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Implants only or tear trough ligament procedure with implant? (Photo)

Good151813Dec 17, 2025
I have a deep tear trough hollow and a distinct groove along the lid–cheek junction. From my research, I understand this can be caused by the tethering effect of the tear trough (osteocutaneous) ligament combined with infraorbital rim deficiency. To properly correct this, I wanted to ask whether a custom infraorbital or infraorbital-malar implant alone is sufficient, or whether it should be combined with surgical release or detachment of the tear trough ligament to prevent persistent tethering. Additionally, are ligament release and infraorbital implant placement typically performed together in the same surgery, or is it safer or more effective to stage them as separate procedures? If staged, which should be performed first and why? I would appreciate your opinion based on my anatomy and your preferred surgical approach.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Zoran Potparic, MD
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Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 146 Reviews
Answered on Dec 18, 2025
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Dr. Nelson Lee Novick, MD
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Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 119 Reviews
Answered on Dec 18, 2025
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