Age 47, how do I correct these dents in my face starting at my eye & going down my cheek? (Photos)

Question

I am 47 and these appeared after dissolving filler two years ago. I just want to permanently fix them. I will not do filler again.

Thomas A. Mustoe, MD, FACS · Answer

It is going to be difficult to make the area of depression emote smooth but fat grafting when done properly will reliably improve the area with an entirely natural appearance..  You also have some midface relaxation and lifting the midface area will also make a big difference but fat grafting is a good initial solution

Guler Gamze Eren, MD · Answer

Thank you for your question.You have a tear trough deformity that creates a hallowed and sunken area between you nose and cheeks. It can be corrected with a mid face lift surgery which can be done trough a trans-conjonctival incision.Fat repositioning can be done to restore your lower eyelid contour.Best Luck!

Ramin Behmand, MD, FACS · Answer

You're right that you have some facial volume loss. When fillers don’t achieve the desired results, the best alternative is fat grafting to restore that lost volume. When done well, fat grafting offers more natural-looking and longer-lasting results compared to fillers, making it an excellent option for a more permanent solution.

Dr. B.

Dr. B.

Zoran Potparic, MD · Answer

Loss of fat tissue in midface and periorbital area creates this type of irregularities. Logical solution is fat grafting with patient own fat tissue by means of fat nano and micro grafts. Considering that a take of fat grafts in this area is around 30% in our experience, second stage of fat grafting may be needed in 8-12 months if condition is not completely resolved. In person or teleconference consultation with a board certified plastic surgeon with extensive experience with this procedure is recommended.

Age 47, how do I correct these dents in my face starting at my eye & going down my cheek? (Photos)

Answers (4)

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