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How is Hollowness on and Below the Orbital Rim Treated?

sunshine26Oct 30, 2009
Everything I have read about tear troughs seems to refer to volumizing the orbital area by placing filler underneath the eye muscle. However, how are patients treated when their hollowness is on or below the orbital rim? I have hollowness starting from my the top of my orbital rim to the top of my upper cheeks. Can fillers like Restylane be successfully molded on such a thin-skinned, bony area?

Answers (4)

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Dr. David Hansen, MD
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Dr. David Hansen, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.5 | 80 Reviews
Answered on Mar 6, 2018
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1 person found this helpful
Dr. Nima Shemirani, MD
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Dr. Nima Shemirani, MD
Board Certified Facial Plastic Surgeon
4.9 | 279 Reviews
Answered on May 4, 2023
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Dr. Steven Wallach, MD
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Nov 3, 2009
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Dr. Ritu Saini, MD - Account Suspended
Dr. Ritu Saini, MD - Account Suspended
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Mar 6, 2018
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1 person found this helpful

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Nima Shemirani, MD

Hi @sunshine26! This is an excellent questions. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin,...

+8 answers
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David Hansen, MD

Fillers such as Restylane or Juvederm should do just fine but need to be done is small increments such as 3-4 sessions over a few weeks at $550 per syringe and usually need 2-3 syringes. 

+2 answers
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David Hansen, MD

Scars are always challenging. It may take 4-5 subcisions with the addition of fillers to get the scars to release and smooth out. Don't give up, just keep going with your doctor's treatments. Eventually, it will look better.

+6 answers
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Michael A. Persky, MD

Hi Well Rounded, There are methods of making the back of your head more rounded. I would not recommend Juvederm or Restylane as it would require very large volumes and would be a temporary fix. Sculptra is used to add volume to the temporal area to give a rounder, more youthful appearance. ...

+2 answers
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Sabrina Shah-Desai, MS, FRCS

Although fat is an excellent permanent facial filler, it can behave unpredictably in the tear trough area with a risk of lumpiness, which would require further surgery to correct. As the tear trough & lid cheek junction ageing is dynamic and progressive, I do not recommend...

+4 answers
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