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Midface Plus Tear Trough, Submalar Combo, or Filler? (photo)

Mid 40's, I had malar implants removed 7 months ago, were showing thru under super-thin skin. I want to make sure I choose best option for my facial structure. Have consulted with 3 certified surgeons. Primary complaints: tear trough shadows, lack of volume, lack of structure. Would like tear trough implants, but am wary of midface lift recovery / appearing alien-like. For malar/sub-malar, am wary of adding more lateral projection to already high cheekbones. Filler OK, except puffy & cost.

Doctor Answers (2)

Filler Customizable for Facial Augmentation


Filler is a great choice in the cheeks. Radiesse works well and is very customizable.  It can be placed specifically where you need it without the anatomical constraints of implants.  This would be a very good solution to your concerns. All the best.

Fairfax Plastic Surgeon
5.0 out of 5 stars 20 reviews

Deflated cheeks after removal of poorly placed implants.


Proper placement of combinationalar submalar implants is best for you to restore volume. This can be done by an experienced surgeon to give a natural result. 

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

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