How close to the eye can tear trough filler be placed? (photo)

Question

I have had 1ml filler to my infraorbital region which has helped give me a more refreshed, plump look. I still find I have a noticeable depression, however, though it is closer to under my eye than the junction between my under eye and cheek. How close to the eye can filler be placed? What would improve my under eye further?

Daniel Barrett, MD · Answer

Dear larajanie,Yes, filler can be injected in the tear trough area. This is a high risk areas so be sure you go to someone well trained such as a plastic surgeon. I will tell you, some of the results I have in my office with filling these areas are extremely satisfying.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Nima Shemirani, MD · Answer

Hi @larajanie! I recommend PRP injections. PRP which stands for Platelet Rich Plasma is a natural and non-surgical solution to treat under eye circles and bags. PRP is highly effective for restoring sunken eyes. Generally, two vials of blood will be collected from the patient and placed into a centrifuge. The centrifuge spins and separates the platelets from the rest of the blood components. The plasma contains the valuable collagen and growth factors from the rest of the blood's components. The plasma is then drawn up into a syringe and injected in the tear trough area. Typically, 3 sessions is adequate for optimal results.

Janet Allenby, DO · Answer

Hello, Thank you for your question and photo. Based on what can be seen here, you would benefit with some filler under the eye. With the use of a cannula, you can get pretty close to the under eye to correctly fill that area. Make sure that you consult with a local physician who has experience with this type of fill. Good luck!

Jason Emer, MD · Answer

Yes, filler can be placed in the margin between under eye and cheek. Keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  You can place filler up to the junction of the lid with the cheek and it does appear that you obtained a very nice result.  I would recommend continued filler placement into the lower portion of your  left eye but otherwise enjoy your results!  Hope this helps.

Peterson Pierre, MD · Answer

Based on this photo, you are a good candidate for filler in the tear trough to give you an even more refreshed look. This is a very delicate area and the results are highly dependent on the skill of the injector and the choice of filler. This area should NEVER be overfilled because that will make you look worse than before.As with all cosmetic procedures, especially when it comes to fillers, the skill of the injector is paramount. Always seek an expert in facial aesthetics, such as a board-certified dermatologist, to maximize results while minimizing side effects.

Shaun Patel, MD · Answer

The undereye filler can be injected up to the margin of the bony orbit, however, not into the eyelid itself.  The superior point of injection is demarcated by what physicians know as the orbicularis retaining ligament. Based on your photos, I think you have a very nice correction with 1 mL of filler. It is possible to add a little more on the left side but I would be careful not to overcorrect.

Samer Muala, MD - Account Suspended · Answer

You have to be very careful with fillers under the eyes.  Using other methods in conjunction with fillers is the way to go.  I recommend microneedling with PRP and you can get  very close to the eye without concern.

How close to the eye can tear trough filler be placed? (photo)

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