What is the best treatment for undereye hollows (tear trough deformity)?
Doctor Answers 6
Best Treatment for Tear Trough Deformity
Of all the options discussed, the treatment that will give you the most improvement with the least risk is the new filler, Beletero. Surgery may not be needed, and in any case you will see improvement, which can last as long as a year or more in this area.
Restylane is also used under the eyes with great results, but the advantages of Beletero include that it spreads like spackle under the skin, swells the least, and never give a blueish tinge to the skin as Restylane can if it placed too superficially. It also is a treatment that is reversible if you do not like it for any reason. Although I have never had a patient who wanted to go back to the way they looked before treatment, it may make you feel more comfortable to know that you are not doing something with permanent effects.
(You can see my other answers about Beletero if desired.)
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You may be a candidate for either dermal filler or fat transfer
Options in this area include dermal fillers (either restylane or belotero), possible fillers to your cheek area (radiesse or juvederm) to smooth the transition between your eyelid and cheek, or fat transfer. All procedures in this area include some risk so be sure to discuss your concerns in detail with your surgeon
What is the best treatment for under eye hollows (tear trough deformity).
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Treatments for Tear Trough Deformity
For a prominent tear trough deformity, fillers or fat transfer can camouflage the problem, providing a reasonably good result. Fillers are temporary; fat transfer can be unpredictable.
Lower lid blepharoplasty with septal release and reset at the arcs marginalia can provide long lasting, essentially permanent, correction for this condition in the right patient.
All procedures of the lower lids, including injections, carry some inherent risk.
To be sure what might be best for you and to discuss the benefits and risk in great detail, see two or more board certified and experienced plastic surgeons in your area for a full and complete evaluation.
I hope this helps.