Eyelid Surgery: Q&A
Ask a QuestionOrbital Rim Implants For Hollow Eyes; Anything Just As Effective? (photo)
I'm a young 24 year old but I have really bad Hollow eyes. It has been hard to find another case like mine, but I found one that is similar to me. I want your opinion on this case. What procedures would you do? Would it be as effective
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8 Doctor Answers |
Asked by
DepressedMess
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Lower Eyelid Orbital Rim Implant, Tear Trough Implant
The upper cheek/lower eyelid area goes by different names, but commonly the groove or hollow that can be found there is called a tear-trough. Some people have a tear-trough as a matter of genetics while others develop it with age. If you are young and have it, the reason is almost certainly skeletal shape. People who develop it with age may have a skeletal predisposition and then as they age they lose some skeleton (osteoporosis of the skull), have loss of...
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Orbital rim implants or fillers
I think the orbital rim implants would likely be a good option for your lower eye region, but you could use Restylane as a filler for a while before resorting to surgery.
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Injectible fillers and fat grafting...
Injectible fillers [Restylane/Juvederm] and fat grafting are techniques that are more in vogue in addressing the problem you are concerned about. Facial implants still have a role, but at this point the degree of your underlying skeletal anatomy does not warrant an implant, in my opinion.
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Injectable Fillers For Hollow Eyes
While there are a variety of volume addition options to the tear trough area, the first place to start is with injectable fillers. You want to be certain that actually filling the area will create the effect that you want. Any of the hyaluronic acid-based fillers will provide a quick answer that is completely reversible. If you like the effect created then you can decide if repeat filler injections, fat injections or a variety of implant materials are a better option.
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Enhancing Inferior Orbital Rims; Fillers VS. Implants
The Tear Trough or Nasojugal fold is at the junction of the lower lid and cheek. With the ease and versatility of fillers, especally of Restylane, implants were largely displaced to a much less used solution in this area. Fnd a Plastic surgeon experienced with treatment of this area.
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Hollow eye treatments.
The easiest, and quickest treatment for this is Juvederm or Radiesse. Fat in this area is very unforgiving and I see many patients with lumps after having this. The exception is when done in combination with a blepharoplasty.
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These dark circles are not that bad.
To not have implants to correct this. I developed an ePTFE orbital rim implant. However, the fillers are so great that most people are loving the under eye fillers. I now reserve the orbital rim implants for individuals who have had a complication from lower eyelid surgery. I actually think that Restylane is much more versatile that surgery. Finding the right injector is the key.
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Correcting the hollow lower lid
Although the implants are a possibility, this is not something I have used. I would try a lipoinjection of fat to the sulcus. You must use a board certified plastic surgeon with experience in this procedure to avoid complications. Do your homework and see several doctors before you decide to proceed.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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