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Permanent Fix for Dark and Deep Tear Trough?

Greetings,

I have had my tear troughs filled with Juvederm for the past two years now, and even prior with Captique. I've been happy with this fix as it's the best I've found yet to improve my dark under eye circles.

While they remain red from the under lying blood vessels & muscle, filling them they do look much improved. I would really like to find a permanent solution to this. [I have makeup on in this photo but it's been 9 months since my last injection.]

Asked 30 months ago by darkcircles in pdx
Sort 3 expert answers by:
+1

Fillers are best option for deep tear troughs

While many patients seek a "longer lasting" answer, I would caution you that if you are happy with the results from the filler, it is best to stay with this option.
W. Tracy Hankins, MD
Las Vegas Plastic Surgeon
+1

Permanent Fix for Deep, Dark Tear Trough

Hi Dark Circs, Fat transfer is the best "permanent" fix for the hollows under your eyes. As you know, this is a very delicate and unforgiving area. Needless to say, you must have an experienced and well trained specialist treat you, and even then there is the possiblility of complications. Restylane injections in this area seem to last over one year, and even after the product has worn off, it seems that the hollow does not return as deeply. With repeated treatments, the effect... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Permanent fix for dark circles

I cant tell from your photo if you have fat bulges above the tear troughs. If you do then blepharoplasty to remove the extra fat will certainly help. To reduce the darkness, a chemical peel will help. You can also have laser done, such as Erbium to improve the color and thickness of the skin. Your eyes look good at this time. If you get desparate trying to get a permanent fix you might end up doing too much. That increases the risk of complications. Take your time with a step wise... more
Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
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