Injectable Fillers: Q&A
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Permanent Filler for Tear Troughs?
Is it effective to use a permanent filler like Radiesse or Artefill for my tear troughs / under-eye hollows? What are the risks?
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6 Doctor Answers |
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anon
+6
LiveFill or fat injection are the best permanent fillers for tear troughs
Rejuvenation of the under eye area is different for different ages and degrees of problem. As surgeons, we must be concerned not only giving a nice durable result to the patient, but also to preventing problems which can be long-lasting and in some cases untreatable.
The lower eyelids are particularly dangerous because of the thin skin which shows all bulges clearly. Remember that when you see the fat that normally bulges out below the lower eyes, this fat is covered by the skin, by the...
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+3
Tear Trough Correction with Fat Grafts
In patients who have developed deep 'tear troughs' at the junction of the lower lid and cheek, adjacent to the side of the nose, the meticulous grafting of fat harvested from the patient's abdomen, hips or thighs can build this area back up and nicely restore a more youthful contour. In some blepharoplasty patients this depression or 'hollow' extends horizontally across the entire junction of the lower lid and cheek, and this must be corrected to obtain the ideal...
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+3
The only good permanent filler is your own tissue
The tear trough or nasojugal groove is the depression under the eye that can be present genetically from an early age or more often occurs as we age.
The depression is the result of several different things happening at once.
The fat that bathes the eyeball starts to puff out. The bottom edge of the puffiness appears to be a groove. This is best treated by correcting the bulge.
The muscles that surround the eye and the muscle that attach to the nose to make it scrunch up are separated in...
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+3
Get a very experienced injector for permanent fillers
First, Artefil is the only permanent filler FDA approved in the USA. That being said, none of the fillers are FDA approved in this area. The tear trough area can be one of the trickiest and unforgiving areas to use fillers.
With that in mind, I do not recommend Artefil for this area. Radiesse is a good option, but not necessarily the best. Radiesse, if injected improperly, cannot be removed (except surgically, same with Artefil).
If a hyaluronic acid based filler, like Restylane or...
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+2
Permanent fillers around the eyes are NOT safe
This website is a great resource enabling prospective patients to get unbiased information about all the possibilities, as well as the risks and dangers, of the today's world of aesthetic surgery. I would really like to caution prospective patients about the use of permanent fillers.
In fact, I would go further. If your physician or "injector" wants to use a permanent filler around your eyes, I would turn around and run. By the nature of my practice I end up seeing patients who...
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+1
Fat grafting is the best permanent filler for facial contouring, but I use Juvederm more
Treatment of facial contour irregularities are both technically and aesthetically demanding.especaily in the tear trough area. Artefil is a permanent filler that is approved FDA; however, I would not advise injection this particular soft tissue filler because it is permanent without an easy way to correct or remove it outside of surgery. A much better permanent soft tissue filler is fat injection (auto-grafting) and I am in agreement with the comments made by the Dr. Freund.
Radiesse is...
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Englewood Plastic Surgeon
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