Would I benefit from Cheek Filler for my tear troughs? (photos)

Question

I’ve had deep, hollow under eyes since I was a teenager that have only gotten more prominent as I’ve aged (I’m 22 y/o). There is no puffiness; they’re simply deep tear troughs. It’s becoming increasingly difficult to hide them with concealer in a way that looks natural. I have an appointment with a Dr. for filler that I would like to have in my CHEEKS as I’ve been reading concerning things about filler being injected directly into tear troughs. Do you think I would be a good candidate for this?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

Thanks for sharing your question and posting your pics. You would benefit from fillers directly being placed in your tear troughs. This can be a tricky area for the inexperienced injectors, so make an appointment with an experienced oculoplastic surgeon for guidance. Good luck!

Vibha Gambhir, MD · Answer

Hello, and thank you for your inquiry! Yes, I think that you are a good candidate for cheek filler. By adding filler into your cheeks it will help with the downward shadow that you are noticing. Another procedure that you could benefit from would be PRP, platelet rich plasma. This procedure will help thicken the skin under your eyes and improve the discoloration. Good luck on your journey!

Martie Gidon, MD, FRCPC, FAAD · Answer

You may be a candidate for cheek filler. Injecting the mid cheek area with a hyaluronic acid filler can give support to the tear troughs which may not actually require any filler. Your doctor will assess your face and determine the best treatment for you.

Charles Cheng, MD · Answer

It would be more ideal to post your whole face. Guessing from your photographs, you should be able to "lift" your cheeks up. By doing both cheek and tear trough fillers, you will be happy with the results. Make you are treated by someone with extensive experience and knowledge. Good luck! BTW excellent photography skills!

Leonard Grossman, MD · Answer

I try to discourage all of my patients from having any type of fillers placed in the lower eyelid area as they ultimately become a problem. The problem occurs because the skin in the eyelids is extremely thin and the action of the muscle surrounding the eye makes the fillers move towards the inner portion of the eye creating a bubble. I recommend the patients with your issue to have fat grafting done. Fat grafting creates natural and permanent results when performed by a Plastic surgeon with lots of experience in fat grafting techniques. I hope this helps and good luck from New York City Plastic Surgery.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,  Yes under eye filler would be a great option.  Make sure you have an evaluation with a board certified injector.

Best of luck!

Would I benefit from Cheek Filler for my tear troughs? (photos)

Answers (7)

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