I Am 30 and Had Tear Trough Implants. Thought They Would Eventually Go Away, But Haven't? (photo)

Four years ago I had tear trough implants.I did not have any excessive fat just deep creases that made me look tired. I thought it will eventually go away post surgery, but I still have tear trough that makes me look very tired. What should I do?

Tags:

Comment on this

5 Doctor Answers | Asked by kamilaw17

Doctor Answers (5)
Community Comments (0)

Fat grafting or filler will help

I would recommend fat grafting to the tear trough. You can try filler first and if you liked the result, get fat injection.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Tear trough correction.

Injectables are a good alternative to any further surgical procedures. Even fat transposition is probably not more predictably effective than fat or other injectable fillers. Injectable fillers, other than fat, are readily and safely injected, with little if any downtime (2-7d max.), in experiences hands.. My choice of fillers would ne hyaluronic acid (Restylane, Juvederm, Bolotero, etc,) which are essentially all equivalently effective. They last about 1... more

Treatment of tear troughs

I think your best are an injectable filler or fat grafting from elsewhere. I do not think you have sufficient bulging fat into the eyelid to allow lasting coverage of the trough with that fat. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your question/post does not represent formal medical advice or constitute a doctor... more

Secondary Tear Trough Correction

If the implants were not completely effective for eliminating the tear troughs, then you have three options. The first and simplest would be to have fat injections on top of your existing implants. The second option would be to replace the existing implants with larger ones to get a fuller effect. The third option would be to do an infraorbital fat transposition over the existing implants. There are advanatages and disadvantages to either approach and more information, such as what type of... more

Tear Trough Implant Partially Corrected Problem - Needs Second Stage Surgery

Dear Kami, Your tear trough implant placed 4 years ago has apparently only partially corrected your tear trough defect. At this stage, I would leave implant in place, go in through a lower eyelid incision, go down to the inferior medial orbital rim, release the tissue attached to that area, open the medial inferior fat compartment, do a fat slide over to the orbital rim, and tack the fat under the released ligaments. This procedure was first described by a South American plastic... more