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What procedure is appropriate for fixing a very sunken tear trough? Fat transposition lower blepharoplasty?(Photos)

blueridgetMar 9, 2023
Hello, I have very full cheeks and very hollow under eyes. It has been this way since I was a small child. I really dislike the divot that forms when I smile. I went to a consultation and I was told I was not a good candidate for filler as my allergies might make the filler swell. Is there a more permanent procedure that can be done to add volume to the area? I was wondering if a fat transposition lower blepharoplasty could be used to fill in my hollow eyes?

Answers (1)

From board-certified doctors and trusted medical professionals
Zoran Potparic, MD profile photo
Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 145 Reviews
Answered on Mar 15, 2023
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Thomas Spalla, MD

I'd first caution you that the pain may not be related to that implant since it has been in place for so long and your pain is of newer onset. If you can distinctly localize and pinpoint to the pain to that screw, then you may wish to consult with a facial plastic surgeon to remove the screw....

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Zoran Potparic, MD

Based on your photos, it appears that you have mild form of malar hypoplasia (small cheek bones). This condition is best corrected with silicon cheek implants. They are placed throught an incision inside upper lip vestibulum. Lower, transconjuctival blepharoplasty, to address tear trough...

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Thomas Spalla, MD

Cheek implants may cause a slight, temporary, swelling to the lateral aspect of the nose, but they should not result in permanent nasal swelling. They are placed away from the nose and shouldn't distort nasal features. They will change mid-facial volume and you may perceive your nose slightly...

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