Can dermal fillers be injected into the perpebmalar groove?

Can dermal fillers be injected into the perpebmalar groove? I have a semi-circle ridge under my eyes (from the infer eye, across the top of my cheek and up towards the outer corner of my eye). Surgeon said they can't be removed completely - why is this?

Doctor Answers 3

Combination Therapy May be Needed

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Thanks for your question.

I think you mean Palpebromalar Groove. Combination therapy may be needed although the results are variable and complete removal not always successful. 

Reducing the width with cheek volume and direct injection can assist, plus using a skin lightening modality is recommended depending on age. 

Please note, medical advice is given as general advice only and is not a substitute for a full consultation and examination.

Wishing you all the best,

Dr Murray from Absolute Cosmetic Medicine

We routine use fillers to help the appearance of the malar area.

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These are fussy services.  This is the first and best line treatment for most individuals.  The critical issue is finding an injector who actually knows what they are doing.  If you see someone who is uncomfortable with the treatment, to not insist that they do it.  Keep looking.  Yes there are surgical options but they are much more invasive and associated with complications. Chemical peels are another option for some.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Dermal fillers

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Thank you for sharing your question.  Fillers like Restylane and Belotero are commonly used in the tear trough to improve the transition from the eyelids to the cheeks.  Sometimes, surgery with blepharoplasty and fat repositioning may be a better option.  Consider a consultation with an oculoplastic surgeon to discuss which treatment may be best for you.  Good luck!

Samuel Baharestani, MD
Long Island Oculoplastic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.