Is Restylane a good option? (Photo)
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Doctor Answers 18
Fillers are a good option for tear troughs, even better when combined with PRP. Fillers can also help with marionette lines
Facial rejuvenation makes up a big part of my daily practice, so I can give you some guidance on this matter. I’m a Board-certified cosmetic surgeon, certified by the American Board of Cosmetic Surgery, and a Fellowship-trained oculofacial plastic surgeon, through the American Society of Ophthalmic Plastic and Reconstructive Surgery. I’ve practiced in Manhattan and Long Island for over 20 years.
When I treat cases like yours, it’s important to step back and take a look at the big picture, rather than just focusing on the problem area, so I look at the eyelid-cheek junction, the cheek’s structure, and the balance of the whole face. The challenge with facial aging is that you’re not just dealing with soft tissue loss around the eyelid area, but also loss of bone, muscle, and fat. This is the reason for the appearance of pronounced nasolabial folds and marionette lines.
One of the most common errors in the fields of cosmetic surgery to cosmetic dermatology is the chasing of lines. With the advent of cosmetic fillers such as Restylane, we are able to address lines quite aggressively. However, I have found that when patients come to me expressing dissatisfaction in a filler treatment that they had done elsewhere, more often than not, it is not because of technical reasons regarding the way it was done, but rather because they feel they don’t look well-rested enough.
We can treat the tear trough area with Restylane, but I think there would be some added benefit in combining it with platelet-rich plasma (PRP) to also improve overall skin quality. Platelet-rich plasma is derived from your own blood that contains the healing growth factors that stimulates skin quality and improves complexion. On the other hand, people looking for this type of solution often also happen to have puffy under eye bags. If the under eye bags are too prominent, then it’s not worth it to do Restylane alone.
I would say that it might also be worthwhile for you to learn about a procedure called the Y Lift™. The Y Lift™ is an elegant procedure that involves adding volume into the deeper structural levels of the skin, unlike the traditional way of adding volume into the soft tissue of the face. Often when we combine the tear trough treatment with cheek augmentation or cheek lift, then the whole eye area looks so much better because it’s more balanced. The Y Lift™ can also improve the jawline, chin areas, and marionette lines.
I think what’s important to keep in mind when you’re learning more about your treatment options is the whole is greater than the sum of the parts. Ultimately, Restylane is an option you can look into, but I would also suggest looking into improving skin quality, texture, and complexion, to give you even more of a youthful look overall. Try to do a bit more research and meet with qualified, experienced doctors who perform these procedures.
I hope that was helpful and I wish you the best of luck!
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Restylane for tear trough
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I suggest you consult a board certified facial plastic surgeon to receive the highest quality knowledge, treatment, care and skill available. A consultation provides you the opportunity to relay your concerns and desired outcome to the surgeon while the surgeon can assess your health profile and discuss his/her pertinent advice.
I am also attaching a video that provides steps to follow to assist you in avoiding skin problems down the road.
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In my practice I have found good success with injections of restylane around the tear trough to minimize the appearance of bags under the eyelids and create a smoother and more rested appearance. Visit with a skilled injector in your area who has experience with treating in this area. I recommend a board certified plastic surgeon, or board certified dermatologist with known skill in treating around the eyelids.
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Restylane for tear troughs
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