Tear Trough implants? (photos)

It is an old and invasive solution and the field has moved away from this.  The reason is that occasionally it is associated with significant complications.  Other options have proven much better.  The number one option is hyaluronic acid filler that lasts over a year and sometimes longer.  If there is an issue with it, it can be modified or removed with enzyme.  You face and mid face change over time.  There is no single solution that will last forever.

I personally would advise against tear trough implants, as there could be issues with it, depending on placement and size mismatch. In addition, because your face will continue to change (with bony resorption and fat loss), I doubt that even the implants will be a try permanent solution. Another option to consider include fat repositioning through a lower blepharoplasty. However, based on your photo, it is difficult to see whether you would have adequate fat to allow for effacement of your tear trough. Fat  transfer is another option, but it can be unpredictable.  

Dear Jobra,    Thanks for submitting your picture. Fillers, which are considered non invasive cosmetic procedure, are very popular and quite common in my practice, since they are very safe and need to be done only twice a year. Think of them as makeup.  I have no experience with tear trough implants, however the risk with them is size mismatch and possible injury to the infra orbital nerve.  A good option that worked well in my practice is partial MACS lift, that elevate the cheek tissue upward , filling up the tear trough and the lid cheek junction indentation. This procedure can improve on your condition for years.    Consult with experienced board certified plastic surgeon who are familiar with the MACS lift technique.                            Best of luck,                                          Dr Widder