I Am Sick Of Strangers Asking Me If I Am Tired; Lower Bleph, Mid-Face Lift or Fillers for Dark Circles/Bags? Doctor Answers, Tips
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I Am Sick Of Strangers Asking Me If I Am Tired; Lower Bleph, Mid-Face Lift or Fillers for Dark Circles/Bags?

I am in my early 30s but have had infraorbital hollowness and dark circles since I was a child, & now I have some fatty herniation. I am beyond tired of strangers in supermarkets asking me if I am tired. But, w/so many horror stories of tear trough fillers (on this website & the Internet), why are so many plastic surgeons promoting them? Tyndall Effect is not ok, even for people with prior hyperpientation. Looking for best result answer vs. most cost effective or least amount of down time.

 

Popular Question: Lower Bleph, Mid-face Lift or Fillers for Dark Circles with "Carry On" Baggage

5 Doctor Answers | Asked by liatorp
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Lower Eyelid Hollows

Answering this without seeing you in person is complicated, however. . . Typically someone who has hollows under the lower eyelids from a young age is an excellent candidate for a tear-trough implant. Hollows at a young age are very much related to the shape of the skeleton and the implants directly correct that situation. In addition, the fat that becomes visible with age in the lower eyelids can be blended into the upper cheek/implant area during the same surgery. The... more
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Weigh your options

With every one horror story, there are hundreds of success stories. Patients tend to only share when something isn’t right. With ANY procedure there are risks involved. You need to be examined by a Board Certified surgeon. He/She will be able to explain different options and their risks and allow you to choose which step you want to take. It comes down to the skill of the surgeon and the confidence you have in them. Have more than one until you are find the right one for you. Good... more
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No procedure is risk free, however...

Firstly, photos would be helpful for us to give you a more specific recommendation. In response to your statement regarding "horror stories". It should be realized that for every "horror story" that you read online, there are probably 99 successes that are not publicized. There is almost always more than one way to approach eyelid hollowing/bulges. Both surgery [fat excision, repositioning, fat injection] and fillers have their place in our practices.... more

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Solutions for tired looking lower eyelids and deep tear troughs

The best way to answer your questions is to have an in person consultation to evaluate all your options both surgical and non-surgical and review the risks and benefits of each option. If you are having significant issues with your current appearance, then you are looking for improvement not perfection with any intervention. Filler injections including fat are minimal down time but not without risks which are mainly cosmetic. However, while improving the infra-orbital hollowing, they do not... more
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Treatment for "tired" lower eyelids

Unfortunately, it is difficult to discuss the best option for you without an examination. In terms of the least amount of downtime, you are correct that fillers (particularly restylane) are excellent for improving the appearance of the tear troughs. One thing to keep in mind is that NO procedure, even minimally invasive ones, is risk free. Yes, lower eyelid fillers run the risk of the tyndall effect or nodules, but the risk is minimal if done in the right hands using the... more
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