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

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​​​​

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.

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