What is the Best Procedure is to Correct the Troughs Under my Eyes?

asked 2 years ago by Ihaveaquestion in canada
Latest answer by David Q. Santos, MD
Question viewed 531 times
Tags: under 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.

11 answers to What is the Best Procedure is to Correct the Troughs Under my Eyes?

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... more

David Q. Santos, MD
Seattle Facial Plastic Surgeon

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.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

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.

Steven Wallach, MD
Manhattan Plastic Surgeon

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... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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... more

Michelle Copeland, MD, DMD
New York Plastic Surgeon

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.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

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... more

Jason Litner, MD
Beverly Hills Facial Plastic Surgeon

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... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

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. more