealing with these sorts of issues.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon