Eyelid Surgery: Q&A
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What is the Best Procedure is to Correct the Troughs Under my Eyes?
I have deep indents from the corner of the inside of my eyes that goes down my cheeks, fairly deep. it really bothers me, and i need to do something about it. i tryed restylane but it did nothing, although i only had about $600 total injected in both sides. I was thinking maybe lower Blepharoplasty? please help.
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11 Doctor Answers |
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Ihaveaquestion
in canada
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Treatment for sunken contour underneath the eyes.
Sunken contour underneath the eyes is a common problem with standard aging of the eyes and face. There is the bagginess of the eyelids that accentuate the depression along the orbital rim just underneath the eyes. Additionally, there is a "tear trough" deformity that goes horizontally from the tear ducts along the side of the nose. I don't feel that there is a single best answer for treatment of these areas, however generally speaking lower lid...
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Treatment for tear troughs
We do not recommend fillers in that area due to the complications we have seen with fillers injected into that area. The tear troughs can be filled with repositioned fat or just a simple removal of the fat through a standard transconjunctival blepharoplasty.
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Tear trough problem
Difficult to tell you what would work without an exam. The photos is hard to see. Usually for minor depressions, fillers can work well. You may need more. A blepharoplasty does not tackle tear troughs too well.
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I'd been considering having this done for years. At 51, I decided it was time. Surgery is...
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Best Way to correct Tear Trough Indentation Under the Eyes
The Tear Trough (Nasojugal) indentation which appears between the lower lid and the cheek is the result of attenuation of soft tissue coverage over the lower rim of the eye socket. It first appears along the inner aspect of the lower lid/cheek junction and gradually extends sideways as a result of gradual sagging of the cheek mass which uncovers and unveils the underlying orbital rim.
Any soft material which adequately covers the orbit ledge would soften this look. Unfortunately...
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Permanent fillers can have permanent problems. The face continues to age, permanent fillers do not.
Clearly there are many potential options. I prefer the use of long term fillers rather than permanent fillers, particularly in the sensitive tear trough area.
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Options for trough under eyes
The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. If...
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Restylane is still your best option
Just because one doc could not get the job done, this does not mean you should abandon under eye Restylane. For someone your age and with your issues, hands down, under eye treatment with Restylane is much better than surgery. Unfortunately treatment remains an art form. The product needs to be sculpted into your lower eyelids. This means not every Tom, Dick, or Jane will be able to do this service.
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Fat transfer for under eye hollows
I would agree that temporary fillers such as Restylane should be able to give you a nice improvement. Remember that these fillers are volume-responsive, so if one tries to stretch too little over a larger area of volume, you won't see as much improvement. Sometimes, you may need a little more depending on the anatomy.
If you are interested in a more permanent solution, transfer of your own fat to the under eye area can give a tremendous improvement. In experienced hands, about...
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A well-performed Injectable Filler treatment may improve the troughs under your eyes.
I read your concern and reviewed your photo. You appear to have typical lower eyelid grooves that respond well to Injectable Filler treatments. I'm not sure why you had no response with a prevoius treatment. The lower eyelid area is very delicate, and sometimes several treatments are necessary for complete correction. My personal preference for lower eyelid grooves is Silikon-1000 for permanent results.
If any of my colleagues wish to learn more about my experience with...
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Fat Transfer under the eyes restores tear trough hollow
The area you describe is the space between the cheek tissues and the muscles that surround the eyes. In some people, this area can be hollow, giving the tear trough. Filling this area with fat will improve the look. Typically it takes 2-4 cc's of fat per side to get a fully rejuvenated look. Obviously , .8cc of filler is not going to do the job. My favorite is the Viafill fat transfer system. It provide a large amount of viable smooth fat for a smooth contour correction.
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