What is the best method of deep tear troughs? (Photo)

Question

Hey! I am 25 and very deep tear troughs run in my family. I feel it ages me a lot and Iv seen so many different options for it but a lot of conflicting views for what the best option is. Iv seen fat transfer, fillers (except I worry about fillers since they migrate and often need to be dissolved), Iv also seen removing eye bags but idk how that helps with the deep line. Iv also seen laser treatments or Prp? Any help is appreicated !

Jason Emer, MD · Answer

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer​​​​

Zoran Potparic, MD · Answer

Based on these photos and your age, the most efficient procedure would be transconjuctival blepharoplasty. Incision is placed inside the eyelid, muscle and ligament insertions, which creates tear trough deformity, are released from the bone which correct this condition. In same cases, small amount of fat grafts may be used to further improve this area. There is no need for skin removal and outside scar. Hope this helps.

Mats Hagstrom, MD (license on probation) · Answer

I suggest considering mid face augmentation using fillers. To get an idea of what the procedure can accomplish. I suggest checking out the website of Dr. David Mabrie MD in San Francisco. His work with fillers is some of the best I’ve ever seen. Once you get an idea of what can be accomplished, do you need to find the best filler provider in your community. Fat transfer may seem tempting, but the procedure is in precise, unpredictable, and can be unforgiving if you don’t like the outcome.
If you’re up for fat transfer, then the need for provider selection becomes extremely important.
Best,
Mats Hagstrom, MD

What is the best method of deep tear troughs? (Photo)

Answers (3)

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What is the best method of deep tear troughs? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Facial Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.