2nd opinion for tear trough filler & puffy fat pads? (Photos)

Question

I was recently told I wasn't a good candidate for tear trough filler because my fat pads were too puffy. This was an injector and not an MD. They suggested I get an expert second opinion.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. You must receive your tear trough filler injections from a skilled, experienced injector to get the most natural rejuvenation. These experts will know if you are eligible for dermal filler injections. Not every injector will have the same level of knowledge, experience, and expertise to perform the procedure correctly and safely while achieving comparable results.

I highly recommend scheduling an in-person consultation with a reputable, experienced injector. These experts are armed with a better knowledge of facial anatomy, as well as the most advanced injectable techniques that can achieve the safest and most natural-looking results. During your consultation, your provider can assess your skin quality and facial profile, recommend the best approach, and ensure the best possible outcome.

Nelson Lee Novick, MD · Answer

Although additional photos of the entire cheeks would have been helpful, there is a strong suggestion that volume deficit in the cheeks is contributing significantly here to the under eye issues, namely the bags, tear troughs and hollows. A filler cheek augmentation, properly performed, would very likely not only create a more heart-shaped, oval face, but secondarily improve the under eye area. You would be wise to consult with an experienced, board certified cosmetic dermatologist and be sure to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.

Camille Cash, MD · Answer

From the submitted photos it appears you have some under eye hollowness and skin laxity.  Filler can help to improve this.  It is important to not only address the under eye area but also the adjacent cheek area to balance facial contours.  You can also add treatments in addition to the fillers such as lasers or RF technology to improve overall skin tone and texture.  I've included a video I hope you find helpful.

Mark M. Davis, DDS · Answer

I would agree that you are not a good candidate because you have very puffy fat pads. These are probably genetic and tear trough treatment would only make them worse. I recommend a consult with a plastic surgeon for this area.

Leonard Grossman, MD · Answer

I don’t believe that you have is a typical tear trough. You also don’t have bags of the lower eyelids because when you touch them you probably feel bone. You should not have fillers placed into the lower eyelid area which appears to be quite hollow. You need to have fat grafting in that area in order to correct the deficiency. This condition is inherited most likely from your father side. With a fat grafting specialist, Plastic surgeon the results should be natural and permanent. I hope this helps and good luck from New York City plastic surgery

Jo Herzog, MD · Answer

How satisfied you will be with tear trough filler depends upon how much improvement you expect. I tell my patients  with these fatty deposits that they will get to second base but  it won't be a home run. If done well, you will get some improvement and if you don't want surgery it might be a good compromise. Even with surgery you might have hollowness that you are not happy with. In addition, if your cheeks need filler, which I can not see in these photos, you might get some improvement in way under eye area looks as well.

Darryl J. Blinski, MD · Answer

I 1000% disagree! You are a great HA filler candidate for your tear trough deformities. Expect under 1 syringe to be used at a fee from $800-$18,000.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

You are definitely a candidate for filler in the tear trough.  I would suggest seeing an Expert Injector with experience in this area.  The placement need to be right so see an expert!

Best of luck!

2nd opinion for tear trough filler & puffy fat pads? (Photos)

Answers (9)

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